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General Anesthesia

Journal Articles

  1. Caplan RA, Vistica MF, Posner KL, Cheney FW: Adverse Anesthetic Outcomes Arising from Gas Delivery Equipment: A Closed Claims Analysis. Anesthesiology 87: 741-8, 1997. [Abstract, NLM PubMed Link] See also: Equipment Problems. Order this article from: ASA Closed Claims Project.
    1. Problems with equipment used in anesthesia gas delivery systems accounted for 72 (2%) of 3,791 claims in the database.  The specific devices involved in these claims were the anesthesia machine, breathing circuit, supplemental oxygen delivery tubing, supply tanks or lines, vaporizors and ventilators.  Misuse of equipment was more common than equipment failure, and most of these equipment problems (76%) resulted in death or brain damage.  Claims associated with gas delivery equipment are infrequent but sever and continue to occur in the 1990's.
  2. Domino KB, Posner KL, Caplan RA, Cheney FW:  Awareness during anesthesia:  A closed claims analysis.  Anesthesiology 90: 1053-1061, 1999.  [Abstract, NLM PubMed Link]  See also: Injury - Awareness. Order this article from: ASA Closed Claims Project.
    1. Deficiencies of labeling and vigilance were common causes for awake paralysis, whereas recall during general anesthesia represented a more diverse group. Claims for recall during general anesthesia were more likely in females and with nitrous-narcotic-relaxant techniques.

Newsletter Articles

  1. Domino KB: Closed malpractice claims for awareness during anesthesia. ASA Newsletter 60(6):14-17, 1996. [Full Text] See also: Injury - Awareness
  2. Caplan RA: Liability Arising from Anesthesia Gas Delivery Equipment. ASA Newsletter 62(6):7-9, 1998. [Full Text] See also: Equipment Problems
  3. Kent CD: Liability Associated With Awareness During Anesthesia. ASA Newsletter 70(6): 8-10, 2006. [Full Text; PDF Version] See also: Awareness

Conference Presentations and ASA Abstracts

  1. Kent CD, Posner KL, Cheney FW, Lee LA, Domino KB: Update on Closed Claims for Awareness during General Anesthesia. Anesthesiology 105: A1548, 2006. [Full Abstract Text] See also: Injury - Awareness.