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  • Anesthesiologist present and failed Joan Rivers



    As reported by the New York Daily News via court documents:

    "There were also mistakes admitted by the anesthesiologist, who told investigators she gave Rivers 120 milligrams of Propofol, but wrote in records that she administered 300 milligrams.

    The anesthesiologist also didn’t get Rivers’ weight before giving her the Propofol, the report says. One staffer told investigators that a “patient’s body weight is very critical for the pre-anesthesia assessment, especially for medication calculations.”

    Sadly in this case there was no Nurse Anesthetist involved.

    Learn more at:
    http://www.future-of-anesthesia-care-today.com
    Comments 21 Comments
    1. mculee's Avatar
      mculee -
      I am not sure if this is correct because an anesthesiologist at my work told me very pointedly that "It must have been a CRNA involved because an anesthesiologist would never let that happen". I'm sure he was right, he always is.
    1. NateM's Avatar
      NateM -
      Quote Originally Posted by mculee View Post
      I am not sure if this is correct because an anesthesiologist at my work told me very pointedly that "It must have been a CRNA involved because an anesthesiologist would never let that happen". I'm sure he was right, he always is.
      You seem like a real cool guy. Appreciate this fabulous response.
    1. SrNaOnMyWaY's Avatar
      SrNaOnMyWaY -
      Quote Originally Posted by mculee View Post
      I am not sure if this is correct because an anesthesiologist at my work told me very pointedly that "It must have been a CRNA involved because an anesthesiologist would never let that happen". I'm sure he was right, he always is.
      nice try
    1. SrNaOnMyWaY's Avatar
      SrNaOnMyWaY -
      Quote Originally Posted by mculee View Post
      I am not sure if this is correct because an anesthesiologist at my work told me very pointedly that "It must have been a CRNA involved because an anesthesiologist would never let that happen". I'm sure he was right, he always is.
      nice try
    1. squeege's Avatar
      squeege -
      Quote Originally Posted by mculee View Post
      I am not sure if this is correct because an anesthesiologist at my work told me very pointedly that "It must have been a CRNA involved because an anesthesiologist would never let that happen". I'm sure he was right, he always is.
      I do see your tongue set firmly in cheek, yes?

      Sq
    1. MmacFN's Avatar
      MmacFN -
      Im waiting for the ASA Spin.
    1. bettermj's Avatar
      bettermj -
      Word
    1. Burnt2's Avatar
      Burnt2 -
      Wow.

      Sent from my Nexus 4 using Tapatalk
    1. Johnga's Avatar
      Johnga -
      ...probably documented 300mg because that's what was administered and couldn't delete or erase it from the record. That's a big dose considering the patient's advanced age, body habitus, and type of procedure.
    1. Johnga's Avatar
      Johnga -
      ...kinda hard to mistake 12mLs and 30mLs unless you've got some admixture running, even then you should be able to calculate your dose on a drip.
    1. bettermj's Avatar
      bettermj -
      I titrate more than 300 mg over the length of the case. Not sure if this was up front or overall.

      Agreed that it may be much forJoan. The docs where I'm at are slow.
    1. FORANE's Avatar
      FORANE -
      Quote Originally Posted by bettermj View Post
      I titrate more than 300 mg over the length of the case. Not sure if this was up front or overall.

      Agreed that it may be much forJoan. The docs where I'm at are slow.
      I have given over 1 gram for scopes where I am; our surgeons might be slower.
    1. bettermj's Avatar
      bettermj -
      Quote Originally Posted by FORANE View Post
      I have given over 1 gram for scopes where I am; our surgeons might be slower.
      My record is 13 twenty ml bottles.
    1. FORANE's Avatar
      FORANE -
      Quote Originally Posted by bettermj View Post
      My record is 13 twenty ml bottles.
      Wow.
    1. Teillard's Avatar
      Teillard -
      Quote Originally Posted by bettermj View Post
      My record is 13 twenty ml bottles.
      sounds like time for a tube and volatile agent?
    1. 14gauge's Avatar
      14gauge -
      Quote Originally Posted by Teillard View Post
      sounds like time for a tube and volatile agent?
      Or check yer IV-site ;-)
    1. bettermj's Avatar
      bettermj -
      2 hour case
    1. Teillard's Avatar
      Teillard -
      Quote Originally Posted by bettermj View Post
      2 hour case
      Ohhhh....20 ml... thought it was the 50's.
    1. bettermj's Avatar
      bettermj -
      Quote Originally Posted by Teillard View Post
      Ohhhh....20 ml... thought it was the 50's.
      I worked with a few where that is a possibility
    1. MCVCRNA's Avatar
      MCVCRNA -
      I've lost count of how many of these I've done in my career. I can tell you this...300mg tells you nothing. We all know that propofol is titrated for affect, the dose is different for everyone. What went wrong here was the failure to be diligent and recognize a laryngospasm and treat accordingly....anesthesia 101!
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