PA: Doc and anesthetist found liable after complications claim life of teen

Published

19 yo 5 feet 5 and 128 pounds college freshman gets liposuction "as couldn't lose the fat around her stomach and chin. So in May 2001, she and her mom consulted Glunk, who said that such "genetic fat" could be removed only through surgery"...which was done in doctors office NOT approved as ambulatory care center per PA state law --- and dies as result fat embolism. Karen

Posted on Sat, May. 24, 2008

Doc slammed with $20.5 million in damages after lipo death

Montco doc, anesthetist found liable after complications claim life of teen

By WILLIAM BENDER

http://www.philly.com/philly/hp/news_update/19231499.html

The "captain of the ship" doctrine, where the surgeon is responsible for the actions of the OR staff members, no longer holds up in a court of law. Therefore, a CRNA is legally fully liable for his or her own actions, just as an anesthesiologist would be. So no, this will not effect CRNAs practicing independently. Being a CRNA is an enormous responsiblity, and this case further drives home that point.

Ugh, I definitely don't want that kind of liability, I want a job that pay well without a huge legal responsibility. I hear something about an ACT model. Does that change liability? What about being anesthesiologist assistant?

Well ng clearly you have forgotten the MH case recently in the press in wich a board certified anesthesiologist DID NOT RECOGNIZE MH, DID NOT TREAT ADEQUETLY AND DID NOT CALL FOR HELP FOR AN HOUR.

In an outpatient setting it is easy to be lulled into a false sense of security and an unwillingness to accept information that you do not want to see, this is one of the main causes of failure to rescue.

a fat embloisim may have killed this girl wherever she was as mortality is quite high reguardless of the setting.

Your premise that an anesthesiologist would have saved her is mistaken at best and mallicious trolling at worst, please think before you post and eduate youself a bit more.

Specializes in Anesthesia.
Ugh, I definitely don't want that kind of liability, I want a job that pay well without a huge legal responsibility. I hear something about an ACT model. Does that change liability? What about being anesthesiologist assistant?

I am not sure about AAs and liablitiy, but it does not change the liability being in an ACT model/practice. ACT practice just gives the attorneys more people to name in the lawsuit.

The "captain of the ship" doctrine, where the surgeon is responsible for the actions of the OR staff members, no longer holds up in a court of law. Therefore, a CRNA is legally fully liable for his or her own actions, just as an anesthesiologist would be. So no, this will not effect CRNAs practicing independently. Being a CRNA is an enormous responsiblity, and this case further drives home that point.

And this will drive up malpractice premiums for autonomous CRNA's. If CRNA's and MDA's are supposedly equivalent, then their malpractice premiums should be equivalent too.

Your point is? I note that you stopped commenting on saftey. Speak of what you know and be silent in allelse.

Specializes in Anesthesia.
And this will drive up malpractice premiums for autonomous CRNA's. If CRNA's and MDA's are supposedly equivalent, then their malpractice premiums should be equivalent too.

You have absolutely no creditability trolling the APN sites n_g.

At least someone can respect PainDoc and JWK you know exactly where they stand, and they have both stated their credentials. You on the other hand seem to have some pathological adversion to even addressing your credentials other than alluding to the fact that you spend time in the hospital listening to MD/DO bashing APNs.

Now back to your post...other than your opinion where is your proof that solo CRNAs will have their insurance premiums go up?

I think SDN forum is calling you back n_g.

Specializes in Anesthesia.
And this will drive up malpractice premiums for autonomous CRNA's. ......

Mindless speculation, nothing more.

Mods, do you have your BS detectors turned to the OFF position?

I suppose this will mean an increase for plastic surgeons to, huh? Same logic must work.

By just reading the details in the new article... and nothing more...and I am sure there is more to this. It sounds like the CRNA did screw up in that he did not have an unstable patient transferred to a higher level facility...( and if this office was not licensed for out patient surgery ANY place would have been better.) In other versions of this event I have read it was unclear if it was a massive PE or the surgeon bagged the EJ. IIRC a massive PE can only be treated by CPB, ECMO etc. If the CRNA was hesitant to transfer because of what the surgeon wanted, he was guilty of succumbing to what is called in aviation \' The tyranny of the cockpit. And this is an indefensible position in court. What those of you who are not CRNAs need to understand is that a CRNA is held to EXACTLY the same professional standards as an MDA... when you go to court it is more frequently an MDA who has reviewed your chart and will be testifying for the plaintif, and NOT another CRNA. Having said that.... risking your LIFE for plastic surgery is stupid.....SSRIs are cheaper and safer.

By just reading the details in the new article... and nothing more...and I am sure there is more to this. It sounds like the CRNA did screw up in that he did not have an unstable patient transferred to a higher level facility...( and if this office was not licensed for out patient surgery ANY place would have been better.) In other versions of this event I have read it was unclear if it was a massive PE or the surgeon bagged the EJ. IIRC a massive PE can only be treated by CPB, ECMO etc. If the CRNA was hesitant to transfer because of what the surgeon wanted, he was guilty of succumbing to what is called in aviation \' The tyranny of the cockpit. And this is an indefensible position in court. What those of you who are not CRNAs need to understand is that a CRNA is held to EXACTLY the same professional standards as an MDA... when you go to court it is more frequently an MDA who has reviewed your chart and will be testifying for the plaintif, and NOT another CRNA. Having said that.... risking your LIFE for plastic surgery is stupid.....SSRIs are cheaper and safer.

Agreed. Too many knee-jerk reaction folks on here.

Specializes in SICU.
And this will drive up malpractice premiums for autonomous CRNA's. If CRNA's and MDA's are supposedly equivalent, then their malpractice premiums should be equivalent too.

As well as their pay? Same responsibility level, great difference in renumeration. Do your homework.

Agreed. Too many knee-jerk reaction folks on here.

I believe that would be you. No reasoned thought just the reflexive "Well if a minor deity (MD) were present this would not have happened, or the flood or the locusts or anything else.....

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