The role of physiology and the surgeon’s state of mind in the surgical decision-making process

Rifat Latifi

Research output: Chapter in Book/Report/Conference proceedingChapter


The surgeon is like the captain of a complex ship that often travels and navigates through some rough waters. Just like with any other leadership position, such as those associated with a business organization, flying an aircraft, a military unit or squadron, or even a sports team, a lot depends on this one person. The direction in which how he or she will steer the ship, which in this case represents the operating theater, through the dangerous and sometimes uncharted seas between life and death, will have substantial effects on everyone involved with the voyage. The difference between the realities of an operating theater and this wrecked ship metaphor is if things go wrong, the only one who is lost and never returns home is the patient. The aim of this chapter is attempt to understand the role of physiology and surgeon’s state of mind on surgical decision-making.

Original languageEnglish (US)
Title of host publicationSurgical Decision Making
Subtitle of host publicationBeyond the Evidence Based Surgery
PublisherSpringer International Publishing
Number of pages8
ISBN (Electronic)9783319298245
ISBN (Print)9783319298221
StatePublished - Jan 1 2016


  • Alcohol consumption
  • Disrupted surgical symphony
  • Performance in stressful situations
  • Physiology of stress
  • Sleep deprivation
  • Surgeon’s mind
  • Surgical symphony

ASJC Scopus subject areas

  • General Medicine


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