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[麻醉与医疗责任。原则]

[Anesthesia and medical responsibility. Principles].

作者信息

Labadie L, Labadie D

出版信息

Phlebologie. 1989 Jan-Mar;42(1):113-8.

PMID:2755971
Abstract

Anaesthesia exposes the practitioner to the obligation of being answerable for his responsibility if he commits an error which leads directly to damage to the patient. He can be forced to pay compensation for the damage. Quite apart from this, there is also the unpleasant process of being called before a disciplinary hearing for "involuntary injury". Anaesthetic error. According to the criteria applied by the tribunals, the error can be personal, or resulting from errors committed by the auxiliaries involved by the doctor. He can also be considered responsible in cases of structural unsuitability in which he has, nevertheless, agreed to proceed. Application on phlebology. The omnivalent degree of Doctor of Medicine enables the phlebologist, as it does any other specialist doctor, to perform anaesthetics without restriction. The existence of "specialization" sanctioning special studies actually limits this right because of the rules of medico-legal responsibility. Consequences. If the choice of technique is completely open, it ought to be the one best adapted to the condition of the patient, and the practitioner ought to be in control of the situation. In every case, the patient ought to be informed of all risks and benefits. The anaesthetic cannot be performed by any person other than the practitioner or an anaesthetist nurse, in the presence of the practitioner. The surgery where this is performed must be equipped with all the apparatus necessary for good anaesthetic procedure, monitoring, and recuperation in case of patient distress.

摘要

麻醉使从业者承担一种义务,即如果他犯了直接导致患者受损的错误,就要对自己的责任负责。他可能会被迫对损害进行赔偿。除此之外,还有因“非故意伤害”而被传唤到纪律听证会上这一不愉快的过程。麻醉失误。根据法庭适用的标准,失误可能是个人的,也可能是由医生所涉及的辅助人员犯下的错误导致的。在存在结构不适合但他仍同意进行操作的情况下,他也可能被认为负有责任。在静脉学中的应用。医学博士的全能学位使静脉学家和其他专科医生一样,能够不受限制地实施麻醉。由于医疗法律责任规则,“专业化”认可特殊研究的存在实际上限制了这项权利。后果。如果技术选择完全开放,那么它应该是最适合患者状况的技术,并且从业者应该能够掌控局面。在任何情况下,都应该告知患者所有风险和益处。除从业者或麻醉护士外,其他人不得在从业者在场的情况下实施麻醉。进行麻醉的手术必须配备良好麻醉程序、监测以及患者出现不适时进行恢复所需的所有设备。

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