To the Editor Nurok and colleagues1 have presented an intuitive discussion on the management of complicated surgical cases, especially in the postoperative setting with a challenge to the “captain of the ship” doctrine. This doctrine or philosophy originally appeared in the surgical lexicon to indicate who was in control of a surgical procedure—the surgeon or the anesthesiologist.2 It is not that the anesthesiologist wants to take over the care of the patient but, rather, needs his or her independence during that portion of the management of care.
Reiling RB. Surgeon’s Responsibility for Patient Care. JAMA Surg. 2016;151(11):1091-1092. doi:10.1001/jamasurg.2016.2354