Evidence map›Paper›PMID 37587880›Full record

ArticleAnaesthesiology intensive therapy2023

Serious complications related to regional anaesthesia: Study of Greek Courts' Decisions.

Evangelia Samara, Lampros Tzoumas, Konstantinos Tzoumas, Petros Tzimas, Georgios Papadopoulos

Open access · diamondAbstract read
In one paragraph

Article in Anaesthesiology intensive therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 2 countries.

Evangelia SamaraDepartment of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, University of Ioannina, Ioannina, Greece.
Lampros TzoumasDepartment of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, University of Ioannina, Ioannina, Greece.
Konstantinos TzoumasLawyer, Private Practice.
Petros TzimasDepartment of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, University of Ioannina, Ioannina, Greece.
Georgios PapadopoulosDepartment of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, University of Ioannina, Ioannina, Greece.
University of Ioannina · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegional anaesthesia and analgesia present many advantages. Related complications are few and have been fully described. Information on regional anaesthesia malpractice is lacking in Greece. The objectives of the analysis were to highlight areas of high litigation risk and report the financial impact of claims.

methodsPublished judicial decisions of criminal, civil, administrative and disciplinary content, from 1995 to 2020, were searched in the legal information banks. The court decisions were analysed by an expert in collaboration with the lawyers of the investigation.

resultsA total of 26 court decisions related to complications from regional anaesthesia were found involving 10 cases, which comprised: 8 convictions, 1 referral of the case for a new expert opinion and 1 acquittal. In 6 cases the medical negligence involved complications after epidural anaesthesia and in 2 after subarachnoid anaesthesia. In 1 case there was collective liability of the anaesthesiologist and the obstetrician for negligent homicide and in 7 cases liability of the anaesthesiologist for bodily injuries. The duration of the litigation was 5-16 years.

conclusionsAnalysis of court cases made it possible to identify the causes that led to complications during regional anaesthesia. Informed consent, non-traumatic technique, careful patient selection, adherence to safety rules, and early diagnosis and treatment of complications are essential to avoid permanent injury.

Indexed as

Anesthesia, ConductionAnesthesia, EpiduralMalpracticeGreeceHumansInformed Consentcomplicationsepidural anaesthesiamalpracticemedical liabilityregional anaesthesiaspinal anaesthesia

Identifiers

PMID37587880
PMCPMC10415607
OpenAlexW4384570510

What OpenQuestion holds

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