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Mosul Anesthesia & ICU

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Mosul Anesthesia & ICU

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Mosul Anesthesia & ICU

This website belong to department of anaesthesia & ICU in Mosul city , Iraq


    Case record Teething problems

    Poll

    what is you opinion about this case

    yagocom
    yagocom
    المشرف العام


    عدد الرسائل : 193
    العمر : 54
    تاريخ التسجيل : 2008-07-26

    Case record  Teething problems Empty Case record Teething problems

    Post by yagocom Fri Feb 04, 2011 7:37 am

    Teething problems

    Mr A, a 48-year-old salesman, was admitted to hospital for an elective cholecystectomy. Dr B assessed him for anaesthesia on the night before his operation. He was noted to be in good general health. Dr B observed that Mr A had several crowns on his front teeth and noted this finding.

    Mr A had had several anaesthetics in the past. He had experienced postoperative nausea and vomiting (PONV) after some of the operations. Mr A expressed concern about this and appeared somewhat anxious about his operation. Dr B made a note that he had explained the general anaesthetic procedure, the plan for postoperative pain relief, and what steps he would take to minimise the risk of him experiencing PONV.

    There was no specific record of the risk of dental damage despite the presence of several crowns on the patient’s front teeth. Dr B prescribed a “premed” of an anxiolytic and an antiemetic. Dr B used a “total intravenous” type of anaesthetic technique. The record showed that he had intubated the trachea to secure the airway. There was no note of any difficulties with the airway nor laryngoscopy. The operation proceeded smoothly. Mr A was pleased that he had not experienced any PONV on this occasion. However, he did complain of dental pain.

    Mr A visited his dentist a few weeks later. The dentist found a damaged crown and associated fracture of the underlying root. He concluded that this was consistent with an injury associated with instrumentation of the airway. Mr A required several appointments with the dentist and experienced discomfort for some time. Mr A made a claim against Dr B.


    Expert opinion

    Scrutiny of the notes and anaesthetic records confirmed that Dr B had assessed the airway and noted the presence of the crowns. Crucially, there was no mention that he had warned Mr A of the risk of dental trauma. Furthermore, Mr A stated that he had not received any verbal warning at any time about the risk. The case was settled for a low sum to cover the costs of dental work and pain and suffering.


    Teething problems[img][/img]




    Case record  Teething problems Mallam11

      Current date/time is Thu Mar 28, 2024 10:20 pm