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Monitored Anesthesia Care (Medical Implications) and Wrong-Sided Operations (Legal Implications)

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Abstract

A 77-year-old man presented to an outpatient surgical center for corneal transplant, cataract extraction, and intraocular lens implant of the left eye, under regional block plus monitored anesthesia care (MAC). Intravenous sedation was being titrated, at which time the anesthesia provider recognized the surgeon was starting the procedure on the wrong eye. This case reviews sedation levels and definitions, monitored anesthesia care, definitions of nonphysicians providing sedation, and requirements for a lawsuit to be judged in favor of the patient.

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References

  1. American Society of Anesthesiologists. ASA standards, guidelines and statements. 2007. Available at: http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx. Accessed 18 June 2013.

  2. American Society of Anesthesiologists. Statement on standards for basic anesthetic monitoring. 2011. Available at: http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx. Accessed 18 June 2013.

  3. American Society of Anesthesiologists. Statement on distinguishing monitored anesthesia care (MAC) from moderate sedation/analgesia. 2009. http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx. Accessed 18 June 2013.

  4. American Society of Anesthesiologists. Statement on qualifications of anesthesia providers in the office-based setting. 2009. http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx. Accessed 18 June 2013.

  5. The Joint Commission. Targeted solutions tool for wrong site surgery debuts. 2012. Available at: http://www.jointcommission.org/targeted_solutions_tool_for_wrong_site_surgery_debuts/. Accessed 18 June 2013.

  6. The Joint Commission. Universal protocol. http://www.jointcommission.org/standards_information/up.aspx. Accessed 18 June 2013.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, University of California, San Diego, San Diego, CA, USA

    Erica K. Stary MD

Authors
  1. Erica K. Stary MD
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Corresponding author

Correspondence to Erica K. Stary MD .

Editor information

Editors and Affiliations

  1. Department of Anesthsiology, University of California, San Diego School of Medicine, San Diego, California, USA

    Jonathan L. Benumof

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Stary, E.K. (2014). Monitored Anesthesia Care (Medical Implications) and Wrong-Sided Operations (Legal Implications). In: Benumof, J. (eds) Clinical Anesthesiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8696-1_48

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  • DOI: https://doi.org/10.1007/978-1-4614-8696-1_48

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8695-4

  • Online ISBN: 978-1-4614-8696-1

  • eBook Packages: MedicineMedicine (R0)

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