喉内镜检查所致损伤的医事法律责任。
Medico-legal liability of injuries arising from laryngoscopy.
机构信息
Department of Otorhinolaryngology - Head & Neck Surgery, University of Pennsylvania, Philadelphia, USA.
Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
出版信息
J Laryngol Otol. 2024 May;138(5):554-558. doi: 10.1017/S0022215123001986. Epub 2023 Nov 20.
OBJECTIVE
Dental and mucosal injuries from laryngoscopy in the peri-operative period are common medico-legal complaints. This study investigated lawsuits arising from laryngoscopy.
METHODS
Westlaw, a legal database containing trial records from across the USA, was retrospectively reviewed. Plaintiff and/or defendant characteristics, claimed injuries, legal outcomes and awards were extracted.
RESULTS
Of all laryngoscopy-related dental or mucosal injuries brought before a state or federal court, none (0 per cent) resulted in a defence verdict against the provider or monetary gain for the patient. Rulings in the patient's favour were observed only when laryngoscopy was found to be the proximate cause of multiple compounding complications that culminated in severe medical outcomes such as exsanguination, septic shock or cardiopulmonary arrest.
CONCLUSION
Proper laryngoscopy technique and a robust informed-consent process that accurately sets patients' expectations reduces litigation risk. Future litigation pursuits should consider the low likelihood of malpractice allegation success at trial.
目的
围手术期喉镜检查导致的牙齿和口腔黏膜损伤是常见的医疗法律投诉。本研究调查了与喉镜检查相关的诉讼。
方法
本研究回顾性地查阅了包含美国各地审判记录的法律数据库 Westlaw。提取了原告和/或被告特征、声称的损伤、法律结果和赔偿。
结果
在所有在州或联邦法院提起的与喉镜相关的牙齿或口腔黏膜损伤诉讼中，没有一起（0%）导致对提供者的辩护裁决或对患者的金钱赔偿。只有当喉镜检查被发现是导致多种复合并发症的直接原因时，才会做出有利于患者的裁决，这些并发症最终导致严重的医疗后果，如出血、感染性休克或心肺骤停。
结论
正确的喉镜检查技术和强有力的知情同意过程，准确地设定了患者的预期，可以降低诉讼风险。未来的诉讼应考虑到在审判中成功提出医疗事故指控的可能性很低。
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