{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:46:40Z","timestamp":1784033200363,"version":"3.55.0"},"reference-count":68,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Adenotonsillectomy is one of the most common elective pediatric surgeries. However, its routine occurrence can mask substantial preventable risks arising from practitioner inexperience, underappreciated comorbidities, airway proximity to the surgical field, and challenging postoperative pain management. This review highlights common \u201cerror traps\u201d that contribute to perioperative adverse events and outlines evidence\u2010based mitigation strategies. Key preoperative challenges include unrecognized moderate\u2010to\u2010severe obstructive sleep apnea (OSA) and recent upper respiratory infections (URIs), both of which markedly increase perioperative respiratory adverse events (PRAEs). Intraoperative hazards include challenging airway management at induction and emergence, risk of airway fire, and excessive opioid administration. Postoperatively, inadequate analgesia and inappropriate disposition planning remain major preventable causes of morbidity. Perioperative management of the child with post\u2010tonsillectomy hemorrhage is uniquely challenging. Structured OSA and URI screening and mitigation strategies, multimodal opioid\u2010sparing analgesia, and institution\u2010specific discharge algorithms are strongly recommended. A systematic, team\u2010based approach emphasizing awareness of cognitive biases, vigilance, protocolized management, and hospital outcome monitoring can significantly reduce preventable complications and improve safety in pediatric adenotonsillectomy.<\/jats:p>","DOI":"10.1002\/pan.70176","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T10:28:36Z","timestamp":1775125716000},"page":"592-606","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Error Traps in Pediatric Adenotonsillectomy: Clinical Patterns, Cognitive Pitfalls, and Evidence\u2010Informed Mitigation Strategies"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9653-2962","authenticated-orcid":false,"given":"Samuel","family":"Percy","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Children's Hospital Colorado University of Colorado Anschutz  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey A.","family":"Quinlan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Seattle Children's Hospital, University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6854-7326","authenticated-orcid":false,"given":"Kimmo","family":"Murto","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Children's Hospital of Eastern Ontario Research Institute, University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6334-0916","authenticated-orcid":false,"given":"Amber","family":"Franz","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Seattle Children's Hospital, University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Strupp","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Children's Hospital Colorado University of Colorado Anschutz  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818801757"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2005.01769.x"},{"issue":"4","key":"e_1_2_11_4_1","first-page":"284","article-title":"The Normalization of Deviance: Do We (Un)knowingly Accept Doing the Wrong Thing?","volume":"78","author":"Prielipp R. 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