1131 lines
106 KiB
HTML
1131 lines
106 KiB
HTML
<!DOCTYPE html>
|
||
<html lang="en">
|
||
<head>
|
||
<meta charset="UTF-8">
|
||
<meta name="viewport" content="width=device-width, initial-scale=1">
|
||
<link rel="profile" href="http://gmpg.org/xfn/11">
|
||
<link rel="pingback" href="https://robpostonblog.wordpress.com/xmlrpc.php">
|
||
|
||
<title>Surviving Cardiac Surgical Chaos – robpostonblog</title>
|
||
<meta name='robots' content='max-image-preview:large' />
|
||
<link rel='dns-prefetch' href='//s1.wp.com' />
|
||
<link rel='dns-prefetch' href='//s2.wp.com' />
|
||
<link rel='dns-prefetch' href='//widgets.wp.com' />
|
||
<link rel='dns-prefetch' href='//wordpress.com' />
|
||
<link rel='dns-prefetch' href='//fonts-api.wp.com' />
|
||
<link rel='dns-prefetch' href='//s0.wp.com' />
|
||
<link rel='dns-prefetch' href='//af.pubmine.com' />
|
||
<link rel="alternate" type="application/rss+xml" title="robpostonblog » Feed" href="https://robpostonblog.wordpress.com/feed/" />
|
||
<link rel="alternate" type="application/rss+xml" title="robpostonblog » Comments Feed" href="https://robpostonblog.wordpress.com/comments/feed/" />
|
||
<link rel="alternate" type="application/rss+xml" title="robpostonblog » Surviving Cardiac Surgical Chaos Comments Feed" href="https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/feed/" />
|
||
<script type="text/javascript">
|
||
/* <![CDATA[ */
|
||
function addLoadEvent(func) {
|
||
var oldonload = window.onload;
|
||
if (typeof window.onload != 'function') {
|
||
window.onload = func;
|
||
} else {
|
||
window.onload = function () {
|
||
oldonload();
|
||
func();
|
||
}
|
||
}
|
||
}
|
||
/* ]]> */
|
||
</script>
|
||
<style id="wp-img-auto-sizes-contain-inline-css">
|
||
img:is([sizes=auto i],[sizes^="auto," i]){contain-intrinsic-size:3000px 1500px}
|
||
/*# sourceURL=wp-img-auto-sizes-contain-inline-css */
|
||
</style>
|
||
<link crossorigin='anonymous' rel='stylesheet' id='all-css-2-1' href='/_static/??-eJx9jFsKAjEMRTdkjfrh4Ie4ls40lE7TB01Kcfe2IooPJBC4yT0HWlZLioJRIFSVqVoXGZozFoUBa/8m71CRbiAYMmlBBpYr4XZh3sBvwYqS9eIfGUJKY5lKHS44JEblxPKR/inJeXyJ7+mrPlOyTyDo4lFctGrWBXr1/TLgSzjvp2l36nM4rjcgOmSg&cssminify=yes' type='text/css' media='all' />
|
||
<style id="wp-emoji-styles-inline-css">
|
||
|
||
img.wp-smiley, img.emoji {
|
||
display: inline !important;
|
||
border: none !important;
|
||
box-shadow: none !important;
|
||
height: 1em !important;
|
||
width: 1em !important;
|
||
margin: 0 0.07em !important;
|
||
vertical-align: -0.1em !important;
|
||
background: none !important;
|
||
padding: 0 !important;
|
||
}
|
||
/*# sourceURL=wp-emoji-styles-inline-css */
|
||
</style>
|
||
<style id="wp-block-library-inline-css">
|
||
:root{--wp-block-synced-color:#7a00df;--wp-block-synced-color--rgb:122,0,223;--wp-bound-block-color:var(--wp-block-synced-color);--wp-editor-canvas-background:#ddd;--wp-admin-theme-color:#007cba;--wp-admin-theme-color--rgb:0,124,186;--wp-admin-theme-color-darker-10:#006ba1;--wp-admin-theme-color-darker-10--rgb:0,107,160.5;--wp-admin-theme-color-darker-20:#005a87;--wp-admin-theme-color-darker-20--rgb:0,90,135;--wp-admin-border-width-focus:2px}@media (min-resolution:192dpi){:root{--wp-admin-border-width-focus:1.5px}}.wp-element-button{cursor:pointer}:root .has-very-light-gray-background-color{background-color:#eee}:root .has-very-dark-gray-background-color{background-color:#313131}:root .has-very-light-gray-color{color:#eee}:root .has-very-dark-gray-color{color:#313131}:root .has-vivid-green-cyan-to-vivid-cyan-blue-gradient-background{background:linear-gradient(135deg,#00d084,#0693e3)}:root .has-purple-crush-gradient-background{background:linear-gradient(135deg,#34e2e4,#4721fb 50%,#ab1dfe)}:root .has-hazy-dawn-gradient-background{background:linear-gradient(135deg,#faaca8,#dad0ec)}:root .has-subdued-olive-gradient-background{background:linear-gradient(135deg,#fafae1,#67a671)}:root .has-atomic-cream-gradient-background{background:linear-gradient(135deg,#fdd79a,#004a59)}:root .has-nightshade-gradient-background{background:linear-gradient(135deg,#330968,#31cdcf)}:root .has-midnight-gradient-background{background:linear-gradient(135deg,#020381,#2874fc)}:root{--wp--preset--font-size--normal:16px;--wp--preset--font-size--huge:42px}.has-regular-font-size{font-size:1em}.has-larger-font-size{font-size:2.625em}.has-normal-font-size{font-size:var(--wp--preset--font-size--normal)}.has-huge-font-size{font-size:var(--wp--preset--font-size--huge)}:root .has-text-align-center{text-align:center}:root .has-text-align-left{text-align:left}:root .has-text-align-right{text-align:right}.has-fit-text{white-space:nowrap!important}#end-resizable-editor-section{display:none}.aligncenter{clear:both}.items-justified-left{justify-content:flex-start}.items-justified-center{justify-content:center}.items-justified-right{justify-content:flex-end}.items-justified-space-between{justify-content:space-between}.screen-reader-text{word-wrap:normal!important;border:0;clip-path:inset(50%);height:1px;margin:-1px;overflow:hidden;padding:0;position:absolute;width:1px;word-break:normal!important}.screen-reader-text:focus{background-color:#ddd;clip-path:none;color:#444;display:block;font-size:1em;height:auto;left:5px;line-height:normal;padding:15px 23px 14px;text-decoration:none;top:5px;width:auto;z-index:100000}html :where(.has-border-color){border-style:solid}html :where([style^=border-color],[style*=";border-color"],[style*="; border-color"]){border-style:solid}html :where([style^=border-top-color],[style*=";border-top-color"],[style*="; border-top-color"]){border-top-style:solid}html :where([style^=border-right-color],[style*=";border-right-color"],[style*="; border-right-color"]){border-right-style:solid}html :where([style^=border-bottom-color],[style*=";border-bottom-color"],[style*="; border-bottom-color"]){border-bottom-style:solid}html :where([style^=border-left-color],[style*=";border-left-color"],[style*="; border-left-color"]){border-left-style:solid}html :where([style^=border-width],[style*=";border-width"],[style*="; border-width"]){border-style:solid}html :where([style^=border-top-width],[style*=";border-top-width"],[style*="; border-top-width"]){border-top-style:solid}html :where([style^=border-right-width],[style*=";border-right-width"],[style*="; border-right-width"]){border-right-style:solid}html :where([style^=border-bottom-width],[style*=";border-bottom-width"],[style*="; border-bottom-width"]){border-bottom-style:solid}html :where([style^=border-left-width],[style*=";border-left-width"],[style*="; border-left-width"]){border-left-style:solid}html :where(img[class*=wp-image-]){height:auto;max-width:100%}:where(figure){margin:0 0 1em}html :where(.is-position-sticky){--wp-admin--admin-bar--position-offset:var(--wp-admin--admin-bar--height,0px)}@media screen and (max-width:600px){html :where(.is-position-sticky){--wp-admin--admin-bar--position-offset:0px}}
|
||
|
||
/*# sourceURL=/wp-content/plugins/gutenberg-core/v23.9.1/build/styles/block-library/common.min.css */
|
||
</style>
|
||
<style id="wp-block-list-inline-css">
|
||
ol,ul{box-sizing:border-box}:root :where(.wp-block-list.has-background){padding:1.25em 2.375em}
|
||
/*# sourceURL=/wp-content/plugins/gutenberg-core/v23.9.1/build/styles/block-library/list/style.min.css */
|
||
</style>
|
||
<style id="wp-block-paragraph-inline-css">
|
||
.is-small-text{font-size:.875em}.is-regular-text{font-size:1em}.is-large-text{font-size:2.25em}.is-larger-text{font-size:3em}.has-drop-cap:not(:focus):first-letter{float:left;font-size:8.4em;font-style:normal;font-weight:100;line-height:.68;margin:.05em .1em 0 0;text-transform:uppercase}body.rtl .has-drop-cap:not(:focus):first-letter{float:none;margin-left:.1em}p.has-drop-cap.has-background{overflow:hidden}:root :where(p.has-background){padding:1.25em 2.375em}:where(p.has-text-color:not(.has-link-color)) a{color:inherit}p.has-text-align-left[style*="writing-mode:vertical-lr"],p.has-text-align-right[style*="writing-mode:vertical-rl"]{rotate:180deg}
|
||
/*# sourceURL=/wp-content/plugins/gutenberg-core/v23.9.1/build/styles/block-library/paragraph/style.min.css */
|
||
</style>
|
||
<style id="wp-block-library-inline-css-extra">
|
||
.has-text-align-justify {
|
||
text-align:justify;
|
||
}
|
||
.has-text-align-justify{text-align:justify;}
|
||
/*# sourceURL=wp-block-library-inline-css */
|
||
</style>
|
||
|
||
<style id="classic-theme-styles-inline-css">
|
||
.wp-block-button__link{background-color:#32373c;border-radius:9999px;box-shadow:none;color:#fff;font-size:1.125em;padding:calc(.667em + 2px) calc(1.333em + 2px);text-decoration:none}.wp-block-file__button{background:#32373c;color:#fff}.wp-block-accordion-heading{margin:0}.wp-block-accordion-heading__toggle{background-color:inherit!important;color:inherit!important}.wp-block-accordion-heading__toggle:not(:focus-visible){outline:none}.wp-block-accordion-heading__toggle:focus,.wp-block-accordion-heading__toggle:hover{background-color:inherit!important;border:none;box-shadow:none;color:inherit;padding:var(--wp--preset--spacing--20,1em) 0;text-decoration:none}.wp-block-accordion-heading__toggle:focus-visible{outline:auto;outline-offset:0}.wp-block-tab:not(.has-text-color){color:inherit!important}.wp-block-tab:not(.has-background){background-color:inherit!important}.wp-block-tab:focus,.wp-block-tab:hover{text-decoration:none}.wp-block-tab:focus-visible{outline:auto;outline-offset:0}
|
||
/*# sourceURL=/wp-content/plugins/gutenberg-core/v23.9.1/build/styles/block-library/classic.min.css */
|
||
</style>
|
||
|
||
<style id="coblocks-inline-format-inline-css">
|
||
.uppercase{text-transform:uppercase}
|
||
/*# sourceURL=coblocks-inline-format-inline-css */
|
||
</style>
|
||
<link crossorigin='anonymous' rel='stylesheet' id='all-css-12-1' href='/_static/??-eJx9jEEOAiEQBD/kQECjeDC+ZWEnijIwYWA3/l72op689KFTVXplCCU3zE1z6reYRYfiUwlP0VYZpwxIJE4IFRd10HOU9iFA2iuhCiI7/ROiDt9WxfETT20jCOc4YUIa2D9t5eGA91xRBMZS7ATtPkTZvCtdzNEZt7f2fHq8Afl7R7w=&cssminify=yes' type='text/css' media='all' />
|
||
<style id="global-styles-inline-css">
|
||
:root{--wp--preset--aspect-ratio--square: 1;--wp--preset--aspect-ratio--4-3: 4/3;--wp--preset--aspect-ratio--3-4: 3/4;--wp--preset--aspect-ratio--3-2: 3/2;--wp--preset--aspect-ratio--2-3: 2/3;--wp--preset--aspect-ratio--16-9: 16/9;--wp--preset--aspect-ratio--9-16: 9/16;--wp--preset--color--black: #000000;--wp--preset--color--cyan-bluish-gray: #abb8c3;--wp--preset--color--white: #ffffff;--wp--preset--color--pale-pink: #f78da7;--wp--preset--color--vivid-red: #cf2e2e;--wp--preset--color--luminous-vivid-orange: #ff6900;--wp--preset--color--luminous-vivid-amber: #fcb900;--wp--preset--color--light-green-cyan: #7bdcb5;--wp--preset--color--vivid-green-cyan: #00d084;--wp--preset--color--pale-cyan-blue: #8ed1fc;--wp--preset--color--vivid-cyan-blue: #0693e3;--wp--preset--color--vivid-purple: #9b51e0;--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple: linear-gradient(135deg,rgb(6,147,227) 0%,rgb(155,81,224) 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan: linear-gradient(135deg,rgb(122,220,180) 0%,rgb(0,208,130) 100%);--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange: linear-gradient(135deg,rgb(252,185,0) 0%,rgb(255,105,0) 100%);--wp--preset--gradient--luminous-vivid-orange-to-vivid-red: linear-gradient(135deg,rgb(255,105,0) 0%,rgb(207,46,46) 100%);--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray: linear-gradient(135deg,rgb(238,238,238) 0%,rgb(169,184,195) 100%);--wp--preset--gradient--cool-to-warm-spectrum: linear-gradient(135deg,rgb(74,234,220) 0%,rgb(151,120,209) 20%,rgb(207,42,186) 40%,rgb(238,44,130) 60%,rgb(251,105,98) 80%,rgb(254,248,76) 100%);--wp--preset--gradient--blush-light-purple: linear-gradient(135deg,rgb(255,206,236) 0%,rgb(152,150,240) 100%);--wp--preset--gradient--blush-bordeaux: linear-gradient(135deg,rgb(254,205,165) 0%,rgb(254,45,45) 50%,rgb(107,0,62) 100%);--wp--preset--gradient--luminous-dusk: linear-gradient(135deg,rgb(255,203,112) 0%,rgb(199,81,192) 50%,rgb(65,88,208) 100%);--wp--preset--gradient--pale-ocean: linear-gradient(135deg,rgb(255,245,203) 0%,rgb(182,227,212) 50%,rgb(51,167,181) 100%);--wp--preset--gradient--electric-grass: linear-gradient(135deg,rgb(202,248,128) 0%,rgb(113,206,126) 100%);--wp--preset--gradient--midnight: linear-gradient(135deg,rgb(2,3,129) 0%,rgb(40,116,252) 100%);--wp--preset--font-size--small: 13px;--wp--preset--font-size--medium: 20px;--wp--preset--font-size--large: 36px;--wp--preset--font-size--x-large: 42px;--wp--preset--font-family--albert-sans: 'Albert Sans', sans-serif;--wp--preset--font-family--alegreya: Alegreya, serif;--wp--preset--font-family--arvo: Arvo, serif;--wp--preset--font-family--bodoni-moda: 'Bodoni Moda', serif;--wp--preset--font-family--bricolage-grotesque: 'Bricolage Grotesque', sans-serif;--wp--preset--font-family--cabin: Cabin, sans-serif;--wp--preset--font-family--chivo: Chivo, sans-serif;--wp--preset--font-family--commissioner: Commissioner, sans-serif;--wp--preset--font-family--cormorant: Cormorant, serif;--wp--preset--font-family--courier-prime: 'Courier Prime', monospace;--wp--preset--font-family--crimson-pro: 'Crimson Pro', serif;--wp--preset--font-family--dm-mono: 'DM Mono', monospace;--wp--preset--font-family--dm-sans: 'DM Sans', sans-serif;--wp--preset--font-family--dm-serif-display: 'DM Serif Display', serif;--wp--preset--font-family--domine: Domine, serif;--wp--preset--font-family--eb-garamond: 'EB Garamond', serif;--wp--preset--font-family--epilogue: Epilogue, sans-serif;--wp--preset--font-family--fahkwang: Fahkwang, sans-serif;--wp--preset--font-family--figtree: Figtree, sans-serif;--wp--preset--font-family--fira-sans: 'Fira Sans', sans-serif;--wp--preset--font-family--fjalla-one: 'Fjalla One', sans-serif;--wp--preset--font-family--fraunces: Fraunces, serif;--wp--preset--font-family--gabarito: Gabarito, system-ui;--wp--preset--font-family--ibm-plex-mono: 'IBM Plex Mono', monospace;--wp--preset--font-family--ibm-plex-sans: 'IBM Plex Sans', sans-serif;--wp--preset--font-family--ibarra-real-nova: 'Ibarra Real Nova', serif;--wp--preset--font-family--instrument-serif: 'Instrument Serif', serif;--wp--preset--font-family--inter: Inter, sans-serif;--wp--preset--font-family--josefin-sans: 'Josefin Sans', sans-serif;--wp--preset--font-family--jost: Jost, sans-serif;--wp--preset--font-family--libre-baskerville: 'Libre Baskerville', serif;--wp--preset--font-family--libre-franklin: 'Libre Franklin', sans-serif;--wp--preset--font-family--literata: Literata, serif;--wp--preset--font-family--lora: Lora, serif;--wp--preset--font-family--merriweather: Merriweather, serif;--wp--preset--font-family--montserrat: Montserrat, sans-serif;--wp--preset--font-family--newsreader: Newsreader, serif;--wp--preset--font-family--noto-sans-mono: 'Noto Sans Mono', sans-serif;--wp--preset--font-family--nunito: Nunito, sans-serif;--wp--preset--font-family--open-sans: 'Open Sans', sans-serif;--wp--preset--font-family--overpass: Overpass, sans-serif;--wp--preset--font-family--pt-serif: 'PT Serif', serif;--wp--preset--font-family--petrona: Petrona, serif;--wp--preset--font-family--piazzolla: Piazzolla, serif;--wp--preset--font-family--playfair-display: 'Playfair Display', serif;--wp--preset--font-family--plus-jakarta-sans: 'Plus Jakarta Sans', sans-serif;--wp--preset--font-family--poppins: Poppins, sans-serif;--wp--preset--font-family--raleway: Raleway, sans-serif;--wp--preset--font-family--roboto: Roboto, sans-serif;--wp--preset--font-family--roboto-slab: 'Roboto Slab', serif;--wp--preset--font-family--rubik: Rubik, sans-serif;--wp--preset--font-family--rufina: Rufina, serif;--wp--preset--font-family--sora: Sora, sans-serif;--wp--preset--font-family--source-sans-3: 'Source Sans 3', sans-serif;--wp--preset--font-family--source-serif-4: 'Source Serif 4', serif;--wp--preset--font-family--space-mono: 'Space Mono', monospace;--wp--preset--font-family--syne: Syne, sans-serif;--wp--preset--font-family--texturina: Texturina, serif;--wp--preset--font-family--urbanist: Urbanist, sans-serif;--wp--preset--font-family--work-sans: 'Work Sans', sans-serif;--wp--preset--spacing--20: 0.44rem;--wp--preset--spacing--30: 0.67rem;--wp--preset--spacing--40: 1rem;--wp--preset--spacing--50: 1.5rem;--wp--preset--spacing--60: 2.25rem;--wp--preset--spacing--70: 3.38rem;--wp--preset--spacing--80: 5.06rem;--wp--preset--shadow--natural: 6px 6px 9px rgba(0, 0, 0, 0.2);--wp--preset--shadow--deep: 12px 12px 50px rgba(0, 0, 0, 0.4);--wp--preset--shadow--sharp: 6px 6px 0px rgba(0, 0, 0, 0.2);--wp--preset--shadow--outlined: 6px 6px 0px -3px rgb(255, 255, 255), 6px 6px rgb(0, 0, 0);--wp--preset--shadow--crisp: 6px 6px 0px rgb(0, 0, 0);}.wp-block-button{--wp--preset--dimension--25: 25%;--wp--preset--dimension--50: 50%;--wp--preset--dimension--75: 75%;--wp--preset--dimension--100: 100%;}:where(body) { margin: 0; }:where(.is-layout-flex){gap: 0.5em;}:where(.is-layout-grid){gap: 0.5em;}body .is-layout-flex{display: flex;}.is-layout-flex{flex-wrap: wrap;align-items: center;}.is-layout-flex > :is(*, div){margin: 0;}body .is-layout-grid{display: grid;}.is-layout-grid > :is(*, div){margin: 0;}body{padding-top: 0px;padding-right: 0px;padding-bottom: 0px;padding-left: 0px;}:root :where(.wp-element-button, .wp-block-button__link){background-color: #32373c;border-width: 0;color: #fff;font-family: inherit;font-size: inherit;font-style: inherit;font-weight: inherit;letter-spacing: inherit;line-height: inherit;padding-top: calc(0.667em + 2px);padding-right: calc(1.333em + 2px);padding-bottom: calc(0.667em + 2px);padding-left: calc(1.333em + 2px);text-decoration: none;text-transform: inherit;}.has-black-color{color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-color{color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-color{color: var(--wp--preset--color--white) !important;}.has-pale-pink-color{color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-color{color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-color{color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-color{color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-color{color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-color{color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-color{color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-color{color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-color{color: var(--wp--preset--color--vivid-purple) !important;}.has-black-background-color{background-color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-background-color{background-color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-background-color{background-color: var(--wp--preset--color--white) !important;}.has-pale-pink-background-color{background-color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-background-color{background-color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-background-color{background-color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-background-color{background-color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-background-color{background-color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-background-color{background-color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-background-color{background-color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-background-color{background-color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-background-color{background-color: var(--wp--preset--color--vivid-purple) !important;}.has-black-border-color{border-color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-border-color{border-color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-border-color{border-color: var(--wp--preset--color--white) !important;}.has-pale-pink-border-color{border-color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-border-color{border-color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-border-color{border-color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-border-color{border-color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-border-color{border-color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-border-color{border-color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-border-color{border-color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-border-color{border-color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-border-color{border-color: var(--wp--preset--color--vivid-purple) !important;}.has-vivid-cyan-blue-to-vivid-purple-gradient-background{background: var(--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple) !important;}.has-light-green-cyan-to-vivid-green-cyan-gradient-background{background: var(--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan) !important;}.has-luminous-vivid-amber-to-luminous-vivid-orange-gradient-background{background: var(--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange) !important;}.has-luminous-vivid-orange-to-vivid-red-gradient-background{background: var(--wp--preset--gradient--luminous-vivid-orange-to-vivid-red) !important;}.has-very-light-gray-to-cyan-bluish-gray-gradient-background{background: var(--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray) !important;}.has-cool-to-warm-spectrum-gradient-background{background: var(--wp--preset--gradient--cool-to-warm-spectrum) !important;}.has-blush-light-purple-gradient-background{background: var(--wp--preset--gradient--blush-light-purple) !important;}.has-blush-bordeaux-gradient-background{background: var(--wp--preset--gradient--blush-bordeaux) !important;}.has-luminous-dusk-gradient-background{background: var(--wp--preset--gradient--luminous-dusk) !important;}.has-pale-ocean-gradient-background{background: var(--wp--preset--gradient--pale-ocean) !important;}.has-electric-grass-gradient-background{background: var(--wp--preset--gradient--electric-grass) !important;}.has-midnight-gradient-background{background: var(--wp--preset--gradient--midnight) !important;}.has-small-font-size{font-size: var(--wp--preset--font-size--small) !important;}.has-medium-font-size{font-size: var(--wp--preset--font-size--medium) !important;}.has-large-font-size{font-size: var(--wp--preset--font-size--large) !important;}.has-x-large-font-size{font-size: var(--wp--preset--font-size--x-large) !important;}.has-albert-sans-font-family{font-family: var(--wp--preset--font-family--albert-sans) !important;}.has-alegreya-font-family{font-family: var(--wp--preset--font-family--alegreya) !important;}.has-arvo-font-family{font-family: var(--wp--preset--font-family--arvo) !important;}.has-bodoni-moda-font-family{font-family: var(--wp--preset--font-family--bodoni-moda) !important;}.has-bricolage-grotesque-font-family{font-family: var(--wp--preset--font-family--bricolage-grotesque) !important;}.has-cabin-font-family{font-family: var(--wp--preset--font-family--cabin) !important;}.has-chivo-font-family{font-family: var(--wp--preset--font-family--chivo) !important;}.has-commissioner-font-family{font-family: var(--wp--preset--font-family--commissioner) !important;}.has-cormorant-font-family{font-family: var(--wp--preset--font-family--cormorant) !important;}.has-courier-prime-font-family{font-family: var(--wp--preset--font-family--courier-prime) !important;}.has-crimson-pro-font-family{font-family: var(--wp--preset--font-family--crimson-pro) !important;}.has-dm-mono-font-family{font-family: var(--wp--preset--font-family--dm-mono) !important;}.has-dm-sans-font-family{font-family: var(--wp--preset--font-family--dm-sans) !important;}.has-dm-serif-display-font-family{font-family: var(--wp--preset--font-family--dm-serif-display) !important;}.has-domine-font-family{font-family: var(--wp--preset--font-family--domine) !important;}.has-eb-garamond-font-family{font-family: var(--wp--preset--font-family--eb-garamond) !important;}.has-epilogue-font-family{font-family: var(--wp--preset--font-family--epilogue) !important;}.has-fahkwang-font-family{font-family: var(--wp--preset--font-family--fahkwang) !important;}.has-figtree-font-family{font-family: var(--wp--preset--font-family--figtree) !important;}.has-fira-sans-font-family{font-family: var(--wp--preset--font-family--fira-sans) !important;}.has-fjalla-one-font-family{font-family: var(--wp--preset--font-family--fjalla-one) !important;}.has-fraunces-font-family{font-family: var(--wp--preset--font-family--fraunces) !important;}.has-gabarito-font-family{font-family: var(--wp--preset--font-family--gabarito) !important;}.has-ibm-plex-mono-font-family{font-family: var(--wp--preset--font-family--ibm-plex-mono) !important;}.has-ibm-plex-sans-font-family{font-family: var(--wp--preset--font-family--ibm-plex-sans) !important;}.has-ibarra-real-nova-font-family{font-family: var(--wp--preset--font-family--ibarra-real-nova) !important;}.has-instrument-serif-font-family{font-family: var(--wp--preset--font-family--instrument-serif) !important;}.has-inter-font-family{font-family: var(--wp--preset--font-family--inter) !important;}.has-josefin-sans-font-family{font-family: var(--wp--preset--font-family--josefin-sans) !important;}.has-jost-font-family{font-family: var(--wp--preset--font-family--jost) !important;}.has-libre-baskerville-font-family{font-family: var(--wp--preset--font-family--libre-baskerville) !important;}.has-libre-franklin-font-family{font-family: var(--wp--preset--font-family--libre-franklin) !important;}.has-literata-font-family{font-family: var(--wp--preset--font-family--literata) !important;}.has-lora-font-family{font-family: var(--wp--preset--font-family--lora) !important;}.has-merriweather-font-family{font-family: var(--wp--preset--font-family--merriweather) !important;}.has-montserrat-font-family{font-family: var(--wp--preset--font-family--montserrat) !important;}.has-newsreader-font-family{font-family: var(--wp--preset--font-family--newsreader) !important;}.has-noto-sans-mono-font-family{font-family: var(--wp--preset--font-family--noto-sans-mono) !important;}.has-nunito-font-family{font-family: var(--wp--preset--font-family--nunito) !important;}.has-open-sans-font-family{font-family: var(--wp--preset--font-family--open-sans) !important;}.has-overpass-font-family{font-family: var(--wp--preset--font-family--overpass) !important;}.has-pt-serif-font-family{font-family: var(--wp--preset--font-family--pt-serif) !important;}.has-petrona-font-family{font-family: var(--wp--preset--font-family--petrona) !important;}.has-piazzolla-font-family{font-family: var(--wp--preset--font-family--piazzolla) !important;}.has-playfair-display-font-family{font-family: var(--wp--preset--font-family--playfair-display) !important;}.has-plus-jakarta-sans-font-family{font-family: var(--wp--preset--font-family--plus-jakarta-sans) !important;}.has-poppins-font-family{font-family: var(--wp--preset--font-family--poppins) !important;}.has-raleway-font-family{font-family: var(--wp--preset--font-family--raleway) !important;}.has-roboto-font-family{font-family: var(--wp--preset--font-family--roboto) !important;}.has-roboto-slab-font-family{font-family: var(--wp--preset--font-family--roboto-slab) !important;}.has-rubik-font-family{font-family: var(--wp--preset--font-family--rubik) !important;}.has-rufina-font-family{font-family: var(--wp--preset--font-family--rufina) !important;}.has-sora-font-family{font-family: var(--wp--preset--font-family--sora) !important;}.has-source-sans-3-font-family{font-family: var(--wp--preset--font-family--source-sans-3) !important;}.has-source-serif-4-font-family{font-family: var(--wp--preset--font-family--source-serif-4) !important;}.has-space-mono-font-family{font-family: var(--wp--preset--font-family--space-mono) !important;}.has-syne-font-family{font-family: var(--wp--preset--font-family--syne) !important;}.has-texturina-font-family{font-family: var(--wp--preset--font-family--texturina) !important;}.has-urbanist-font-family{font-family: var(--wp--preset--font-family--urbanist) !important;}.has-work-sans-font-family{font-family: var(--wp--preset--font-family--work-sans) !important;}
|
||
/*# sourceURL=global-styles-inline-css */
|
||
</style>
|
||
|
||
<link crossorigin='anonymous' rel='stylesheet' id='all-css-14-1' href='/wp-content/mu-plugins/jetpack-mu-wpcom-plugin/moon/jetpack_vendor/automattic/jetpack-mu-wpcom/src/build/verbum-comments/verbum-comments.css?m=1785895867i&cssminify=yes' type='text/css' media='all' />
|
||
<link rel='stylesheet' id='verbum-gutenberg-css-css' href='https://widgets.wp.com/verbum-block-editor/block-editor.css?ver=1771405207' media='all' />
|
||
<link crossorigin='anonymous' rel='stylesheet' id='all-css-16-1' href='/_static/??/wp-content/mu-plugins/comment-likes/css/comment-likes.css,/i/noticons/noticons.css?m=1436783281j&cssminify=yes' type='text/css' media='all' />
|
||
<link rel='stylesheet' id='coherent-fonts-css' href='https://fonts-api.wp.com/css?family=Noticia+Text%3A400%2C700%2C400italic%2C700italic%2C&subset=latin%2Clatin-ext%2Cvietnamese' media='all' />
|
||
<link crossorigin='anonymous' rel='stylesheet' id='all-css-18-1' href='/_static/??-eJx9juEKwjAMhF/Img1h84/4KLKF2HW2TWlSxLe3E8GBY//uwneXg2cyyFEpKuhEgQRSGQF5orzcRF+ejihygBUZikm+WBcFZtI04OPrITBHuLmIYClSdjUh2/KvdOt9ZSqCHPYmZBo92yrth//ZvZAlNp5xUFcHr425+8HlJXoNl7bv267pTudmfgNatm+n&cssminify=yes' type='text/css' media='all' />
|
||
<link crossorigin='anonymous' rel='stylesheet' id='print-css-19-1' href='/wp-content/mu-plugins/global-print/global-print.css?m=1465851035i&cssminify=yes' type='text/css' media='print' />
|
||
<style id="jetpack-global-styles-frontend-style-inline-css">
|
||
:root { --font-headings: unset; --font-base: unset; --font-headings-default: -apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Oxygen-Sans,Ubuntu,Cantarell,"Helvetica Neue",sans-serif; --font-base-default: -apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Oxygen-Sans,Ubuntu,Cantarell,"Helvetica Neue",sans-serif;}
|
||
/*# sourceURL=jetpack-global-styles-frontend-style-inline-css */
|
||
</style>
|
||
<link crossorigin='anonymous' rel='stylesheet' id='all-css-22-1' href='/_static/??-eJyNjcEKAjEMRH/ImhVlqwfxU6TbhrZrmhTTIv69u+JFvHgZ5sHwBh7VeOGG3KB0U6nHzAoztur87cNQRNYInVBBk7tjcCE83zVz3HrVDfxvumb2MPVMAVR8dmRIougX/DhbwrK8pwNEksnROriU884e9+PJDnaYXxwFS20=&cssminify=yes' type='text/css' media='all' />
|
||
<script id="jetpack_related-posts-js-extra">
|
||
var related_posts_js_options = {"post_heading":"h4"};
|
||
//# sourceURL=jetpack_related-posts-js-extra
|
||
</script>
|
||
<script id="wpcom-actionbar-placeholder-js-extra">
|
||
var actionbardata = {"siteID":"99262758","postID":"1440","siteURL":"https://robpostonblog.wordpress.com","xhrURL":"https://robpostonblog.wordpress.com/wp-admin/admin-ajax.php","nonce":"e8f3aebd24","isLoggedIn":"","statusMessage":"","subsEmailDefault":"instantly","proxyScriptUrl":"https://s0.wp.com/wp-content/js/wpcom-proxy-request.js?m=1513050504i&ver=20211021","shortlink":"https://wp.me/p6IuMe-ne","i18n":{"followedText":"New posts from this site will now appear in your \u003Ca href=\"https://wordpress.com/reader\"\u003EReader\u003C/a\u003E","foldBar":"Collapse this bar","unfoldBar":"Expand this bar","shortLinkCopied":"Shortlink copied to clipboard."}};
|
||
//# sourceURL=wpcom-actionbar-placeholder-js-extra
|
||
</script>
|
||
<script id="jetpack-mu-wpcom-settings-js-before">
|
||
var JETPACK_MU_WPCOM_SETTINGS = {"assetsUrl":"https://s1.wp.com/wp-content/mu-plugins/jetpack-mu-wpcom-plugin/moon/jetpack_vendor/automattic/jetpack-mu-wpcom/src/build/"};
|
||
//# sourceURL=jetpack-mu-wpcom-settings-js-before
|
||
</script>
|
||
<script crossorigin='anonymous' type='text/javascript' src='/_static/??-eJx1j80OwiAQhF/I7aa9FA/GRzEUCAGBRX6sfXtprKYmeppMZvJNBucIgkJRoaCvEF3VJmS0qkQurptHTxTwYoLAqRonMSnHi5IQKZf87TpvQmfzAXdg2zquQEz0WN5Zg7kqVV5De6sqLZvsAX9L4I1ObfTX2uRIf47MlCSXGYTjOb9Awke8D6tAoABaxtQQZ3/qR8bGI2NDb5+p8Gc7'></script>
|
||
<script id="rlt-proxy-js-after">
|
||
rltInitialize( {"token":null,"iframeOrigins":["https:\/\/widgets.wp.com"]} );
|
||
//# sourceURL=rlt-proxy-js-after
|
||
</script>
|
||
<link rel="EditURI" type="application/rsd+xml" title="RSD" href="https://robpostonblog.wordpress.com/xmlrpc.php?rsd" />
|
||
<meta name="generator" content="WordPress.com" />
|
||
<link rel="canonical" href="https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/" />
|
||
<link rel='shortlink' href='https://wp.me/p6IuMe-ne' />
|
||
<link rel="alternate" type="application/json+oembed" href="https://public-api.wordpress.com/oembed/?format=json&url=https%3A%2F%2Frobpostonblog.wordpress.com%2F2025%2F02%2F04%2Fdealing-with-chaos-during-cardiac-surgery%2F&for=wpcom-auto-discovery" /><link rel="alternate" type="application/xml+oembed" href="https://public-api.wordpress.com/oembed/?format=xml&url=https%3A%2F%2Frobpostonblog.wordpress.com%2F2025%2F02%2F04%2Fdealing-with-chaos-during-cardiac-surgery%2F&for=wpcom-auto-discovery" />
|
||
<!-- Jetpack Open Graph Tags -->
|
||
<meta property="og:type" content="article" />
|
||
<meta property="og:title" content="Surviving Cardiac Surgical Chaos" />
|
||
<meta property="og:url" content="https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/" />
|
||
<meta property="og:description" content="When done well, heart surgery is very reproducible. So much so, it gives us the feeling of déjà vu. Even though every case is on a different patient with unique pathology, there are similarities th…" />
|
||
<meta property="article:published_time" content="2025-02-04T23:04:46+00:00" />
|
||
<meta property="article:modified_time" content="2025-02-15T19:51:36+00:00" />
|
||
<meta property="og:site_name" content="robpostonblog" />
|
||
<meta property="og:image" content="https://s0.wp.com/i/blank.jpg?m=1383295312i" />
|
||
<meta property="og:image:width" content="200" />
|
||
<meta property="og:image:height" content="200" />
|
||
<meta property="og:image:alt" content="" />
|
||
<meta property="og:locale" content="en_US" />
|
||
<meta property="fb:app_id" content="249643311490" />
|
||
<meta property="article:publisher" content="https://www.facebook.com/WordPresscom" />
|
||
<meta name="twitter:text:title" content="Surviving Cardiac Surgical Chaos" />
|
||
<meta name="twitter:card" content="summary" />
|
||
|
||
<!-- End Jetpack Open Graph Tags -->
|
||
<link rel="shortcut icon" type="image/x-icon" href="https://s1.wp.com/i/favicon.ico?m=1713425267i" sizes="16x16 24x24 32x32 48x48" />
|
||
<link rel="icon" type="image/x-icon" href="https://s1.wp.com/i/favicon.ico?m=1713425267i" sizes="16x16 24x24 32x32 48x48" />
|
||
<link rel="apple-touch-icon" href="https://s2.wp.com/i/webclip.png?m=1713868326i" />
|
||
<link rel='openid.server' href='https://robpostonblog.wordpress.com/?openidserver=1' />
|
||
<link rel='openid.delegate' href='https://robpostonblog.wordpress.com/' />
|
||
<link rel="search" type="application/opensearchdescription+xml" href="https://robpostonblog.wordpress.com/osd.xml" title="robpostonblog" />
|
||
<link rel="search" type="application/opensearchdescription+xml" href="https://s1.wp.com/opensearch.xml" title="WordPress.com" />
|
||
<style type="text/css">
|
||
body.custom-background .posted-on,
|
||
body.custom-background .featured-post {
|
||
background-color: #ffffff;
|
||
}
|
||
</style><style>.recentcomments a{display:inline !important;padding:0 !important;margin:0 !important;}</style> <style type="text/css">
|
||
.recentcomments a {
|
||
display: inline !important;
|
||
padding: 0 !important;
|
||
margin: 0 !important;
|
||
}
|
||
|
||
table.recentcommentsavatartop img.avatar, table.recentcommentsavatarend img.avatar {
|
||
border: 0px;
|
||
margin: 0;
|
||
}
|
||
|
||
table.recentcommentsavatartop a, table.recentcommentsavatarend a {
|
||
border: 0px !important;
|
||
background-color: transparent !important;
|
||
}
|
||
|
||
td.recentcommentsavatarend, td.recentcommentsavatartop {
|
||
padding: 0px 0px 1px 0px;
|
||
margin: 0px;
|
||
}
|
||
|
||
td.recentcommentstextend {
|
||
border: none !important;
|
||
padding: 0px 0px 2px 10px;
|
||
}
|
||
|
||
.rtl td.recentcommentstextend {
|
||
padding: 0px 10px 2px 0px;
|
||
}
|
||
|
||
td.recentcommentstexttop {
|
||
border: none;
|
||
padding: 0px 0px 0px 10px;
|
||
}
|
||
|
||
.rtl td.recentcommentstexttop {
|
||
padding: 0px 10px 0px 0px;
|
||
}
|
||
</style>
|
||
<meta name="description" content="When done well, heart surgery is very reproducible. So much so, it gives us the feeling of déjà vu. Even though every case is on a different patient with unique pathology, there are similarities that give us that odd but comforting feeling we’ve been at this exact spot before. When an ideal case comes along…" />
|
||
<script>
|
||
var wa_client = {}; wa_client.cmd = []; wa_client.config = { 'blog_id': 99262758, 'blog_language': 'en', 'is_wordads': false, 'hosting_type': 0, 'afp_account_id': null, 'afp_host_id': 5038568878849053, 'theme': 'pub/coherent', '_': { 'title': 'Advertisement', 'privacy_settings': 'Privacy Settings' }, 'formats': [ 'inline', 'belowpost', 'bottom_sticky', 'sidebar_sticky_right', 'sidebar', 'gutenberg_rectangle', 'gutenberg_leaderboard', 'gutenberg_mobile_leaderboard', 'gutenberg_skyscraper' ] };
|
||
</script>
|
||
<script type="text/javascript">
|
||
|
||
window.doNotSellCallback = function() {
|
||
|
||
var linkElements = [
|
||
'a[href="https://wordpress.com/?ref=footer_blog"]',
|
||
'a[href="https://wordpress.com/?ref=footer_website"]',
|
||
'a[href="https://wordpress.com/?ref=vertical_footer"]',
|
||
'a[href^="https://wordpress.com/?ref=footer_segment_"]',
|
||
].join(',');
|
||
|
||
var dnsLink = document.createElement( 'a' );
|
||
dnsLink.href = 'https://wordpress.com/advertising-program-optout/';
|
||
dnsLink.classList.add( 'do-not-sell-link' );
|
||
dnsLink.rel = 'nofollow';
|
||
dnsLink.style.marginLeft = '0.5em';
|
||
dnsLink.textContent = 'Do Not Sell or Share My Personal Information';
|
||
|
||
var creditLinks = document.querySelectorAll( linkElements );
|
||
|
||
if ( 0 === creditLinks.length ) {
|
||
return false;
|
||
}
|
||
|
||
Array.prototype.forEach.call( creditLinks, function( el ) {
|
||
el.insertAdjacentElement( 'afterend', dnsLink );
|
||
});
|
||
|
||
return true;
|
||
};
|
||
|
||
</script>
|
||
<script type="text/javascript">
|
||
window.google_analytics_uacct = "UA-52447-2";
|
||
</script>
|
||
|
||
<script type="text/javascript">
|
||
var _gaq = _gaq || [];
|
||
_gaq.push(['_setAccount', 'UA-52447-2']);
|
||
_gaq.push(['_gat._anonymizeIp']);
|
||
_gaq.push(['_setDomainName', 'wordpress.com']);
|
||
_gaq.push(['_initData']);
|
||
_gaq.push(['_trackPageview']);
|
||
|
||
(function() {
|
||
var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true;
|
||
ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
|
||
(document.getElementsByTagName('head')[0] || document.getElementsByTagName('body')[0]).appendChild(ga);
|
||
})();
|
||
</script>
|
||
</head>
|
||
|
||
<body class="wp-singular post-template-default single single-post postid-1440 single-format-standard wp-theme-pubcoherent customizer-styles-applied widgets-hidden jetpack-reblog-enabled has-marketing-bar has-marketing-bar-theme-coherent">
|
||
<div id="page" class="hfeed site">
|
||
<a class="skip-link screen-reader-text" href="#content">Skip to content</a>
|
||
|
||
<header id="masthead" class="site-header" role="banner">
|
||
<button class="menu-toggle animated" aria-controls="slide-panel" aria-expanded="false" ><span class="action-text">Show</span></button>
|
||
<div id="slide-panel" class="slide-panel animated closed">
|
||
|
||
|
||
|
||
|
||
<div id="secondary" class="widget-area" role="complementary">
|
||
<aside id="search-2" class="widget widget_search"><form role="search" method="get" class="search-form" action="https://robpostonblog.wordpress.com/">
|
||
<label>
|
||
<span class="screen-reader-text">Search for:</span>
|
||
<input type="search" class="search-field" placeholder="Search …" value="" name="s" />
|
||
</label>
|
||
<input type="submit" class="search-submit" value="Search" />
|
||
</form></aside>
|
||
<aside id="recent-posts-2" class="widget widget_recent_entries">
|
||
<h2 class="widget-title">Recent Posts</h2>
|
||
<ul>
|
||
<li>
|
||
<a href="https://robpostonblog.wordpress.com/2026/08/17/plavix-use-prior-to-robotic-cabg/">Plavix Use Prior to Robotic CABG</a>
|
||
</li>
|
||
<li>
|
||
<a href="https://robpostonblog.wordpress.com/2026/07/19/i-always-respond-to-your-feedback/">Every Voice Builds Shared Situational Awareness</a>
|
||
</li>
|
||
<li>
|
||
<a href="https://robpostonblog.wordpress.com/2026/06/11/a-pressor-bolus-can-be-an-early-signal-of-a-problem/">A Pressor Bolus Can Be An Early Signal of a Problem</a>
|
||
</li>
|
||
<li>
|
||
<a href="https://robpostonblog.wordpress.com/2026/05/25/the-winner-of-the-robert-poston-nursing-scholarship/">The Winner of the Robert Poston Nursing Scholarship</a>
|
||
</li>
|
||
<li>
|
||
<a href="https://robpostonblog.wordpress.com/2026/04/19/choosing-an-anesthesia-team-for-robotic-cardiac-surgery/">Choosing an Anesthesia Team for Robotic Cardiac Surgery</a>
|
||
</li>
|
||
</ul>
|
||
|
||
</aside><aside id="recent-comments-2" class="widget widget_recent_comments"><h2 class="widget-title">Recent Comments</h2> <table class="recentcommentsavatar" cellspacing="0" cellpadding="0" border="0">
|
||
<tr><td title="Robotics Finds the Simplicity Beyond Complexity – robpostonblog" class="recentcommentsavatartop" style="height:48px; width:48px;"><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow"></a></td><td class="recentcommentstexttop" style=""><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow">Robotics Finds the S…</a> on <a href="https://robpostonblog.wordpress.com/2023/09/12/debrief-as-a-wolf-or-wolf-in-sheeps-clothing/comment-page-1/#comment-838">Debrief as a Wolf or Wolf in S…</a></td></tr><tr><td title="Robotics Finds the Simplicity Beyond Complexity – robpostonblog" class="recentcommentsavatarend" style="height:48px; width:48px;"><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow"></a></td><td class="recentcommentstextend" style=""><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow">Robotics Finds the S…</a> on <a href="https://robpostonblog.wordpress.com/2023/10/12/precise-communication-saves-lives/comment-page-1/#comment-837">Precise Communication Saves…</a></td></tr><tr><td title="Robotics Finds the Simplicity Beyond Complexity – robpostonblog" class="recentcommentsavatarend" style="height:48px; width:48px;"><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow"></a></td><td class="recentcommentstextend" style=""><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow">Robotics Finds the S…</a> on <a href="https://robpostonblog.wordpress.com/2025/04/16/what-is-in-a-perfusionists-report/comment-page-1/#comment-836">What is in a “Perfusioni…</a></td></tr><tr><td title="Robotics Finds the Simplicity Beyond Complexity – robpostonblog" class="recentcommentsavatarend" style="height:48px; width:48px;"><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow"></a></td><td class="recentcommentstextend" style=""><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow">Robotics Finds the S…</a> on <a href="https://robpostonblog.wordpress.com/2025/03/19/precase-briefing-in-cardiac-surgery/comment-page-1/#comment-835">Precase Briefing in Cardiac…</a></td></tr><tr><td title="Robotics Finds the Simplicity Beyond Complexity – robpostonblog" class="recentcommentsavatarend" style="height:48px; width:48px;"><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow"></a></td><td class="recentcommentstextend" style=""><a href="https://robpostonblog.wordpress.com/2026/01/10/robotics-finds-the-simplicity-beyond-complexity/" rel="nofollow">Robotics Finds the S…</a> on <a href="https://robpostonblog.wordpress.com/2025/08/10/the-delayed-consequences-of-the-pressor-bolus/comment-page-1/#comment-834">The Delayed Consequences of th…</a></td></tr> </table>
|
||
</aside><aside id="archives-2" class="widget widget_archive"><h2 class="widget-title">Archives</h2>
|
||
<ul>
|
||
<li><a href='https://robpostonblog.wordpress.com/2026/08/'>August 2026</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2026/07/'>July 2026</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2026/06/'>June 2026</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2026/05/'>May 2026</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2026/04/'>April 2026</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2026/03/'>March 2026</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2026/02/'>February 2026</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2026/01/'>January 2026</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/12/'>December 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/11/'>November 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/10/'>October 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/09/'>September 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/08/'>August 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/07/'>July 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/06/'>June 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/05/'>May 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/04/'>April 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/03/'>March 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2025/02/'>February 2025</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2024/12/'>December 2024</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2024/10/'>October 2024</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2024/09/'>September 2024</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2024/03/'>March 2024</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2024/02/'>February 2024</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2024/01/'>January 2024</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2023/12/'>December 2023</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2023/11/'>November 2023</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2023/10/'>October 2023</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2023/09/'>September 2023</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2023/07/'>July 2023</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2023/05/'>May 2023</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2023/01/'>January 2023</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2022/12/'>December 2022</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2022/07/'>July 2022</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2022/06/'>June 2022</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2022/05/'>May 2022</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2022/04/'>April 2022</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2022/03/'>March 2022</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2022/01/'>January 2022</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2021/12/'>December 2021</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2021/11/'>November 2021</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2021/10/'>October 2021</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2021/08/'>August 2021</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2021/05/'>May 2021</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2021/04/'>April 2021</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2021/01/'>January 2021</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2020/07/'>July 2020</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2020/06/'>June 2020</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2019/11/'>November 2019</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2019/10/'>October 2019</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2019/03/'>March 2019</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2019/01/'>January 2019</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2018/11/'>November 2018</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2018/07/'>July 2018</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2018/05/'>May 2018</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2018/04/'>April 2018</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2017/12/'>December 2017</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2017/06/'>June 2017</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2016/09/'>September 2016</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2016/07/'>July 2016</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2016/06/'>June 2016</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2016/04/'>April 2016</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2016/03/'>March 2016</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2016/02/'>February 2016</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2015/12/'>December 2015</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2015/11/'>November 2015</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2015/10/'>October 2015</a></li>
|
||
<li><a href='https://robpostonblog.wordpress.com/2015/09/'>September 2015</a></li>
|
||
</ul>
|
||
|
||
</aside><aside id="categories-2" class="widget widget_categories"><h2 class="widget-title">Categories</h2>
|
||
<ul>
|
||
<li class="cat-item cat-item-1"><a href="https://robpostonblog.wordpress.com/category/uncategorized/">Uncategorized</a>
|
||
</li>
|
||
</ul>
|
||
|
||
</aside><aside id="meta-2" class="widget widget_meta"><h2 class="widget-title">Meta</h2>
|
||
<ul>
|
||
<li><a class="click-register" href="https://wordpress.com/start?ref=wplogin">Create account</a></li> <li><a href="https://robpostonblog.wordpress.com/wp-login.php">Log in</a></li>
|
||
<li><a href="https://robpostonblog.wordpress.com/feed/">Entries feed</a></li>
|
||
<li><a href="https://robpostonblog.wordpress.com/comments/feed/">Comments feed</a></li>
|
||
|
||
<li><a href="https://wordpress.com/" title="Powered by WordPress, state-of-the-art semantic personal publishing platform.">WordPress.com</a></li>
|
||
</ul>
|
||
|
||
</aside></div><!-- #secondary -->
|
||
</div>
|
||
</header><!-- #masthead -->
|
||
|
||
<div id="content" class="site-content">
|
||
|
||
<div id="primary" class="content-area">
|
||
<main id="main" class="site-main" role="main">
|
||
|
||
|
||
|
||
<article id="post-1440" class="post-1440 post type-post status-publish format-standard hentry category-uncategorized tag-health tag-healthcare tag-medicine tag-news tag-surgery">
|
||
<div class="entry-wrapper">
|
||
<div class="entry-meta">
|
||
<span class="posted-on"><a href="https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/" rel="bookmark"><time class="entry-date published" datetime="2025-02-04T23:04:46+00:00">February 4, 2025</time><time class="updated" datetime="2025-02-15T19:51:36+00:00">February 15, 2025</time></a></span> </div><!-- .entry-meta -->
|
||
<header class="entry-header">
|
||
<h1 class="entry-title">Surviving Cardiac Surgical Chaos</h1> </header><!-- .entry-header -->
|
||
|
||
<div class="entry-content">
|
||
|
||
<p class="wp-block-paragraph">When done well, heart surgery is very reproducible. So much so, it gives us the feeling of déjà vu. Even though every case is on a different patient with unique pathology, there are similarities that give us that odd but comforting feeling we’ve been at this exact spot before. When an ideal case comes along that is challenging but not overwhelming, the team enters an <strong><span style="text-decoration: underline"><a href="https://publishing.rcseng.ac.uk/doi/full/10.1308/rcsbull.2025.14">enhanced state called “flow”</a></span></strong>. This pleasurable state enables heightened focus, improved decision making and greater teamwork. The experience of flow during a case is a major part of what makes cardiac surgery so rewarding, apart from the tremendous pride we feel from a good patient outcome.</p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">In moments that are even more rare (but more frequent than anyone would prefer), the opposite happens. Just as the cardiac team is lulled into our routine of deja vu, something <strong><span style="text-decoration: underline"><a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1467-6486.1988.tb00039.x">unexpected and horrible turns everything strange</a></span></strong>. A problem that is too big to see happens, replacing the feeling we have been here before with the terrorizing thought we have no idea where we are. Extreme levels of disagreement and uncertainty erupt about what to do. Our system that we rely on is thrown into chaos and rendered ineffective, at least temporarily. If unchecked, a contagious panic can set in and paralyze the team at the worst possible time, leaving us with no idea who can help. In stark contrast to the flow state, these moments are so devastating because of how horrible team members feel that go through it, apart from the guilt of a poor patient outcome. In only a few brief moments once or twice a year, the goals of the entire surgical program are threatened.</p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">Disagreement and uncertainty are <strong><span style="text-decoration: underline"><a href="https://www.tandfonline.com/doi/abs/10.1080/10400419.2021.2018833">necessary parts of all creative activity</a></span></strong>. Cardiac surgical teams routinely navigate at the <strong><span style="text-decoration: underline"><a href="/Users/posto/Downloads/250-255_Tsai_JanFeb17.pdf">edge of chaos</a></span></strong> using small acts of improvisation and innovation in virtually every case. Part of the definition of a high performance team is the skill to tap into the strengths of chaos without succumbing to its dire downsides. The problem is when chaos gets out of control and leads to disaster. </p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">The Mann Gulch tragedy is powerful metaphor of what can happen to cardiac surgical teams that live on the brink of combustion. The Mann Gulch forest fire in Montana in 1949 seemed harmless at first but then exploded after the winds shifted. A team of fifteen inexperienced smoke-jumpers parachuted in to contain the fire, but soon they were running for their lives. Their foreman, a man with 10 years of experience, recognized that they would not make it up the top of a steep ridge. He invented a solution known as an “escape fire” by setting fire to the grass directly in front of him as the larger flames approached. The escape fire spread quickly uphill and he stepped into the middle of the newly burnt area, calling for his crew to join him. The crew did not, and the fire raged past the foreman and overtook the crew. Only the foreman survived.</p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">The foreman had not previously met his firefighting crew to establish his credibility prior to that fateful day. The entire crew ignored his lifesaving command not just because they didn’t get the reason for his escape fire. It was a breakdown in group psychological safety, starting with an initial crew member that chose to start running past the escape fire and up the hill. His act of panic spread contagiously throughout the others, causing them to act impulsively and run. With more time to reflect and rethink, it seems likely all would recognize how foolish it was for an inexperienced crew to ignore ther leader, the only firefighter who had lived through things like this before.</p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">Examples of similar uncontrolled chaos happening during cardiac surgery include:</p>
|
||
|
||
|
||
|
||
<ol start="1" class="wp-block-list">
|
||
<li>A patient with critical aortic valve stenosis is developing hemodynamic collapse with an unusual clinical presentation of rigors and chills. He needs rapid intervention, but experienced members of the OR team are worried about valve replacement in a setting suspicious for infection. <em>Disagreement between moving ahead with emergent surgery vs a delay to analyze the situation further causes chaos.</em></li>
|
||
|
||
|
||
|
||
<li>A patient appears well paralyzed by standard parameters but shows signs of diaphragm movement in a part of a case where that can cause major injury to the patient and needs emergent administration of additional paralytics. <em>Disagreement about the urgent downside of not giving paralytics and the actual risk for diaphragm movement at that moment created chaos.</em></li>
|
||
|
||
|
||
|
||
<li>An induction dose of propofol is given at a dose well below what would be expected to cause hemodynamic or respiratory problems yet suddenly develops a code blue and the team argues about the underlying cause. <em>An ill-timed argument distracts from understanding and treating a code blue, triggering chaos.</em></li>
|
||
|
||
|
||
|
||
<li>A patient comes into the OR wide awake with an impella device and the arterial line shows no pulsatility. After induction of general anesthesia, the mean pressure and lack of pulse remain the same. Few in the OR have impella training and the rep is not in the room although everyone notices the surgeon addressing some kind of device malfunction (suction alarm at P2) and later directs the team to emergently crash on the bypass machine. <em>Team members become confused why the critical decision was made to crash on bypass, which causes chaos.</em></li>
|
||
|
||
|
||
|
||
<li>A patient undergoing open mitral valve repair is on bypass and has the left atrium opened after a cross clamp is placed on the aorta. There is a large volume of dark blood noted in the left atrial operative field obstructing the view of the mitral. <em>The surgeon and the perfusionist talk over each other at the exact moment when their communication needs to be highly collaborative, causing a moment of chaos.</em></li>
|
||
</ol>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">Chaotic systems are susceptible to a phenomenon called <strong><span style="text-decoration: underline"><a href="https://www.proquest.com/docview/2856775963?fromopenview=true&pq-origsite=gscholar&sourcetype=Scholarly%20Journals">the “butterfly effect”,</a></span></strong> famously described as the flap of a butterfly’s wings in the Amazon that leads to a tornado in Texas. This metaphor illustrates that initial conditions have a huge impact on the final outcome of a chaotic system. When either a forest fire or surgical case turns chaotic, team members improve their ‘initial conditions’ by subordinating any disagreements/alternative opinions to the judgment of the leader. Even a minor disagreement at the wrong moment can lead to contagious dissent, triggering bad decisions with no time to course correct. OR team members in a chaotic moment avoid this fate when they ‘lean on the surgeon’: listen closely, follow my direction and hold any disagreements until the moment resolves. A team whose surgeon has to repeat a command twice or yell over others during chaos is not creating the optimal ‘initial condition’. Its like a pilot that calls out “Mayday” but the air traffic controller chooses not to comply with <strong><span style="text-decoration: underline"><a href="https://www.faa.gov/air_traffic/publications/atpubs/aim_html/chap6_section_3.html">clear communication protocols</a></span></strong>. Making it automatic to agree with my requests when in the thick of things is a failsafe way to contain chaos, allow the moment to pass and prevent things spiraling out of control.</p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">I admit it. What I’m asking for is confusing. A <strong><span style="text-decoration: underline"><a href="https://www.researchgate.net/profile/Mona-Weiss-2/publication/305221730_Why_Didn%27t_You_Say_Something_Effects_of_After-Event_Reviews_on_Voice_Behaviour_and_Hierarchy_Beliefs_in_Multi-Professional_Action_Teams/links/578eb8ed08ae9754b7e9f57a/Why-Didnt-You-Say-Something-Effects-of-After-Event-Reviews-on-Voice-Behaviour-and-Hierarchy-Beliefs-in-Multi-Professional-Action-Teams.pdf">high performing team</a></span></strong> is made up of members willing to speak up, act autonomously and think for themselves. A rule requiring automatic agreement seems to suggest the opposite. To clarify, assertiveness and autonomy are still critical during routine cardiac surgery, but just not during brief, low probablility/high consequence moments of chaos. Extreme disagreement and uncertainty during a cardiac surgical case signals that everyone should shift their mindset, put any disagreements away and limit communications to what is needed to support the lead surgeon. Any other communication plan during a moment of chaos risks breeding confusion, mistrust and harm. Your disciplined response to chaos will calm me down so we can save the patient. Once that happens, I ask you then to anticipate what will pull us back further from the edge of extreme chaos. At the point we fully resolve the moment of chaos, resuming assertive, coordinated and clear communication will get the patient out of the OR alive.</p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">The reasoning behind this paradoxical rule is worth spelling out, because it is dramatically different than what we do during most other times in the OR.<br>1) <strong>Act first, ask questions later</strong> – Cardiac surgery sometimes requires taking action without all the desired amount of information because the results of your action provide invaluable information. In these situations, inaction risks confusion and letting a crisis overtake you. Extreme chaos pushes us even further towards taking action. Reflection follows. Inaction under a threat might seem safe but risks letting these moments spiral into a patient death. For a team that is completely lost, <span style="text-decoration: underline"><strong><a href="https://www.psychologytoday.com/us/blog/cutting-edge-leadership/202301/the-5-keys-to-crisis-leadership">decisive action is the solution</a></strong></span> that buys you time to flesh out and rework your interpretations.<br>2) <strong>Centralize to decentralize</strong> – High performing teams balance individuality/autonomy and belonging/subordination. Autonomy is effective only when everyone has a clear understanding of my expectations on any given case. These expectations are analogous to the military doctrine of “commander’s intent” that empowers field officers to act autonomously while engaging the enemy. Our team is put at risk of not recovering from extreme chaos unless everyone understands my expectation that I as the <span style="text-decoration: underline"><strong><a href="https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=b478047d4a0b54a9a5617455a1e71e221792284f">leader will be fully in charge at that moment</a></strong></span>.<br>3) <strong>Believing is seeing </strong>– Normally, we ask team members to believe a plan only after having a chance to see what it is and provide feedback, in other words “seeing is believing”. Extreme chaos requires faith that an experienced surgeon is the only one with the skills, judgment and leadership to see the team through chaos; ‘believing is seeing’. Less experienced team members lack decision-making acumen and cannot process and react to the rapid influx of information fast enough, leading to inappropriate responses and poor situational awareness. These flaws interact in a vicious circle, creating dissention at the exact moment it is least tolerable. Chaos resolves by listening closely and heeding commands of the surgeon. He/she is best equipped to quickly recognize patterns, spot violations of expected patterns or piece together seemingly unrelated cues. Forgive me if I act terse in this moment–only an <span style="text-decoration: underline"><strong><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9382123/">autocrat</a></strong></span> takes effective action within seconds.<br>4) <strong>Fly in formation</strong> – Psychological safety in routine situations means no hesitation to speak up if a team member suspects that the surgeon is about to do something wrong. Open debate occasionally diverts or distracts the team from the task at hand, but that is a risk worth taking. Normally. However, moments of extreme chaos are the <span style="text-decoration: underline"><strong><a href="https://www.amazon.com/Extremis-Leadership-Leading-Your-Depended/dp/0787996041?asin=0787996041&revisionId=&format=4&depth=1">glaring exception to this</a></strong></span>. Psychological safety in these brief moments is not acheived by individuals being assertive, but by sticking together in close communication. This team behavior mitigates the feeling of helplessness and maintains resilience during moments of chaos. The military recognizes the value of ‘staying in formation’ with their saying: “A thinking wingman is a liability”.</p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">A high performance team recognizes that being engulfed within a moment of extreme chaos changes the rules of engagement. They are able to act before asking, centralize in order to decentralize, believe to see and fly in formation. Remaining psychologically safe during extreme chaos is not about the ability to speak up. Psychological safety <em>in extremis</em> is salvaged by a simple rule: lean on the surgeon. Loyalty to the rule saves the patient and the program.</p>
|
||
|
||
|
||
|
||
<p class="wp-block-paragraph">Please don’t misinterpret my message. Autonomy and assertiveness are critical team skills during the course of routine cardiac surgery. It enables the type of team that does not suffer through episodes of extreme chaos very often. Indeed, chaos rarely happens in my OR; but it is not so rare that I can safely ignore the impact of this issue. Thinking back over the past several years, I estimate about one or two of these chaotic events happen per year, each lasting about 5-10 minutes. Despite a frequency as low as this, the stakes of these events could not be higher. Lives depend on how we perform as a team, both the unfortunate patient on the table that day and future ones as well.</p>
|
||
<div id="atatags-370373-6aa4f3172dfd0">
|
||
<script type="text/javascript">
|
||
__ATA = window.__ATA || {};
|
||
__ATA.cmd = window.__ATA.cmd || [];
|
||
__ATA.cmd.push(function() {
|
||
__ATA.initVideoSlot('atatags-370373-6aa4f3172dfd0', {
|
||
sectionId: '370373',
|
||
format: 'inread'
|
||
});
|
||
});
|
||
</script>
|
||
</div><span id="wordads-inline-marker" style="display: none;"></span><div id="jp-post-flair" class="sharedaddy sd-like-enabled sd-sharing-enabled"><div class="sharedaddy sd-sharing-enabled"><div class="robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing"><h3 class="sd-title">Share this:</h3><div class="sd-content"><ul><li class="share-twitter"><a rel="nofollow noopener noreferrer"
|
||
data-shared="sharing-twitter-1440"
|
||
class="share-twitter sd-button share-icon"
|
||
href="https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/?share=twitter"
|
||
target="_blank"
|
||
aria-labelledby="sharing-twitter-1440"
|
||
>
|
||
<span id="sharing-twitter-1440" hidden>Share on X (Opens in new window)</span>
|
||
<span>X</span>
|
||
</a></li><li class="share-facebook"><a rel="nofollow noopener noreferrer"
|
||
data-shared="sharing-facebook-1440"
|
||
class="share-facebook sd-button share-icon"
|
||
href="https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/?share=facebook"
|
||
target="_blank"
|
||
aria-labelledby="sharing-facebook-1440"
|
||
>
|
||
<span id="sharing-facebook-1440" hidden>Share on Facebook (Opens in new window)</span>
|
||
<span>Facebook</span>
|
||
</a></li><li class="share-end"></li></ul></div></div></div><div class='sharedaddy sd-block sd-like jetpack-likes-widget-wrapper jetpack-likes-widget-unloaded' id='like-post-wrapper-99262758-1440-6aa4f3172ea39' data-src='//widgets.wp.com/likes/index.html?ver=20260912#blog_id=99262758&post_id=1440&origin=robpostonblog.wordpress.com&obj_id=99262758-1440-6aa4f3172ea39' data-name='like-post-frame-99262758-1440-6aa4f3172ea39' data-title='Like or Reblog'><div class='likes-widget-placeholder post-likes-widget-placeholder' style='height: 55px;'><span class='button'><span>Like</span></span> <span class='loading'>Loading...</span></div><span class='sd-text-color'></span><a class='sd-link-color'></a></div>
|
||
<div id='jp-relatedposts' class='jp-relatedposts' >
|
||
<h3 class="jp-relatedposts-headline"><em>Related</em></h3>
|
||
</div></div> </div><!-- .entry-content-->
|
||
|
||
<footer class="entry-footer">
|
||
<span class="tags-links">Tagged <a href="https://robpostonblog.wordpress.com/tag/health/" rel="tag">health</a>, <a href="https://robpostonblog.wordpress.com/tag/healthcare/" rel="tag">healthcare</a>, <a href="https://robpostonblog.wordpress.com/tag/medicine/" rel="tag">medicine</a>, <a href="https://robpostonblog.wordpress.com/tag/news/" rel="tag">news</a>, <a href="https://robpostonblog.wordpress.com/tag/surgery/" rel="tag">surgery</a>. </span> </footer><!-- .entry-footer -->
|
||
</div><!-- .entry-wrapper -->
|
||
</article><!-- #post-## -->
|
||
|
||
|
||
<nav class="navigation post-navigation" aria-label="Posts">
|
||
<h2 class="screen-reader-text">Post navigation</h2>
|
||
<div class="nav-links"><div class="nav-previous"><a href="https://robpostonblog.wordpress.com/2025/02/01/blaming-me-for-blaming/" rel="prev"><span class="post-nav" aria-hidden="true">Previous: </span> <span class="screen-reader-text">Previous post:</span> <span class="post-title">Blaming Me for Blaming</span></a></div><div class="nav-next"><a href="https://robpostonblog.wordpress.com/2025/02/25/the-subtle-but-powerful-effect-of-exchanging-information-during-a-crisis/" rel="next"><span class="post-nav" aria-hidden="true">Next: </span> <span class="screen-reader-text">Next post:</span> <span class="post-title">The Subtle, Powerful Impact of the “Call Out”</span></a></div></div>
|
||
</nav>
|
||
|
||
<div id="comments" class="comments-area">
|
||
|
||
|
||
<h2 class="comments-title">
|
||
One thought on “<span>Surviving Cardiac Surgical Chaos</span>” </h2>
|
||
|
||
|
||
<ol class="comment-list">
|
||
<li id="comment-795" class="pingback even thread-even depth-1">
|
||
<div class="comment-body">
|
||
Pingback: <a href="https://sreweekly.com/sre-weekly-issue-464/" class="url" rel="ugc external nofollow">SRE Weekly Issue #464 – SRE WEEKLY</a> </div>
|
||
</li><!-- #comment-## -->
|
||
</ol><!-- .comment-list -->
|
||
|
||
|
||
|
||
|
||
<div id="respond" class="comment-respond">
|
||
<h3 id="reply-title" class="comment-reply-title">Leave a comment <small><a rel="nofollow" id="cancel-comment-reply-link" href="/2025/02/04/dealing-with-chaos-during-cardiac-surgery/#respond" style="display:none;">Cancel reply</a></small></h3><form action="https://robpostonblog.wordpress.com/wp-comments-post.php" method="post" id="commentform" class="comment-form">
|
||
|
||
|
||
<div class="comment-form__verbum transparent"></div><div class="verbum-form-meta"><input type='hidden' name='comment_post_ID' value='1440' id='comment_post_ID' />
|
||
<input type='hidden' name='comment_parent' id='comment_parent' value='0' />
|
||
|
||
<input type="hidden" name="highlander_comment_nonce" id="highlander_comment_nonce" value="4affefa77f" />
|
||
<input type="hidden" name="verbum_show_subscription_modal" value="" /></div><p style="display: none;"><input type="hidden" id="akismet_comment_nonce" name="akismet_comment_nonce" value="0902189a4e" /></p><p style="display: none !important;" class="akismet-fields-container" data-prefix="ak_"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="154"/><script>
|
||
document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() );
|
||
</script>
|
||
</p></form> </div><!-- #respond -->
|
||
|
||
</div><!-- #comments -->
|
||
|
||
|
||
</main><!-- #main -->
|
||
</div><!-- #primary -->
|
||
|
||
</div><!-- #content -->
|
||
<footer id="colophon" class="site-footer" role="contentinfo">
|
||
<div class="site-info">
|
||
<a href="https://wordpress.com/?ref=footer_website" rel="nofollow">Create a free website or blog at WordPress.com.</a>
|
||
|
||
|
||
<span class="footer-name"><a href="https://robpostonblog.wordpress.com/" rel="home">robpostonblog</a></span>
|
||
</div><!-- .site-info -->
|
||
</footer><!-- #colophon -->
|
||
</div><!-- #page -->
|
||
|
||
<!-- -->
|
||
<script type="speculationrules">
|
||
{"prefetch":[{"source":"document","where":{"and":[{"href_matches":"/*"},{"not":{"href_matches":["/wp-*.php","/wp-admin/*","/files/*","/wp-content/*","/wp-content/plugins/*","/wp-content/themes/pub/coherent/*","/*\\?(.+)"]}},{"not":{"selector_matches":"a[rel~=\"nofollow\"]"}},{"not":{"selector_matches":".no-prefetch, .no-prefetch a"}}]},"eagerness":"conservative"}]}
|
||
</script>
|
||
<script id="grofiles-cards-js" src="//0.gravatar.com/js/hovercards/hovercards.min.js?ver=202637d1133547e8a1f2801609f51cef12522abe7f6647d869e9fbc974fe356a37e613"></script>
|
||
<script id="wpgroho-js-extra">
|
||
var WPGroHo = {"my_hash":""};
|
||
//# sourceURL=wpgroho-js-extra
|
||
</script>
|
||
<script crossorigin='anonymous' type='text/javascript' src='/wp-content/mu-plugins/gravatar-hovercards/wpgroho.js?m=1610363240i'></script>
|
||
|
||
<script>
|
||
// Initialize and attach hovercards to all gravatars
|
||
( function() {
|
||
function init() {
|
||
if ( typeof Gravatar === 'undefined' ) {
|
||
return;
|
||
}
|
||
|
||
if ( typeof Gravatar.init !== 'function' ) {
|
||
return;
|
||
}
|
||
|
||
Gravatar.profile_cb = function ( hash, id ) {
|
||
WPGroHo.syncProfileData( hash, id );
|
||
};
|
||
|
||
Gravatar.my_hash = WPGroHo.my_hash;
|
||
Gravatar.init(
|
||
'body',
|
||
'#wp-admin-bar-my-account',
|
||
{
|
||
i18n: {
|
||
'Edit your profile →': 'Edit your profile →',
|
||
'View profile →': 'View profile →',
|
||
'Contact': 'Contact',
|
||
'Send money': 'Send money',
|
||
'Sorry, we are unable to load this Gravatar profile.': 'Sorry, we are unable to load this Gravatar profile.',
|
||
'Gravatar not found.': 'Gravatar not found.',
|
||
'Too Many Requests.': 'Too Many Requests.',
|
||
'Internal Server Error.': 'Internal Server Error.',
|
||
'Is this you?': 'Is this you?',
|
||
'Claim your free profile.': 'Claim your free profile.',
|
||
'Email': 'Email',
|
||
'Home Phone': 'Home Phone',
|
||
'Work Phone': 'Work Phone',
|
||
'Cell Phone': 'Cell Phone',
|
||
'Contact Form': 'Contact Form',
|
||
'Calendar': 'Calendar',
|
||
},
|
||
}
|
||
);
|
||
}
|
||
|
||
if ( document.readyState !== 'loading' ) {
|
||
init();
|
||
} else {
|
||
document.addEventListener( 'DOMContentLoaded', init );
|
||
}
|
||
} )();
|
||
</script>
|
||
|
||
<div style="display:none">
|
||
</div>
|
||
<!-- CCPA [start] -->
|
||
<script type="text/javascript">
|
||
( function () {
|
||
|
||
var setupPrivacy = function() {
|
||
|
||
// Minimal Mozilla Cookie library
|
||
// https://developer.mozilla.org/en-US/docs/Web/API/Document/cookie/Simple_document.cookie_framework
|
||
var cookieLib = window.cookieLib = {getItem:function(e){return e&&decodeURIComponent(document.cookie.replace(new RegExp("(?:(?:^|.*;)\\s*"+encodeURIComponent(e).replace(/[\-\.\+\*]/g,"\\$&")+"\\s*\\=\\s*([^;]*).*$)|^.*$"),"$1"))||null},setItem:function(e,o,n,t,r,i){if(!e||/^(?:expires|max\-age|path|domain|secure)$/i.test(e))return!1;var c="";if(n)switch(n.constructor){case Number:c=n===1/0?"; expires=Fri, 31 Dec 9999 23:59:59 GMT":"; max-age="+n;break;case String:c="; expires="+n;break;case Date:c="; expires="+n.toUTCString()}return"rootDomain"!==r&&".rootDomain"!==r||(r=(".rootDomain"===r?".":"")+document.location.hostname.split(".").slice(-2).join(".")),document.cookie=encodeURIComponent(e)+"="+encodeURIComponent(o)+c+(r?"; domain="+r:"")+(t?"; path="+t:"")+(i?"; secure":""),!0}};
|
||
|
||
// Implement IAB USP API.
|
||
window.__uspapi = function( command, version, callback ) {
|
||
|
||
// Validate callback.
|
||
if ( typeof callback !== 'function' ) {
|
||
return;
|
||
}
|
||
|
||
// Validate the given command.
|
||
if ( command !== 'getUSPData' || version !== 1 ) {
|
||
callback( null, false );
|
||
return;
|
||
}
|
||
|
||
// Check for GPC. If set, override any stored cookie.
|
||
if ( navigator.globalPrivacyControl ) {
|
||
callback( { version: 1, uspString: '1YYN' }, true );
|
||
return;
|
||
}
|
||
|
||
// Check for cookie.
|
||
var consent = cookieLib.getItem( 'usprivacy' );
|
||
|
||
// Invalid cookie.
|
||
if ( null === consent ) {
|
||
callback( null, false );
|
||
return;
|
||
}
|
||
|
||
// Everything checks out. Fire the provided callback with the consent data.
|
||
callback( { version: 1, uspString: consent }, true );
|
||
};
|
||
|
||
// Initialization.
|
||
document.addEventListener( 'DOMContentLoaded', function() {
|
||
|
||
// Internal functions.
|
||
var setDefaultOptInCookie = function() {
|
||
var value = '1YNN';
|
||
var domain = '.wordpress.com' === location.hostname.slice( -14 ) ? '.rootDomain' : location.hostname;
|
||
cookieLib.setItem( 'usprivacy', value, 365 * 24 * 60 * 60, '/', domain );
|
||
};
|
||
|
||
var setDefaultOptOutCookie = function() {
|
||
var value = '1YYN';
|
||
var domain = '.wordpress.com' === location.hostname.slice( -14 ) ? '.rootDomain' : location.hostname;
|
||
cookieLib.setItem( 'usprivacy', value, 24 * 60 * 60, '/', domain );
|
||
};
|
||
|
||
var setDefaultNotApplicableCookie = function() {
|
||
var value = '1---';
|
||
var domain = '.wordpress.com' === location.hostname.slice( -14 ) ? '.rootDomain' : location.hostname;
|
||
cookieLib.setItem( 'usprivacy', value, 24 * 60 * 60, '/', domain );
|
||
};
|
||
|
||
var setCcpaAppliesCookie = function( applies ) {
|
||
var domain = '.wordpress.com' === location.hostname.slice( -14 ) ? '.rootDomain' : location.hostname;
|
||
cookieLib.setItem( 'ccpa_applies', applies, 24 * 60 * 60, '/', domain );
|
||
}
|
||
|
||
var maybeCallDoNotSellCallback = function() {
|
||
if ( 'function' === typeof window.doNotSellCallback ) {
|
||
return window.doNotSellCallback();
|
||
}
|
||
|
||
return false;
|
||
}
|
||
|
||
// Look for usprivacy cookie first.
|
||
var usprivacyCookie = cookieLib.getItem( 'usprivacy' );
|
||
|
||
// Found a usprivacy cookie.
|
||
if ( null !== usprivacyCookie ) {
|
||
|
||
// If the cookie indicates that CCPA does not apply, then bail.
|
||
if ( '1---' === usprivacyCookie ) {
|
||
return;
|
||
}
|
||
|
||
// CCPA applies, so call our callback to add Do Not Sell link to the page.
|
||
maybeCallDoNotSellCallback();
|
||
|
||
// We're all done, no more processing needed.
|
||
return;
|
||
}
|
||
|
||
// We don't have a usprivacy cookie, so check to see if we have a CCPA applies cookie.
|
||
var ccpaCookie = cookieLib.getItem( 'ccpa_applies' );
|
||
|
||
// No CCPA applies cookie found, so we'll need to geolocate if this visitor is from California.
|
||
// This needs to happen client side because we do not have region geo data in our $SERVER headers,
|
||
// only country data -- therefore we can't vary cache on the region.
|
||
if ( null === ccpaCookie ) {
|
||
|
||
var request = new XMLHttpRequest();
|
||
request.open( 'GET', 'https://public-api.wordpress.com/geo/', true );
|
||
|
||
request.onreadystatechange = function () {
|
||
if ( 4 === this.readyState ) {
|
||
if ( 200 === this.status ) {
|
||
|
||
// Got a geo response. Parse out the region data.
|
||
var data = JSON.parse( this.response );
|
||
var region = data.region ? data.region.toLowerCase() : '';
|
||
var ccpa_applies = ['california', 'colorado', 'connecticut', 'delaware', 'indiana', 'iowa', 'montana', 'new jersey', 'oregon', 'tennessee', 'texas', 'utah', 'virginia'].indexOf( region ) > -1;
|
||
// Set CCPA applies cookie. This keeps us from having to make a geo request too frequently.
|
||
setCcpaAppliesCookie( ccpa_applies );
|
||
|
||
// Check if CCPA applies to set the proper usprivacy cookie.
|
||
if ( ccpa_applies ) {
|
||
if ( maybeCallDoNotSellCallback() ) {
|
||
// Do Not Sell link added, so set default opt-in.
|
||
setDefaultOptInCookie();
|
||
} else {
|
||
// Failed showing Do Not Sell link as required, so default to opt-OUT just to be safe.
|
||
setDefaultOptOutCookie();
|
||
}
|
||
} else {
|
||
// CCPA does not apply.
|
||
setDefaultNotApplicableCookie();
|
||
}
|
||
} else {
|
||
// Could not geo, so let's assume for now that CCPA applies to be safe.
|
||
setCcpaAppliesCookie( true );
|
||
if ( maybeCallDoNotSellCallback() ) {
|
||
// Do Not Sell link added, so set default opt-in.
|
||
setDefaultOptInCookie();
|
||
} else {
|
||
// Failed showing Do Not Sell link as required, so default to opt-OUT just to be safe.
|
||
setDefaultOptOutCookie();
|
||
}
|
||
}
|
||
}
|
||
};
|
||
|
||
// Send the geo request.
|
||
request.send();
|
||
} else {
|
||
// We found a CCPA applies cookie.
|
||
if ( ccpaCookie === 'true' ) {
|
||
if ( maybeCallDoNotSellCallback() ) {
|
||
// Do Not Sell link added, so set default opt-in.
|
||
setDefaultOptInCookie();
|
||
} else {
|
||
// Failed showing Do Not Sell link as required, so default to opt-OUT just to be safe.
|
||
setDefaultOptOutCookie();
|
||
}
|
||
} else {
|
||
// CCPA does not apply.
|
||
setDefaultNotApplicableCookie();
|
||
}
|
||
}
|
||
} );
|
||
};
|
||
|
||
// Kickoff initialization.
|
||
if ( window.defQueue && defQueue.isLOHP && defQueue.isLOHP === 2020 ) {
|
||
defQueue.items.push( setupPrivacy );
|
||
} else {
|
||
setupPrivacy();
|
||
}
|
||
|
||
} )();
|
||
</script>
|
||
|
||
<!-- CCPA [end] -->
|
||
<div class="widget widget_eu_cookie_law_widget">
|
||
<div
|
||
class="hide-on-button ads-active"
|
||
data-hide-timeout="30"
|
||
data-consent-expiration="180"
|
||
id="eu-cookie-law"
|
||
style="display: none"
|
||
>
|
||
<form method="post">
|
||
<input type="submit" value="Close and accept" class="accept" />
|
||
|
||
Privacy & Cookies: This site uses cookies. By continuing to use this website, you agree to their use. <br />
|
||
To find out more, including how to control cookies, see here:
|
||
<a href="https://automattic.com/cookies/" rel="nofollow">
|
||
Cookie Policy </a>
|
||
</form>
|
||
</div>
|
||
</div> <div id="actionbar" dir="ltr" style="display: none;"
|
||
class="actnbr-pub-coherent actnbr-has-follow actnbr-has-actions">
|
||
<ul>
|
||
<li class="actnbr-btn actnbr-hidden">
|
||
<a class="actnbr-action actnbr-actn-comment" href="https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/#comments">
|
||
<svg class="gridicon gridicons-comment" height="20" width="20" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><g><path d="M12 16l-5 5v-5H5c-1.1 0-2-.9-2-2V5c0-1.1.9-2 2-2h14c1.1 0 2 .9 2 2v9c0 1.1-.9 2-2 2h-7z"/></g></svg> <span>Comment </span>
|
||
</a>
|
||
</li>
|
||
<li class="actnbr-btn actnbr-hidden">
|
||
<a class="actnbr-action actnbr-actn-reblog" href="">
|
||
<svg class="gridicon gridicons-reblog" height="20" width="20" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><g><path d="M22.086 9.914L20 7.828V18c0 1.105-.895 2-2 2h-7v-2h7V7.828l-2.086 2.086L14.5 8.5 19 4l4.5 4.5-1.414 1.414zM6 16.172V6h7V4H6c-1.105 0-2 .895-2 2v10.172l-2.086-2.086L.5 15.5 5 20l4.5-4.5-1.414-1.414L6 16.172z"/></g></svg><span>Reblog</span>
|
||
</a>
|
||
</li>
|
||
<li class="actnbr-btn actnbr-hidden">
|
||
<a class="actnbr-action actnbr-actn-follow " href="">
|
||
<svg class="gridicon" height="20" width="20" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 20 20"><path clip-rule="evenodd" d="m4 4.5h12v6.5h1.5v-6.5-1.5h-1.5-12-1.5v1.5 10.5c0 1.1046.89543 2 2 2h7v-1.5h-7c-.27614 0-.5-.2239-.5-.5zm10.5 2h-9v1.5h9zm-5 3h-4v1.5h4zm3.5 1.5h-1v1h1zm-1-1.5h-1.5v1.5 1 1.5h1.5 1 1.5v-1.5-1-1.5h-1.5zm-2.5 2.5h-4v1.5h4zm6.5 1.25h1.5v2.25h2.25v1.5h-2.25v2.25h-1.5v-2.25h-2.25v-1.5h2.25z" fill-rule="evenodd"></path></svg>
|
||
<span>Subscribe</span>
|
||
</a>
|
||
<a class="actnbr-action actnbr-actn-following no-display" href="">
|
||
<svg class="gridicon" height="20" width="20" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 20 20" fill="none"><path fill-rule="evenodd" clip-rule="evenodd" d="M16 4.5H4V15C4 15.2761 4.22386 15.5 4.5 15.5H11.5V17H4.5C3.39543 17 2.5 16.1046 2.5 15V3H17.5V12.5H16V4.5ZM5.5 6.5H14.5V8H5.5V6.5ZM5.5 9.5H9.5V11H5.5V9.5ZM12 11H13V12H12V11ZM10.5 9.5H14.5V13.5H10.5V9.5ZM5.5 12H9.5V13.5H5.5V12Z" fill="#008A20"></path><path d="M19.5303 15.0303L15.5 19.0605L12.9697 16.5303L14.0303 15.4697L15.5 16.9395L18.4697 13.9697L19.5303 15.0303Z" fill="#008A20"></path></svg>
|
||
<span>Subscribed</span>
|
||
</a>
|
||
<div class="actnbr-popover tip tip-top-left actnbr-notice" id="follow-bubble">
|
||
<div class="tip-arrow"></div>
|
||
<div class="tip-inner actnbr-follow-bubble">
|
||
<ul>
|
||
<li class="actnbr-sitename">
|
||
<a href="https://robpostonblog.wordpress.com">
|
||
<img loading='lazy' alt='' src='https://s2.wp.com/i/logo/wpcom-gray-white.png?m=1479929237i' srcset='https://s2.wp.com/i/logo/wpcom-gray-white.png 1x' class='avatar avatar-50' height='50' width='50' /> robpostonblog </a>
|
||
</li>
|
||
<div class="actnbr-message no-display"></div>
|
||
<form method="post" action="https://subscribe.wordpress.com" accept-charset="utf-8" style="display: none;">
|
||
<div>
|
||
<input type="email" name="email" placeholder="Enter your email address" class="actnbr-email-field" aria-label="Enter your email address" />
|
||
</div>
|
||
<input type="hidden" name="action" value="subscribe" />
|
||
<input type="hidden" name="blog_id" value="99262758" />
|
||
<input type="hidden" name="source" value="https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/" />
|
||
<input type="hidden" name="sub-type" value="actionbar-follow" />
|
||
<input type="hidden" id="_wpnonce" name="_wpnonce" value="5be9e5bb43" /> <div class="actnbr-button-wrap">
|
||
<button type="submit" value="Sign me up">
|
||
Sign me up </button>
|
||
</div>
|
||
</form>
|
||
<li class="actnbr-login-nudge">
|
||
<div>
|
||
Already have a WordPress.com account? <a href="https://wordpress.com/log-in?redirect_to=https%3A%2F%2Frobpostonblog.wordpress.com%2F2025%2F02%2F04%2Fdealing-with-chaos-during-cardiac-surgery%2F&signup_flow=account">Log in now.</a> </div>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
</li>
|
||
<li class="actnbr-ellipsis actnbr-hidden">
|
||
<svg class="gridicon gridicons-ellipsis" height="24" width="24" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><g><path d="M7 12c0 1.104-.896 2-2 2s-2-.896-2-2 .896-2 2-2 2 .896 2 2zm12-2c-1.104 0-2 .896-2 2s.896 2 2 2 2-.896 2-2-.896-2-2-2zm-7 0c-1.104 0-2 .896-2 2s.896 2 2 2 2-.896 2-2-.896-2-2-2z"/></g></svg> <div class="actnbr-popover tip tip-top-left actnbr-more">
|
||
<div class="tip-arrow"></div>
|
||
<div class="tip-inner">
|
||
<ul>
|
||
<li class="actnbr-sitename">
|
||
<a href="https://robpostonblog.wordpress.com">
|
||
<img loading='lazy' alt='' src='https://s2.wp.com/i/logo/wpcom-gray-white.png?m=1479929237i' srcset='https://s2.wp.com/i/logo/wpcom-gray-white.png 1x' class='avatar avatar-50' height='50' width='50' /> robpostonblog </a>
|
||
</li>
|
||
<li class="actnbr-folded-follow">
|
||
<a class="actnbr-action actnbr-actn-follow " href="">
|
||
<svg class="gridicon" height="20" width="20" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 20 20"><path clip-rule="evenodd" d="m4 4.5h12v6.5h1.5v-6.5-1.5h-1.5-12-1.5v1.5 10.5c0 1.1046.89543 2 2 2h7v-1.5h-7c-.27614 0-.5-.2239-.5-.5zm10.5 2h-9v1.5h9zm-5 3h-4v1.5h4zm3.5 1.5h-1v1h1zm-1-1.5h-1.5v1.5 1 1.5h1.5 1 1.5v-1.5-1-1.5h-1.5zm-2.5 2.5h-4v1.5h4zm6.5 1.25h1.5v2.25h2.25v1.5h-2.25v2.25h-1.5v-2.25h-2.25v-1.5h2.25z" fill-rule="evenodd"></path></svg>
|
||
<span>Subscribe</span>
|
||
</a>
|
||
<a class="actnbr-action actnbr-actn-following no-display" href="">
|
||
<svg class="gridicon" height="20" width="20" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 20 20" fill="none"><path fill-rule="evenodd" clip-rule="evenodd" d="M16 4.5H4V15C4 15.2761 4.22386 15.5 4.5 15.5H11.5V17H4.5C3.39543 17 2.5 16.1046 2.5 15V3H17.5V12.5H16V4.5ZM5.5 6.5H14.5V8H5.5V6.5ZM5.5 9.5H9.5V11H5.5V9.5ZM12 11H13V12H12V11ZM10.5 9.5H14.5V13.5H10.5V9.5ZM5.5 12H9.5V13.5H5.5V12Z" fill="#008A20"></path><path d="M19.5303 15.0303L15.5 19.0605L12.9697 16.5303L14.0303 15.4697L15.5 16.9395L18.4697 13.9697L19.5303 15.0303Z" fill="#008A20"></path></svg>
|
||
<span>Subscribed</span>
|
||
</a>
|
||
</li>
|
||
<li class="actnbr-signup"><a href="https://wordpress.com/start/">Sign up</a></li>
|
||
<li class="actnbr-login"><a href="https://wordpress.com/log-in?redirect_to=https%3A%2F%2Frobpostonblog.wordpress.com%2F2025%2F02%2F04%2Fdealing-with-chaos-during-cardiac-surgery%2F&signup_flow=account">Log in</a></li>
|
||
<li class="actnbr-shortlink">
|
||
<a href="https://wp.me/p6IuMe-ne">
|
||
<span class="actnbr-shortlink__text">Copy shortlink</span>
|
||
<span class="actnbr-shortlink__icon"><svg class="gridicon gridicons-checkmark" height="16" width="16" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><g><path d="M9 19.414l-6.707-6.707 1.414-1.414L9 16.586 20.293 5.293l1.414 1.414"/></g></svg></span>
|
||
</a>
|
||
</li>
|
||
<li class="flb-report">
|
||
<a href="https://wordpress.com/abuse/?report_url=https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/" target="_blank" rel="noopener noreferrer">
|
||
Report this content </a>
|
||
</li>
|
||
<li class="actnbr-reader">
|
||
<a href="https://wordpress.com/reader/blogs/99262758/posts/1440">
|
||
View post in Reader </a>
|
||
</li>
|
||
<li class="actnbr-subs">
|
||
<a href="https://subscribe.wordpress.com/">Manage subscriptions</a>
|
||
</li>
|
||
<li class="actnbr-fold"><a href="">Collapse this bar</a></li>
|
||
</ul>
|
||
</div>
|
||
</div>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
|
||
<script>
|
||
window.addEventListener( "DOMContentLoaded", function( event ) {
|
||
var link = document.createElement( "link" );
|
||
link.href = "/wp-content/mu-plugins/actionbar/actionbar.css?v=20250116";
|
||
link.type = "text/css";
|
||
link.rel = "stylesheet";
|
||
document.head.appendChild( link );
|
||
|
||
var script = document.createElement( "script" );
|
||
script.src = "/wp-content/mu-plugins/actionbar/actionbar.js?v=20250204";
|
||
document.body.appendChild( script );
|
||
} );
|
||
</script>
|
||
|
||
|
||
<script type="text/javascript">
|
||
window.WPCOM_sharing_counts = {"https://robpostonblog.wordpress.com/2025/02/04/dealing-with-chaos-during-cardiac-surgery/":1440};
|
||
</script>
|
||
|
||
<script type="text/javascript">
|
||
(function () {
|
||
var wpcom_reblog = {
|
||
source: 'toolbar',
|
||
|
||
toggle_reblog_box_flair: function (obj_id, post_id) {
|
||
|
||
// Go to site selector. This will redirect to their blog if they only have one.
|
||
const postEndpoint = `https://wordpress.com/post`;
|
||
|
||
// Ideally we would use the permalink here, but fortunately this will be replaced with the
|
||
// post permalink in the editor.
|
||
const originalURL = `${ document.location.href }?page_id=${ post_id }`;
|
||
|
||
const url =
|
||
postEndpoint +
|
||
'?url=' +
|
||
encodeURIComponent( originalURL ) +
|
||
'&is_post_share=true' +
|
||
'&v=5';
|
||
|
||
const redirect = function () {
|
||
if (
|
||
! window.open( url, '_blank' )
|
||
) {
|
||
location.href = url;
|
||
}
|
||
};
|
||
|
||
if ( /Firefox/.test( navigator.userAgent ) ) {
|
||
setTimeout( redirect, 0 );
|
||
} else {
|
||
redirect();
|
||
}
|
||
},
|
||
};
|
||
|
||
window.wpcom_reblog = wpcom_reblog;
|
||
})();
|
||
</script>
|
||
<script crossorigin='anonymous' type='text/javascript' src='/_static/??-eJx9jEsOwjAMBS9EcIuqdoU4i2msNKnzoXbI9ckO1AXbeTMPWjFrTkpJ4cnZmcLV+STQ8mHRilkZRUggdITK5n27BrnATxbrN/LWkQpQ7WvePRnGBkqxMCqd+J8f9nu3X5UqbZgs09HlR7yPyzxM0zyMS/gAPatD8g=='></script>
|
||
<script id="wp-hooks-js" src="/wp-content/plugins/gutenberg-core/v23.9.1/build/scripts/hooks/index.min.js?m=1788785546i&ver=f0f188028580e8dc1255"></script>
|
||
<script id="wp-i18n-js" src="/wp-content/plugins/gutenberg-core/v23.9.1/build/scripts/i18n/index.min.js?m=1788785546i&ver=1dfe7db3940c23ea9216"></script>
|
||
<script id="wp-i18n-js-after">
|
||
wp.i18n.setLocaleData( { 'text direction\u0004ltr': [ 'ltr' ] } );
|
||
//# sourceURL=wp-i18n-js-after
|
||
</script>
|
||
<script id="verbum-settings-js-before">
|
||
window.VerbumComments = {"Log in or provide your name and email to leave a reply.":"Log in or provide your name and email to leave a reply.","Log in or provide your name and email to leave a comment.":"Log in or provide your name and email to leave a comment.","Receive web and mobile notifications for posts on this site.":"Receive web and mobile notifications for posts on this site.","Name":"Name","Email (address never made public)":"Email (address never made public)","Website (optional)":"Website (optional)","Leave a reply. (log in optional)":"Leave a reply. (log in optional)","Leave a comment. (log in optional)":"Leave a comment. (log in optional)","Log in to leave a reply.":"Log in to leave a reply.","Log in to leave a comment.":"Log in to leave a comment.","Logged in via %s":"Logged in via %s","Log out":"Log out","Your browser is blocking the cookies needed to log in and comment here. Allow cookies in your privacy settings, then reload the page.":"Your browser is blocking the cookies needed to log in and comment here. Allow cookies in your privacy settings, then reload the page.","Email":"Email","(Address never made public)":"(Address never made public)","Instantly":"Instantly","Daily":"Daily","Reply":"Reply","Comment":"Comment","WordPress":"WordPress","Weekly":"Weekly","Notify me of new posts":"Notify me of new posts","Email me new posts":"Email me new posts","Email me new comments":"Email me new comments","Cancel":"Cancel","Write a comment...":"Write a comment...","Write a reply...":"Write a reply...","Website":"Website","Optional":"Optional","We'll keep you in the loop!":"We'll keep you in the loop!","Loading your comment...":"Loading your comment...","Discover more from":"Discover more from robpostonblog","Subscribe now to keep reading and get access to the full archive.":"Subscribe now to keep reading and get access to the full archive.","Continue reading":"Continue reading","Never miss a beat!":"Never miss a beat!","Interested in getting blog post updates? Simply click the button below to stay in the loop!":"Interested in getting blog post updates? Simply click the button below to stay in the loop!","Enter your email address":"Enter your email address","Subscribe":"Subscribe","Comment sent successfully":"Comment sent successfully","Save my name, email, and website in this browser for the next time I comment.":"Save my name, email, and website in this browser for the next time I comment.","hovercardi18n":{"Edit your profile \u2192":"Edit your profile \u2192","View profile \u2192":"View profile \u2192","Contact":"Contact","Send money":"Send money","Gravatar not found.":"Gravatar not found.","This profile is private.":"This profile is private.","Too Many Requests.":"Too Many Requests.","Internal Server Error.":"Internal Server Error.","Sorry, we are unable to load this Gravatar profile.":"Sorry, we are unable to load this Gravatar profile."},"siteId":99262758,"postId":1440,"mustLogIn":false,"requireNameEmail":true,"commentRegistration":false,"connectURL":"https://robpostonblog.wordpress.com/public.api/connect/?action=request\u0026from_comments=yes","logoutURL":"https://robpostonblog.wordpress.com/wp-login.php?action=logout\u0026_wpnonce=b263a00deb","homeURL":"https://robpostonblog.wordpress.com/","subscribeToBlog":true,"subscribeToComment":true,"isJetpackCommentsLoggedIn":false,"jetpackUsername":"","jetpackUserId":0,"jetpackSignature":"","jetpackAvatar":"https://0.gravatar.com/avatar/?s=96\u0026amp;d=identicon\u0026amp;r=G","enableBlocks":true,"enableSubscriptionModal":true,"currentLocale":"en","isJetpackComments":false,"allowedBlocks":["core/paragraph","core/list","core/code","core/list-item","core/quote","core/image","core/embed","core/quote","core/code"],"embedNonce":"2db44e3fcc","verbumBundleUrl":"/wp-content/mu-plugins/jetpack-mu-wpcom-plugin/moon/jetpack_vendor/automattic/jetpack-mu-wpcom/src/features/verbum-comments/dist/index.js","isRTL":false,"vbeCacheBuster":1771405207,"iframeUniqueId":0,"colorScheme":false}
|
||
//# sourceURL=verbum-settings-js-before
|
||
</script>
|
||
<script data-wp-strategy="defer" defer id="verbum-dynamic-loader-js" src="/wp-content/mu-plugins/jetpack-mu-wpcom-plugin/moon/jetpack_vendor/automattic/jetpack-mu-wpcom/src/build/verbum-comments/assets/dynamic-loader.js?m=1772518873i&minify=false&ver=8b5296f9195db92c42e4"></script>
|
||
<script id="comment-like-js-extra">
|
||
var comment_like_text = {"loading":"Loading...","swipeUrl":"https://s2.wp.com/wp-content/mu-plugins/comment-likes/js/lib/swipe.js?m=1382645497i&ver=20131008"};
|
||
//# sourceURL=comment-like-js-extra
|
||
</script>
|
||
<script id="coherent-script-js-extra">
|
||
var menuToggleText = {"show":"show","hide":"hide"};
|
||
//# sourceURL=coherent-script-js-extra
|
||
</script>
|
||
<script id="sharing-js-js-extra">
|
||
var sharing_js_options = {"lang":"en","counts":"1","is_stats_active":"1"};
|
||
//# sourceURL=sharing-js-js-extra
|
||
</script>
|
||
<script id="jetpack-script-data-js-before">
|
||
window.JetpackScriptData = {"site":{"host":"wpcom","is_wpcom_platform":true}};
|
||
//# sourceURL=jetpack-script-data-js-before
|
||
</script>
|
||
<script crossorigin='anonymous' type='text/javascript' src='/_static/??-eJyNkN1uwjAMRl9oqZmmAbuY9igoJC5186vYGePtFwqtOi4m7qLj7zhfAuesTIqCUSBUlX09UWQwKYSGlCeHDOMD6EZ+gZUoA4YWy/XYcgOWK2sOO8pNiE71yVRWPf08ac7nOU7R+Gr/NimY/aULFB93rp4xomRtnGronJt4H0BIKc7DwzdGmwroKiloETKLpplRGI6VvF0gm0JZlNWi/7lZO+KAot66DRxa/QX0ZQrbJ1qvy047bkV40AWttvYyHSme7r/wFT5fd/vdx/tmv92OvxShsS8='></script>
|
||
<script id="sharing-js-js-after">
|
||
window.WPCOM_sharing_popups = window.WPCOM_sharing_popups || {};
|
||
window.WPCOM_sharing_popups[ "twitter" ] = "menubar=1,resizable=1,width=600,height=350";
|
||
window.WPCOM_sharing_popups = window.WPCOM_sharing_popups || {};
|
||
window.WPCOM_sharing_popups[ "facebook" ] = "menubar=1,resizable=1,width=600,height=400";
|
||
//# sourceURL=sharing-js-js-after
|
||
</script>
|
||
<script id="wp-emoji-settings" type="application/json">
|
||
{"baseUrl":"https://s0.wp.com/wp-content/mu-plugins/wpcom-smileys/twemoji/2/72x72/","ext":".png","svgUrl":"https://s0.wp.com/wp-content/mu-plugins/wpcom-smileys/twemoji/2/svg/","svgExt":".svg","source":{"concatemoji":"/wp-includes/js/wp-emoji-release.min.js?m=1783090810i&ver=7.1.1-alpha-63555"}}
|
||
</script>
|
||
<script type="module">
|
||
/*! This file is auto-generated */
|
||
var e="script#wp-emoji-settings",t=document.querySelector(e);if(!(t instanceof HTMLScriptElement))throw new Error("Element missing: "+e);const r=JSON.parse(t.text),s=(window._wpemojiSettings=r,"wpEmojiSettingsSupports"),o=["flag","emoji"];function i(e){try{var t={supportTests:e,timestamp:(new Date).valueOf()};sessionStorage.setItem(s,JSON.stringify(t))}catch(e){}}function c(e,t,n){e.clearRect(0,0,e.canvas.width,e.canvas.height),e.fillText(t,0,0);t=new Uint32Array(e.getImageData(0,0,e.canvas.width,e.canvas.height).data);e.clearRect(0,0,e.canvas.width,e.canvas.height),e.fillText(n,0,0);const r=new Uint32Array(e.getImageData(0,0,e.canvas.width,e.canvas.height).data);return t.every((e,t)=>e===r[t])}function p(e,t){e.clearRect(0,0,e.canvas.width,e.canvas.height),e.fillText(t,0,0);var n=e.getImageData(16,16,1,1);for(let e=0;e<n.data.length;e++)if(0!==n.data[e])return!1;return!0}function u(e,t,n,r){switch(t){case"flag":return n(e,"\ud83c\udff3\ufe0f\u200d\u26a7\ufe0f","\ud83c\udff3\ufe0f\u200b\u26a7\ufe0f")?!1:!n(e,"\ud83c\udde8\ud83c\uddf6","\ud83c\udde8\u200b\ud83c\uddf6")&&!n(e,"\ud83c\udff4\udb40\udc67\udb40\udc62\udb40\udc65\udb40\udc6e\udb40\udc67\udb40\udc7f","\ud83c\udff4\u200b\udb40\udc67\u200b\udb40\udc62\u200b\udb40\udc65\u200b\udb40\udc6e\u200b\udb40\udc67\u200b\udb40\udc7f");case"emoji":return!r(e,"\ud83e\u1fac8")}return!1}function f(e,t,n,r){let a;const s=(a="undefined"!=typeof WorkerGlobalScope&&self instanceof WorkerGlobalScope?new OffscreenCanvas(300,150):document.createElement("canvas")).getContext("2d",{willReadFrequently:!0}),o=(s.textBaseline="top",s.font="600 32px Arial",{});return e.forEach(e=>{o[e]=t(s,e,n,r)}),o}function a(e){var t=document.createElement("script");t.src=e,t.defer=!0,document.head.appendChild(t)}r.supports={everything:!0,everythingExceptFlag:!0},new Promise(t=>{let n=function(){try{var e=JSON.parse(sessionStorage.getItem(s));if("object"==typeof e&&"number"==typeof e.timestamp&&(new Date).valueOf()<e.timestamp+604800&&"object"==typeof e.supportTests)return e.supportTests}catch(e){}return null}();if(!n){if("undefined"!=typeof Worker&&"undefined"!=typeof OffscreenCanvas&&"undefined"!=typeof URL&&URL.createObjectURL&&"undefined"!=typeof Blob)try{var e="postMessage("+f.toString()+"("+[JSON.stringify(o),u.toString(),c.toString(),p.toString()].join(",")+"));",r=new Blob([e],{type:"text/javascript"});const a=new Worker(URL.createObjectURL(r),{name:"wpTestEmojiSupports"});return void(a.onmessage=e=>{i(n=e.data),a.terminate(),t(n)})}catch(e){}i(n=f(o,u,c,p))}t(n)}).then(e=>{for(const n in e)r.supports[n]=e[n],r.supports.everything=r.supports.everything&&r.supports[n],"flag"!==n&&(r.supports.everythingExceptFlag=r.supports.everythingExceptFlag&&r.supports[n]);var t;r.supports.everythingExceptFlag=r.supports.everythingExceptFlag&&!r.supports.flag,r.supports.everything||((t=r.source||{}).concatemoji?a(t.concatemoji):t.wpemoji&&t.twemoji&&(a(t.twemoji),a(t.wpemoji)))});
|
||
//# sourceURL=/wp-includes/js/wp-emoji-loader.min.js
|
||
</script>
|
||
<iframe src='https://widgets.wp.com/likes/master.html?ver=20260912#ver=20260912' scrolling='no' id='likes-master' name='likes-master' style='display:none;'></iframe>
|
||
<div id='likes-other-gravatars' role="dialog" aria-hidden="true" tabindex="-1"><div class="likes-text"><span>%d</span></div><ul class="wpl-avatars sd-like-gravatars"></ul></div>
|
||
<script src="//stats.wp.com/w.js?69" defer></script> <script type="text/javascript">
|
||
_tkq = window._tkq || [];
|
||
_stq = window._stq || [];
|
||
_tkq.push(['storeContext', {'blog_id':'99262758','blog_tz':'0','user_lang':'en','blog_lang':'en','user_id':'0'}]);
|
||
// Prevent sending pageview tracking from WP-Admin pages.
|
||
_stq.push(['view', {'blog':'99262758','v':'wpcom','tz':'0','user_id':'0','post':'1440','subd':'robpostonblog'}]);
|
||
_stq.push(['extra', {'crypt':'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'}]);
|
||
_stq.push([ 'clickTrackerInit', '99262758', '1440' ]);
|
||
</script>
|
||
<noscript><img src="https://pixel.wp.com/b.gif?v=noscript" style="height:1px;width:1px;overflow:hidden;position:absolute;bottom:1px;" alt="" /></noscript>
|
||
<meta id="bilmur" property="bilmur:data" content="" data-provider="wordpress.com" data-service="simple" data-site-tz="Etc/GMT-0" data-custom-props="{"enq_jquery":"1","logged_in":"0","wptheme":"pub\/coherent","wptheme_is_block":"0"}" >
|
||
<script defer src="/wp-content/js/bilmur.min.js?i=17&m=202637"></script> <div id="marketingbar" class="marketing-bar noskim "><div class="marketing-bar-text">Design a site like this with WordPress.com</div><a class="marketing-bar-button" href="https://wordpress.com/start/?ref=marketing_bar">Get started</a><a class="marketing-bar-link" tabindex="-1" aria-label="Create your website at WordPress.com" href="https://wordpress.com/start/?ref=marketing_bar"></a></div> <script type="text/javascript">
|
||
window._tkq = window._tkq || [];
|
||
|
||
window._tkq.push( [ 'recordEvent', 'wpcom_marketing_bar_impression', {"is_current_user_blog_owner":false} ] );
|
||
|
||
document.querySelectorAll( '#marketingbar > a' ).forEach( link => {
|
||
link.addEventListener( 'click', ( e ) => {
|
||
window._tkq.push( [ 'recordEvent', 'wpcom_marketing_bar_cta_click', {"is_current_user_blog_owner":false} ] );
|
||
} );
|
||
});
|
||
</script>
|
||
<script>
|
||
(function() {
|
||
'use strict';
|
||
|
||
const fetches = {};
|
||
const promises = {};
|
||
const urls = {
|
||
'wp-polyfill': '/wp-includes/js/dist/vendor/wp-polyfill.min.js?m=1786440387i&ver=3.15.0',
|
||
'verbum': '/wp-content/mu-plugins/jetpack-mu-wpcom-plugin/moon/jetpack_vendor/automattic/jetpack-mu-wpcom/src/build/verbum-comments/verbum-comments.js?m=1788898305i&minify=false&ver=3d6130a57c3104d5bc3b'
|
||
};
|
||
const loaders = {
|
||
'verbum': () => {
|
||
fetchExternalScript('wp-polyfill');
|
||
fetchExternalScript('verbum');
|
||
promises['wp-polyfill'] = promises['wp-polyfill'] || loadWPScript('wp-polyfill');
|
||
promises['verbum'] = promises['verbum'] || promises['wp-polyfill'].then( () => loadWPScript('verbum') );
|
||
return promises['verbum'];
|
||
},
|
||
|
||
};
|
||
const scriptExtras = {
|
||
|
||
};
|
||
|
||
window.WP_Enqueue_Dynamic_Script = {
|
||
loadScript: (handle) => {
|
||
if (!loaders[handle]) {
|
||
console.error('WP_Enqueue_Dynamic_Script: unregistered script `' + handle + '`.');
|
||
}
|
||
return loaders[handle]();
|
||
}
|
||
};
|
||
|
||
function fetchExternalScript(handle) {
|
||
if (!urls[handle]) {
|
||
return Promise.resolve();
|
||
}
|
||
|
||
fetches[handle] = fetches[handle] || fetch(urls[handle], { mode: 'no-cors' });
|
||
return fetches[handle];
|
||
}
|
||
|
||
function runExtraScript(handle, type, index) {
|
||
const id = 'wp-enqueue-dynamic-script:' + handle + ':' + type + ':' + (index + 1);
|
||
const template = document.getElementById(id);
|
||
if (!template) {
|
||
return Promise.reject();
|
||
}
|
||
|
||
const script = document.createElement( 'script' );
|
||
script.innerHTML = template.innerHTML;
|
||
document.body.appendChild( script );
|
||
return Promise.resolve();
|
||
}
|
||
|
||
function loadExternalScript(handle) {
|
||
if (!urls[handle]) {
|
||
return Promise.resolve();
|
||
}
|
||
|
||
return fetches[handle].then(() => {
|
||
return new Promise((resolve, reject) => {
|
||
const script = document.createElement('script');
|
||
script.onload = () => resolve();
|
||
script.onerror = (e) => reject(e);
|
||
script.src = urls[handle];
|
||
document.body.appendChild(script);
|
||
});
|
||
});
|
||
}
|
||
|
||
function loadExtra(handle, pos) {
|
||
const count = (scriptExtras[handle] && scriptExtras[handle][pos]) || 0;
|
||
let promise = Promise.resolve();
|
||
|
||
for (let i = 0; i < count; i++) {
|
||
promise = promise.then(() => runExtraScript(handle, pos, i));
|
||
}
|
||
|
||
return promise;
|
||
}
|
||
|
||
function loadWPScript(handle) {
|
||
// Core loads scripts in this order. See: https://github.com/WordPress/WordPress/blob/a59eb9d39c4fcba834b70c9e8dfd64feeec10ba6/wp-includes/class-wp-scripts.php#L428.
|
||
return loadExtra(handle, 'translations')
|
||
.then(() => loadExtra(handle, 'before'))
|
||
.then(() => loadExternalScript(handle))
|
||
.then(() => loadExtra(handle, 'after'));
|
||
}
|
||
} )();
|
||
</script>
|
||
|
||
</body>
|
||
</html>
|