ERROR TRAPS IN PEDIATRIC ADENOTONSILLECTOMY: CLINICAL PATTERNS, COGNITIVE PITFALLS, AND EVIDENCE-MITIGATION STRATEGIES

Children's Hospital Colorado, University of Colorado Anschutz; Seattle Children's Hospital, University of Washington; Children's Hospital of Eastern Ontario Research Institute, University of Ottawa

Adenotonsillectomy is one of the most frequently performed elective surgeries in children, yet it carries significant risks that are often overlooked due to its routine nature. This review identifies key error traps that can lead to complications, such as challenging airway management and inadequate postoperative pain control. It also outlines strategies for improving safety and outcomes, including structured screening for obstructive sleep apnea and the use of cognitive aids during high-stress situations. The document serves as a critical resource for anesthesiologists and surgical teams involved in pediatric care.