Heylen R
University of Louvain, Dept. of Anesthesiology, St.-Jansziekenhuis Genk Belgium.
Acta Anaesthesiol Belg. 1993;44(2):61-8.
In June 1992, the issue of whether a surgeon could be held liable for the negligence of an anesthesiologist was examined by the tribunal of Leuven (1). Liability was asserted not only against the negligent anesthesiologist, but also against the surgeon. The judgement is most interesting and raises many controversial points of law. Although, in most jurisdictions today, it is recognized that the surgeon is no longer the captain of the ship, but shares the responsibility with other colleagues such as the anesthesiologist, the Belgian judge, free as the trier of fact, can exceptionally hold a member of a surgical team liable for the negligence of his colleague. A critical analysis of this and two other recent cases in Belgium forms the basis of this paper, which deals with the liability of the surgeon for the anesthesiologist's negligence. This article will centre around four issues: First, the nature of the contractual relationship between anesthesiologist and patient. Second, the liability (criminal and civil) of a team member for his own fault if he observes a negligent colleague and does not take the appropriate measures. Third, the liability in Belgian tort law of the surgeon for the negligent anesthesiologist. Fourth, the liability in Belgian contract law of the surgeon for the anesthesiologist.
1992年6月,鲁汶法庭对外科医生是否可能因麻醉师的疏忽而承担责任这一问题进行了审查(1)。责任不仅被追究给疏忽的麻醉师,也被追究给外科医生。该判决非常有趣,并引发了许多有争议的法律问题。尽管如今在大多数司法管辖区,人们都认识到外科医生不再是船上的船长,而是与麻醉师等其他同事分担责任,但比利时法官作为事实认定者,可例外判定手术团队的一名成员对其同事的疏忽承担责任。对这起以及比利时最近的另外两起案件的批判性分析构成了本文的基础,本文探讨的是外科医生对麻醉师疏忽的责任问题。本文将围绕四个问题展开:第一,麻醉师与患者之间合同关系的性质。第二,如果团队成员发现同事疏忽却未采取适当措施,该成员因其自身过错应承担的责任(刑事和民事)。第三,比利时侵权法中外科医生对疏忽的麻醉师应承担的责任。第四,比利时合同法中外科医生对麻醉师应承担的责任。