Advertisement

Medicolegal Aspects of Regional Anesthesia

  • Albert H. Santora

Abstract

The purpose of this chapter is to present basic medicolegal principles, to report published guidelines that establish professional standards, and to summarize recent publications concerning medicolegal issues specific to the practice of regional anesthesia. Those interested in reading a meticulous dissertation concerning the legal aspects of medicine should consult a law text covering that field of jurisprudence. One could peruse a contemporary textbook of anesthesiology; such publications devote at least one exhaustive chapter to the subject.

Keywords

Cesarean Delivery Regional Anesthesia Expert Testimony Expert Witness Medical Malpractice 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Respectfully Quoted: A Dictionary of Quotations Requested from the Congressional Research Service. Washington DC: Library of Congress; 1989. Bartleby.com, 2003. Available at: www.bartleby.com/73/847.html. Accessed February 9, 2006.Google Scholar
  2. 2.
    Edelstein L. The Hippocratic Oath: Text, Translation, and Interpretation. Baltimore: Johns Hopkins Press; 1943. Available at: www.pbs.org/wgbh/nova/doctors/oath_classical. html. Accessed February 9, 2006.Google Scholar
  3. 3.
    American Society of Anesthesiologists. Professional Liability and the Anesthesiologist. Park Ridge, IL: ASA; 1992:2–3. Available at: www.asahq.org/publicationsAnd Services/professional.html. Accessed February 9, 2006.Google Scholar
  4. 4.
    American Society of Anesthesiologists. Syllabus on Ethics. Park Ridge, IL: ASA; 1999: A–1.Google Scholar
  5. 5.
    American Society of Anesthesiologists. Guidelines for the Ethical Practice of Anesthesiology. Park Ridge, IL: ASA; 2003.Google Scholar
  6. 6.
    American Society of Anesthesiologists. Guidelines for Regional Anesthesia in Obstetrics. Park Ridge, IL: ASA; 2000.Google Scholar
  7. 7.
    American Society of Anesthesiologists. Statement on Regional Anesthesia. Park Ridge, IL: ASA; 2002.Google Scholar
  8. 8.
    Eichhorn JH. Risk management. In: Benumof JL, Saidman LJ, eds. Anesthesia and Perioperative Complications. St. Louis: Mosby Year Book; 1992.Google Scholar
  9. 9.
    Vitez TS. Quality assurance. Risk management. In: Benumof JL, Saidman LJ, eds. Anesthesia and Perioperative Complications. St. Louis: Mosby Year Book; 1992.Google Scholar
  10. 10.
    Kroll DA, Cheney FW. Medicolegal aspects of anesthetic practice. In: Barash PG, Cullen BF, Stoelting RK, eds. Clinical Anesthesia. 2nd ed. Philadelphia: Lippincott-Raven; 1996:115–125.Google Scholar
  11. 11.
    American Society of Anesthesiologists. Quality Management Template. Park Ridge, IL: ASA; 20 as Ref. 15: 115.Google Scholar
  12. 12.
    Garner BA. Black’s Law Dictionary. 8th ed. St. Paul: Thompson/West; 2004.Google Scholar
  13. 13.
    Tinker JH, Hesson WW. What to do if sued: an analysis of the allegations of malpractice brought against an anesthesia provider. Risk management. In: Benumof JL, Saidman LJ, eds. Anesthesia and Perioperative Complications. St. Louis: Mosby Year Book; 1992.Google Scholar
  14. 14.
    American Society of Anesthesiologists. Guidelines for Expert Witness Qualifications and Testimony. Park Ridge, IL: ASA; 2003.Google Scholar
  15. 15.
    Scott M. ASA adopts review procedure for expert witness testimony. ASA Newslett 2003;67(12). Available at: www.asahq.org/Newsletter/2003/12-03/scott.html. Accessed February 9, 2006.Google Scholar
  16. 16.
    Posner KL. Data reveals trends in anesthesia malpractice payments. ASA Newslett 2004;68(6). Available at: www.asahq.org/Newsletter/2004/06_04/posner06_04.html. Accessed February 9, 2006.Google Scholar
  17. 17.
    Caplan RA. The ASA closed claims project: lessons learned. ASA Annual Meeting Refresher Course Lectures 2004; Lecture 118:1–7.Google Scholar
  18. 18.
    Cheney FW. The American Society of Anesthesiologists Closed Claims Project: what have we learned, how has it affected practice, and how will it affect practice in the future? Anesthesiology 1999;91:552–556.PubMedCrossRefGoogle Scholar
  19. 19.
    Lee LA, Domino KB. The closed claims project. Has it influenced anesthetic practice and outcome? Anesthesiol Clin North Am 2002;20(3):485–501.CrossRefGoogle Scholar
  20. 20.
    Lee LA, Posner KL, Domino KB, Caplan RA, Cheney FW. Injuries associated with regional anesthesia in the 1980s and 1990s. Anesthesiology 2004;101:143–152.PubMedCrossRefGoogle Scholar
  21. 21.
    Fitzgibbon DR, Posner KL, Domino KB, Caplan RA, Lee LA, Cheney FW. Chronic pain management. Anesthesiology 2004;100:98–105.PubMedCrossRefGoogle Scholar
  22. 22.
    Davies JM, et al. Trends in obstetric anesthesia malpractice claims of the last three decades. Anesthesiology 2004;101:A1231.Google Scholar
  23. 23.
    Peng PWH, Smedstad KG. Litigation in Canada against anesthesiologists practicing regional anesthesia. A review of closed claims. Can J Anaesth 2000;47(2):105–112.PubMedCrossRefGoogle Scholar
  24. 24.
    Cass NM. Medicolegal claims against anaesthetists: a 20 year study. Anaesth Intensive Care 2004;32(1):47–58.PubMedGoogle Scholar
  25. 25.
    Markakis DA. Regional anesthesia in pediatrics. Anesthesiol Clin North Am 2000; 18(2):355–381.CrossRefGoogle Scholar
  26. 26.
    Fischer HBJ. Performing epidural insertion under general anaesthesia. Anaesthesia 2000; 55:288–289.PubMedCrossRefGoogle Scholar
  27. 27.
    Benumof JL. Permanent loss of cervical spinal cord function associated with interscalene block performed under general anesthesia. Anesthesiology 2000;93(6):1541–1544.PubMedCrossRefGoogle Scholar
  28. 28.
    Bromage PB, Benumof JL. Letter: paraplegia following intracord injection during attempted epidural anesthesia under general anesthesia. Reg Anesth Pain Med 1998; 23(5):520–521.CrossRefGoogle Scholar
  29. 29.
    Benumof JL. Comment on “perioperative interscalene blockade: an overview of its history and current clinical use.” J Clin Anesth 2003;15:489.PubMedCrossRefGoogle Scholar
  30. 30.
    Kao MC, Tsai SK, Tsou MY, Lee HK, Guo WY, Hu JS. Paraplegia after delayed detection of inadvertent spinal cord injury during thoracic epidural catheterization in an anesthetized elderly patient. Anesth Analg 2004;99:580–583.PubMedCrossRefGoogle Scholar
  31. 31.
    Rosenquist RW, Birnbach DJ. Editorial: epidural insertion in anesthetized adults — will your patients thank you? Anesth Analg 2003;96:1545–1546.PubMedCrossRefGoogle Scholar
  32. 32.
    Bromage PR. Masked mischief. Reg Anesth 1996;21(6S):62–63.PubMedGoogle Scholar
  33. 33.
    Wedel DJ. Can regional anesthesia worsen outcome? Medicolegal risk. Reg Anesth 1996; 21(6S):71–74.PubMedGoogle Scholar
  34. 34.
    Kroll DA, Caplan RA, Posner K, Ward RJ, Cheney FW. Nerve injury associated with anesthesia. Anesthesiology 1990;72:202–207.CrossRefGoogle Scholar

Bibliography

  1. Sanbar SS, ed. Legal Medicine. 6th ed. Philadelphia: Mosby; 2004.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Albert H. Santora
    • 1
  1. 1.AthensUSA

Personalised recommendations