IHI: The Patient and the Anesthesiologist — Part 1: The Incident

Linda Kenney went into the hospital for an ankle replacement. She came out with a host of complications resulting from a mistake that no one was willing to admit. Until Rick Van Pelt, her anesthesiologist, stepped forward.

In Part One of this video case study, youll find out what happened in the immediate aftermath of the surgery — and learn about common barriers to the open disclosure of errors in health care.

To view the rest of our content and find out how you can get involved, visit our website at http://www.ihi.org/openschool

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• IHI

[biggseye]

Interestingly enough the N-A is gaining ground on ASA members because there is movement in medicine to move away from the arrogant god image of the MD. The Nurse Practitioner is a good example of it. Does this mean that they will replace the MD, doubtful, too much political power in MD hands. My point is that on this point, Awareness, the ASA is not to be trusted. Anyone that toed the line of their line is not to be trusted. As for my intelligence I will match it with yours any day.

[DrSuperSixSeven]

@biggseye

If you want to trust your life to a nurse rather a physician, you go right ahead. Anyone that stupid is probably better off dead anyway. Despite your take on the matter, anesthesiologists are considered authorities on anesthesia. Nurse-anesthetists are not.

[biggseye]

@DrSuperSixSeven The ASA denied for years that awareness even existed. They knew from patient statements that it was real. They lied. That is why I do not and never will trust them on this. As for trusting nurse anesthetists, yes, I trust their word more then ASA members. I work in a hospital, I see the dishonesty. NA do not think of themselves as gods as you do. IF there is 1 in 100000 chance of awareness, use the BIS. I for one will never have a general without one.

[DrSuperSixSeven]

@biggseye

The ASA is the body that represents the group of people that are the experts on anesthesia. Who else would you trust? Nurse-anesthetists?? I don’t think so.

And by the way, a BP cuff is much more important than a BIS monitor. Common knowledge.

[biggseye]

he ASA and its member are not to be trusted. Even today you still refuse to accept that a brain activity monitor is as important as a bp cuff when a general is used. I work in a hospital, they are not concerned with the patient, only their payments This would never happened if this moron had not fucked up. he should have been sued and jail for extreme negligence. Never trust these bastards

[youknowhow123]

What a stupid angry bitch! It's a KNOWN COMPLICATION - VERRRRY RARE but still known! The anaesthetist did NOTHING wrong?????!!! What am i not getting about this????

She was going to sue? sue WHAT??? Him doing his job properly???

at 2 : 30 she says "i was told i had a large reaction to anaesthesia - i knew it intuitevely and immediately it wasnt the truth"

WHAAAA? yes it was the truth... she did have a large reaction to the anaesthesia!!

What the hell am I not getting about this???