[HSF] Recall?

[mlevy]

It is very likely true. 
Very well described. 
The big problem with this scenario is that everyone does not believe the patient. Leading to an angry and therefore more litigious patient as well as the well described consequence of intra-operative awareness - post traumatic distress.


 ---------- Original Message ----------------------------------
From: "Michael Firstenberg" <msfirst at gmail.com>
Reply-To: OpenHeart-L at lists.hsforum.com
Date:  Sun, 14 Oct 2007 11:14:37 -0400

>I performed an uneventful CABGx3, on pump on a 55 year/old with the usual
>cluster of comorbidities - nothing out of the ordinary.  She got extubated
>several hours post-op per protocol and started complaining about how she was
>awake thru the entire case but could not move.  Her overall story is a
>little vague/fuzzy and there is a huge concern that she is crazy (not to
>mention lots of potential for secondary gain!).  In reviewing the anesthesia
>record, there was nothing too much out of the ordinary - we use BIS
>monitoring for many of our cases, which I know is not perfect, but
>everything suggests a routine case (if there is such a thing these days).
>Obviously getting Psychiatry and Neuro involved and taking this very
>seriously for many reasons.  Has anyone seen anything like this before?
>
>
>-michael
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