Side Effects Induced by Anaesthetic Manipulation or by Surgical Operation

  • Y. Leykin
  • N. Noal
Conference paper


All medical treatment could be associated with an injury or unexpected side-effects that can be added to the usual course of the disease, but which are not linked to the disease itself. Both mild and severe patient injuries may occur in response to anaesthesia.


Nerve Injury Regional Anaesthesia Airway Management Obstetrical Patient Malpractice Claim 


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  1. 1.
    Cheney FW (1999) 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 91:552–556PubMedCrossRefGoogle Scholar
  2. 2.
    Cheney FW, Posner KL, Lee LA et al (2006) Trends in anesthesia-related death andbrain damage: A closed claims analysis. Anesthesiology 105:1081–1086PubMedCrossRefGoogle Scholar
  3. 3.
    Caplan RA, Posner KL, Ward RJ, Cheney FW (1990) Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology 72:828–833PubMedGoogle Scholar
  4. 4.
    Cheney FW, Posner KL, Caplan RA (1991) Adverse respiratory events infrequently leading to malpractice suits. A closed claims analysis. Anesthesiology 75:932–939PubMedCrossRefGoogle Scholar
  5. 5.
    Moody ML, Kremer MJ (2004) Preinduction activities: a closed malpractice claims perspective. AANAJ 69:461–465Google Scholar
  6. 6.
    Larson SL, Jordan L (2001) Preventable adverse patient outcomes: a closed claims analysis of respiratory incidents. AANAJ 69:386–392Google Scholar
  7. 7.
    Tinker JH, Dull DL, Caplan RA et al (1989) Role of monitoring devices in prevention of anesthetic mishaps: a closed claims analysis. Anesthesiology 71:541–546PubMedCrossRefGoogle Scholar
  8. 8.
    Bhananker SM, Posner KL, Cheney FW et al (2006) Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology 104:228–234PubMedCrossRefGoogle Scholar
  9. 9.
    Hug CC Jr (2006) MAC should stand for Maximum Anesthesia Caution, not Minimal Anesthesiology Care. Anesthesiology 104:221–223PubMedCrossRefGoogle Scholar
  10. 10.
    Morray JP, Geiduschek JM, Caplan RA et al (1993) A comparison of pediatric and adult anesthesia closed malpractice claims. Anesthesiology 78:461–467PubMedCrossRefGoogle Scholar
  11. 11.
    Peterson GN, Domino KB, Caplan RA et al (2005) Management of the difficult airway: a closed claims analysis. Anesthesiology 103:33–39PubMedCrossRefGoogle Scholar
  12. 12.
    Langeron O, Amour J, Vivien B, Aubrun F (2006) Clinical review: management of difficult airways. Crit Care 10:243PubMedCrossRefGoogle Scholar
  13. 13.
    Lienhart A, Auroy Y, Pequignot F et al (2006) Survey of anesthesia-related mortality in France. Anesthesiology 105:1087–1097PubMedCrossRefGoogle Scholar
  14. 14.
    Hove LD, Nielsen HB, Christoffersen JK (2006) Danish Patient Insurance Association. Patient injuries in response to anaesthetic procedures: cases evaluated by the Danish Patient Insurance Association. Acta Anaesthesiol Scand 50:530–535PubMedCrossRefGoogle Scholar
  15. 15.
    Domino KB, Bowdle TA, Posner KL et al (2004) Injuries and liability related to central vascular catheters: a closed claims analysis. Anesthesiology 100:1411–1418PubMedCrossRefGoogle Scholar
  16. 16.
    Orser BA (2000) Medication safety in anesthetic practice: first do no harm. Can J Anaesth 47:1051–1054PubMedCrossRefGoogle Scholar
  17. 17.
    Fasting S, Gisvold SE (2000) Adverse drug errors in anesthesia, and the impact of coloured syringe labels. Can J Anaesth 47:1060–1067PubMedGoogle Scholar
  18. 18.
    Hove LD, Steinmetz J, Christoffersen JK et al (2007) Analysis of deaths related to anesthesia in the period 1996–2004 from closed claims registered by the Danish Patient Insurance Association. Anesthesiology 106:675–680PubMedCrossRefGoogle Scholar
  19. 19.
    Faccenda KA, Finucane BT (2001) Complications of regional anaesthesia Incidence and prevention. Drug Saf 24:413–442PubMedCrossRefGoogle Scholar
  20. 20.
    Lee LA, Posner KL, Domino KB et al (2004) Injuries associated with regional anesthesia in the 1980s and 1990s: a closed claims analysis. Anesthesiology 101:143–152PubMedCrossRefGoogle Scholar
  21. 21.
    Caplan RA, Ward RJ, Posner K, Cheney FW (1988) Unexpected cardiac arrest during spinal anesthesia: a closed claims analysis of predisposing factors. Anesthesiology 68:5–11PubMedCrossRefGoogle Scholar
  22. 22.
    Auroy Y, Narchi P, Messiah A et al (1997) Serious complications related to regional anesthesia: results of a prospective survey in France. Anesthesiology 87:479–486PubMedCrossRefGoogle Scholar
  23. 23.
    Auroy Y, Benhamou D, Bargues L et al (2002) Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology 97:1274–1280PubMedCrossRefGoogle Scholar
  24. 24.
    Vandermeulen EP, Van Aken H, Vermylen J (1994) Anticoagulants and spinal-epidural anesthesia. Anesth Analg 79:1165–1177PubMedCrossRefGoogle Scholar
  25. 25.
    Fritzlen T, Kremer M, Biddle C (2003) The AANA Foundation Closed Malpractice Claims Study on nerve injuries during anesthesia care. AANAJ 71:347–352Google Scholar
  26. 26.
    Winfree CJ, Kline DG (2005) Intraoperative positioning nerve injuries. Surg Neurol 63:5–18PubMedCrossRefGoogle Scholar
  27. 27.
    Chadwick HS, Posner K, Caplan RA et al (1991) A comparison of obstetric and nonobstetric anesthesia malpractice claims. Anesthesiology 74:242–249PubMedCrossRefGoogle Scholar
  28. 28.
    Crawforth K (2002) The AANA Foundation closed malpractice claims study: obstetric anesthesia. AANAJ 70:97–104Google Scholar
  29. 29.
    Pedersen T, Eliasen K, Henriksen E (1990) A prospective study of mortality associated with anaesthesia and surgery: risk indicators of mortality in hospital. Acta Anaesthesiol Scand 34:176–182PubMedGoogle Scholar
  30. 30.
    Jin F, Chung F (2001) Minimizing perioperative adverse events in the elderly. Br J Anaesth 87:608–624PubMedCrossRefGoogle Scholar
  31. 31.
    Hatfield A, Tronson M (2001) The complete recovery room book. Oxford University Press, OxfordGoogle Scholar
  32. 32.
    Leykin Y, Milesi S (2004) Perioperative medicine — organisation of operating theatres and recovery room. Proceedings of 18th Postgraduate Course in Critical Care Medicine, APICE. Ed Springer, pp. 809–825Google Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Y. Leykin
    • 1
  • N. Noal
    • 1
  1. 1.Department of AnaesthesiaS.M. degli Angeli HospitalPordenoneItaly

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