Peytral C, Vacher S, Negrier M D, Senechaut J P, Klossel J M, Fontanel J P
Service d'Otorhinolaryngologie, CHI de Montfermeil.
Ann Otolaryngol Chir Cervicofac. 1988;105(5):383-6.
The authors report 15 fatal complications after tonsillectomy based on the claims made between 1976 and 1986 to three insurance companies specialised in medical defence. The advantages and disadvantages of tonsillectomy with intubation and with the Sluder apparatus are recalled. Analysis of the legal proceedings of these cases reveals the principal points of jurisprudence: the importance of the preoperative assessment, pre-anaesthetic examination and informed consent. The concept of shared responsibility means that the surgeon must ensure the quality of the technical equipment of the establishment in which the operation is performed and the quality of the postoperative care.
作者报告了1976年至1986年间向三家专业从事医疗辩护的保险公司提出的索赔中扁桃体切除术后的15例致命并发症。回顾了扁桃体切除术中插管和使用斯路德器械的优缺点。对这些案件法律程序的分析揭示了主要的判例要点:术前评估、麻醉前检查和知情同意的重要性。共同责任的概念意味着外科医生必须确保进行手术的机构的技术设备质量和术后护理质量。