**8. Recommendation from our practice**

What makes us different from others? "Not a lot" is the answer. We use the same medication and the same procedures as in other large centres and as recommended here. These differences are only small and irrelevant to us. But we have highly standardized operative and anesthe‐ siological processes [90–92]. This takes, for example, into consideration the relevant risk factors of TCR for skull base surgery. By this high standardization, we can reach also a high resilience of our processes, reflecting in the relative low prevalence of TCR compared to other centres [91, 93-95]. We have already previously summarized our recommendations [35] (Figure 2)
