Assuntos
Anestesia Epidural/métodos , Idoso , Bupivacaína/administração & dosagem , Humanos , MasculinoRESUMO
Review of 489 "anaesthetic deaths" reported to procurators-fiscal over 10 years disclosed only 30 that were thought to justify such reporting. Most of the remainder occurred in patients so desperately ill at the time of operation that death was expected. Postmortem examinations ordered by the Crown authorities in nearly all cases were probably largely unrewarding and mostly unnecessary. The results suggest that the present regulation on reporting should be revised to focus more attention on the few deaths that occur in patients who have no apparent contraindication to anaesthesia or operation.
Assuntos
Anestesia/mortalidade , Médicos Legistas , Adulto , Idoso , Feminino , Humanos , Legislação Médica , Masculino , Imperícia/legislação & jurisprudência , Auditoria Médica/métodos , Pessoa de Meia-Idade , Período Pós-Operatório , Estudos Retrospectivos , EscóciaRESUMO
The treatment of chronic renal failure by centre haemodialysis and home haemodialysis are described. Since 1969 there has been a home dialysis programme at Christchurch. Some 63 patients were treated and 17 have died, six deaths occurred during training, four died after renal transplantation and seven died of other causes. The training time was on average 15 weeks. The implications of this form of management are discussed.