{"id":"12a99318-6957-4b22-8160-e35461884ccb","slug":"awake-craniotomy-versus-piloting-an-aircraft-what-medicine-and-aviation-can-learn-from-one-another","title":"Awake craniotomy versus piloting an aircraft: What medicine and aviation can learn from one another?","authors":["Vini G. Khurana","Praveen Vats"],"abstract":"Background: The comparison between awake craniotomy and piloting an aircraft reveals numerous similarities, including the reliance on extensive experience, protocols, and teamwork. Both fields require adherence to rules based on cumulative learning from past incidents. The active participation of the patient during awake craniotomy adds a unique dimension to the operative mission. Summary: This editorial identifies seven 'T-factor' groups—task, training, technique, technology, teamwork, terminus, and tuning—that can be utilized to compare flight missions and awake craniotomies. The authors highlight ten factors from aviation that could enhance surgical practices, including Crew Resource Management, checklists, and debriefing. Additionally, the editorial discusses how the operating room's crisis management experience can inform aviation practices. Conclusion: There are significant parallels and some key differences between awake craniotomy and piloting an aircraft. The medical field can adopt various aviation strategies to improve patient outcomes, while aviation can learn from the regularity and scope of crisis management in surgical settings. Keywords: awake craniotomy, aviation, surgery, Crisis Management, teamwork, checklists, patient outcomes, surgical safety","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/12a99318-6957-4b22-8160-e35461884ccb/featured/hero-1781563903248.png","publishDate":"2019-06-07T00:00:00.000Z","doi":"10.25259/SNI-215-2019","categories":["General Neurosurgery","Editorial"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/12a99318-6957-4b22-8160-e35461884ccb/pdf"}