[HSF] Recall?

[Ani Anyanwu]

Surely an overkill for something that happens in 1 every 10,000 or so cases and is associated with minimal mortality and morbidity? 
 
Maybe if anestesiologists and ourselves put such energy into addressing events that occur much more frequently and have much more associated risk (such as blood transfusion,  low cardiac output, renal failure, vein grafting, avoidable mitral valve replacement, sepsis etc) there would be much more yield in terms of benefit to the patients and to the healthcare system overall. Amazes me the elaborate protocols hospitals have for those things that really matter less to the patient and surgeon whilst ignoring the things that do matter (surely surviving and surviving without major morbidity is far more important to most of us?).
 
I would say we focus on the real deal - certainly awareness during anesthesia is anything but that.
 
Ani
 



> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Recall?> Date: Mon, 15 Oct 2007 09:15:19 -0400> From: mdavalle at aol.com> CC: > > It happens despite correct anesthetice technique.? We have set up several policies as follows.> 1. Seperate Anesthetic informed consent that mentions "recall" specifically on the form and is discussed as a possibilitiy by the anesthesiologist with the patient pre-op.> > 2. Bis monitoring routine> > 3.Entire team instructed on possibilities of patient recall so that all conversation during case is appropriate.> > 4 Post anesthesia visit and note documenting any complaints by patient.> > 5. If patient even suggests possibility of recall, a team of Neuro, Psych, Anesthesia and legal automatically put on case for complete and immediate documentation.> > > -----Original Message-----> From: Michael Firstenberg <msfirst at gmail.com>> To: OpenHeart-L at lists.hsforum.com> Sent: Sun, 14 Oct 2007 10:14 am> Subject: [HSF] Recall?> > > > 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> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > > ________________________________________________________________________> Email and AIM finally together. You've gotta check out free AOL Mail! - http://mail.aol.com> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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