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Anesthesia Overdose Boy’s Death Blame The Doctor?

A boy in Bangalore, it is alleged by his parents, died of an overdose of  Anesthesia.

 

The boy was undergoing Surgery for enlargement of Breasts.

 

Anesthesia, either local or general is administered to block pain.

‘temporarily taken away. It is a pharmacologically induced and reversible state of amnesiaanalgesia, loss of responsiveness, loss of skeletal muscle reflexes or decreased stress response, or all simultaneously. These effects can be obtained from a single drug which alone provides the correct combination of effects, or occasionally a combination of drugs (such as hypnoticssedatives,paralytics and analgesics) to achieve very specific combinations of results. This allows patients to undergo surgery and other procedures without the distress and pain they would otherwise experience. An alternative definition is a “reversible lack of awareness,” including a total lack of awareness (e.g. a general anesthetic) or a lack of awareness of a part of the body such as a spinal anesthetic. The pre-existing word anesthesia was suggested by Oliver Wendell Holmes, Sr. in 1846 as a word to use to describe this state.[2](wiki)

One should be aware that Anesthesia dosages vary and reactions also vary from individuals .

I also understand from experienced surgeons and Doctors that an Anestetic drug which agreed with a a patient ,may not agrre with him the next time.

The responses my also vary.

There are broad indications on how to calculate Anesthetic Dose.

dexmedetomidine  (Precedex ®)  top of page

Alpha2-adrenergic agonist sedative.
Dosing (adults):
ICU sedation: Initial: Loading infusion of 1 mcg/kg IV over 10 minutes, followed by a maintenance infusion of 0.2-0.7 mcg/kg/hour (individualized and titrated to desired clinical effect); not indicated for infusions lasting >24 hours (Solution must be diluted prior to administration.)

Supplied: 100 mcg/ml – 2 ml Injection

http://www.globalrph.com/anesthetics.htm

 

To the best of my knowledge anesthetists and Surgeons take adequate care in administering these drugs.

 

But the reaction of the individual at a given time is not in their hands.

 

Come to think of it, any recovery from sedation or Anesthesia is not in anybody’s hands just as the heart starting to beat after re-connection from the Heart Lung machine.

 

Doctors do their bit, recovery i not in their hands, that’s the nature of Medicine.

 

There is no point in blaming the Doctor for these issues,unless one can prove it is negligence in treating by way of not reading the History of the patient or neglect of established procedures.

 

Continue like blaming Doctors for every thing, you will have doctors shying away from taking decisions .

A 16-year-old boy, who was admitted to a City hospital to undergo liposuction (removal of excess fat), died due to an alleged overdose of anaesthesia.

Abhishek, who weighed 85 kg, died on Wednesday evening at Columbia Asia Hospital.

Boy dies of Anesthesia Overdose?
Boy dies of Anesthesia Overdose?

He was brought there from Panacea Hospital, where he was supposed to undergo liposuction.  Abhishek’s parents alleged that on Sunday doctors at Panacea Hospital administered an overdose of anaesthesia to the boy, following which he suffered a cardiac arrest.

“Just after he was prepared for surgery (at Panacea), doctors informed me that Abhishek had suffered a cardiac arrest. The doctors said due to this my son had gone into a comatose condition,” said Ramesh, the boy’s father.

He was shifted to Columbia Asia Hospital at Yeshwantpur on Monday. Arvind Kasargod, chief of medical service at the hospital, said the boy was referred in a comatose state.
“We did the best to revive Abhishek. We informed the parents that the boy was in a critical condition and chances of his survival were remote,” he said.

Abhishek’s parents and relatives claimed to have overheard the doctors from Columbia Asia and Panacea discussing the large dose of anaesthesia administered to Abhishek. “The doctors at Columbia questioned Govardhan, anaesthesiologist at Panacea, why he had given a young boy such a large dose. Govardhan said he had expected the boy to sustain it,” Ananthmurthy, the boy’s uncle said.

http://www.deccanherald.com/content/320475/boy-dies-alleged-anaesthesia-overdose.html

 

 

5 responses to “Anesthesia Overdose Boy’s Death Blame The Doctor?”

  1. Dr M.Chandrashekhar MD Avatar
    Dr M.Chandrashekhar MD

    What are the chances of spurious drugs causing Idiosyncratic or Hypersensitivity reactions ? The Anaesthesiologist may not know that the drug injected was spurious.

    Way back in 1990, I was called to perform autopsy in a case of sudden cardiac death in OT during Haemorrhoidectomy under Spinal Anaesthesia. We sent the samples along with seized Injections for Forensic examination which had revealed that the Drug was a spurious local drug– this was in one of the Army Hospitals I was serving in.

    1. ramanan50 Avatar

      Please rea my post on this posted to dy and i welcome your contributions along with Dr.Sivasubramanian

  2. Dr M.Chandrashekhar MD Avatar
    Dr M.Chandrashekhar MD

    Over the years, Anaesthesiology has become a very safe Science & hardly a mishap occurs with modern Anaesthetic medications unless a patient is hypersensitive/ allergic to it.

    Of course, human errors could occur in best of centres & best of hands, Last year, US had 40 cases of ‘wrong site/wrong limb ‘surgeries inspite of strict check-list protocols. Remember Sridevi’s mother’s case ?

    Few years back, one of my cousins– 48 yr old very successful MD Physician – died on the spot while getting dental extraction done by his MDS elder brother — due to drug reaction to local anaesthesia.

    Sad this had to happen to this young boy.

    1. ramanan50 Avatar

      I recall Bernard Shaw ‘Nature cures, The doctor collects the Fees’

      1. Dr. Sivasubramani VP Avatar
        Dr. Sivasubramani VP

        i myself is an anesthesiologist…in liposuction surgeons will use large amount of local anesthetic (lignocaine with adrenaline) and normal saline..its better to have do the surgery under consciousnes or sedation as it has two advantages
        1. the first response of lignocaine toxicity is neurological symptoms before cardiac arrest- so if patient is wake, he can communicate to the physician. Under GA its not posssible and patient will land up in final stage- cardiac arrest that an anesthesiologist can see only on monitor
        2. large volume of fluid- fluid overload. Same as above, if conscious he can communicate the symptoms

        Till now there is no definite max dose limit for lignocaine in liposuction.
        some says 35 mg/kg
        but toxicity can occur before that also
        so its idiosyncratic
        reference
        https://www.google.co.in/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&ved=0CDUQFjAA&url=http://www.openanesthesia.org/index.php?title=Liposuction:_lidocaine_toxic_dose&ei=AMFMUanvCdDOrQf7zoDACw&usg=AFQjCNGVqZZgmtLANQ9WHKgF7tYHRzQU2g

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