RESUMO
More than 300,000 adults have cardiac surgery in the United States annually, and most undergo intraoperative transesophageal echocardiography (TEE). This patient population is often older with multiple comorbidities, increasing their risk for complications for even routine procedures. Major morbidity or mortality caused by TEE is rare, and it is unknown how often such complications lead to malpractice lawsuits. The authors identified 13 cases out of 2,564 in a closed claims database that involved TEE and reviewed their etiology. Esophageal injury accounted for most of the suits, and only 2 were related to diagnosis. Most expert reviews deemed the care provided by the anesthesiologist to be appropriate.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Imperícia , Adulto , Humanos , Estados Unidos , Anestesiologistas , Ecocardiografia Transesofagiana/efeitos adversos , Bases de Dados FactuaisAssuntos
Medicina Aeroespacial , Emergências , Tratamento de Emergência/métodos , Viagem , Medicina Aeroespacial/legislação & jurisprudência , Aeronaves , Diagnóstico Diferencial , Cardiopatias/terapia , Humanos , Responsabilidade Legal , Transtornos Mentais/terapia , Acidente Vascular Cerebral/terapia , Síncope/terapia , Estados UnidosAssuntos
Termos de Consentimento/normas , Consentimento Livre e Esclarecido/normas , Educação de Pacientes como Assunto , Melhoria de Qualidade , Procedimentos Cirúrgicos Operatórios/psicologia , Comunicação , Tomada de Decisões , Mãos/cirurgia , Humanos , Procedimentos Cirúrgicos Operatórios/normasRESUMO
Although not legally required to render assistance in the event of a medical emergency aboard an airplane, physicians have an ethical obligation to do so and should be prepared.