Pediatric death: guidelines for the grieving anesthesiologist.
This essay examines the effects of unexpected pediatric death on anesthesiology house staff, and offers a discussion of normal and abnormal patterns of grieving. The increased incidence of substance abuse and suicide among anesthesiologists is discussed, and the relationship of stress following patient death and appropriate coping skills is explored. A blueprint for managing stress is given based on a military combat stress model, and recommendations for residency training programs are made.
Soto
Roy G
RG
Department of Anesthesiology, University of South Florida College of Medicine, Tampa 33612-4799, USA. rsoto@hsc.usf.edu
Rosen
Gerald P
GP
D000223:Adaptation, Psychological / Q000502:physiology; D000293:Adolescent; D000776:Anesthesiology / Q000592:standards*; D001293:Attitude to Death; D017809:Fatal Outcome; D006117:Grief; D017408:Guidelines as Topic / Q000592:standards; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects; D008297:Male; D008960:Models, Psychological; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology