بررسي پنج ساله شكايات مطرح شده بر عليه كادر بيهوشي در مركز پزشكي قانوني و سازمان نظام پزشكي اصفهان

Evaluation of five years claims against anesthesia care team in legal medical center and anesthetic team in Isfahan

Background: Today never less of many attempts of medical society and too development of medical technology the rate of patient claims against healthʹs care team is increased. According to another branch of medicine, as a result of too many operations which maybe done, today malpractice claims against anesthetic team increased. The aim of this study is recognition of causes and contributing factors in anesthetic-associated malpractice claims. ^Materials and Methods: This is a cross sectional, retrograde descriptive study. Decision reports related to criminal lawsuits for which expert opinions of this study were evaluated retrospectively for the years 13/9-1383 in Esfahan (Isfahan council of medicine and center of legal medicine). Data contained from anesthetic malpractice claims and medical document their hospital. Results: Cases of anesthetic-associated malpractice claims is accessed. In this study average age of patients was 40 years old. General anesthesia was applied to 25 of the cases while five received regional (local) anesthesia. 27 cases (87%) are undergoing elective surgical operation and the most surgical operation is related to obstetric and gynecology specialty. Autopsy was performed on 10(46%] cases of the dead (23 cases). Respiratory depression is the most mechanism of damage in 16 case (52%). Anesthetic health workers were found to have different degrees of liability in the 12 (39%) of the 31 decision reports. Discussion: In attention to specific condition of patients in operating room any malpractice or negligence by anesthetic team can cause patients death, such death attract intense attention from the juridical system as well as general public. It is a widely accepted fact that pre operating visit with anesthesiologist, complete laboratory and consultation, attention in chosen the best anesthetic method especially in elective surgery, pay special attention to patientʹs respiration function and status during the whole length of operation and in recovery and in ward, and in case of dead emphasizing to perfor-mation of autopsy have a great role in decreasing malpractice during anesthetic work also in minimizing damage or death of patients and recognition of guilty person .