Saturday, November 8, 2008

Medical Errors Due anesthesia

Source: Republika. That night, 26 January and in the RS Partners Family, Reviandra Savitri, kid 6 years old, last breath in the emergency room unit floor two children. Children first pair Johan Aidar and Efriani died during a tonsillectomy. Once there are allegations, the death of this beautiful kid anesthesia because of negligence despite the hospital has issued a formal statement that the incident was not due to medical errors.

During the last two years, the world's medical dihebohkan cases by patient deaths due pembiusaan (anastesi gas). Ny suffered Efriani represent about families affected patient medical error or medical malpraktek in the operating room. A case of Bengkulu and Bandung that nearly similar, also took casualties. The problem with this acapkali ended under a doctor, the health service officers, nurses and hospital to court.

Medical errors is not strange in the world of medicine. Head of Clinical Epidemiology and Biostatics Unit FKU UGM, Dr. Nicholas Dwiprahasto off to reveal the Institute of Medicine report on the United States in 2001 that medication errors kill nearly 100 thousand inhabitants United States per year. This figure is four times greater than the deaths due to traffic accidents.

Doctor ties Philippines, represented by the Secretary General of the IDI, and Fachmi Idris MPH record at least two cases occurred in the effort until the anesthesia to the court. Two more cases can be resolved and not to cause the death of the patient.

''The first case occurred in patients Hasan Sadikin Hospital in Bandung, Arief Budianto, on 23 March 2001,''he said in the opinion of the Meeting with the House Commission VII-RI some time ago. Patients do this operation due to the replacement of the pen, which suffered broken bones. The condition of the patient before the operation healthy. However, after surgery the patients blood pressure suddenly drop and breathlessness.

Next surgeon bone handle trying to give people artificial (resusitasi), but not successfully. Patient died on that day also alleged to hipoksia (lack of oxygen) that causes brain damage due to heavy gas flow, O2, which is not enough due to the body and engine anastesi not work properly.

Next case occurred in a hospital in Bengkulu and then one day (23 March 2001) of the patients Sjaipuddin due to anesthesia during a nose operation. Before the operation done, Sjaipuddin quietened with gas cylinders drugs anastesi N2O. However, he then experienced difficulty breathing, pale skin and kebiruan throbbing pulse is very small. Viewing conditions this doctor THT and anastesi cancel plans to handle the operation. Patients experienced a coma and immediately dilarikan to the ICU room. After several days coma, the patient was referred at RSCM, but later died.

Malpraktek medical discussion of the death of patients due to the use of drugs anastesi N2O gas that occurs in Bengkulu and Bandung, now appears back to the surface, because there are strong indications occurred in several hospitals in different cities this year. Indonesian Doctors Association (IDI) to record the death of patients due to drug anastesi gas (GOA), not only in two hospitals in two cities, but some are in hospitals in Indonesia, including Jakarta.

Therefore, the IDI request in the investigation of this case again nationally. As a reason why this case should be discussed nationally, according to Fachmi off, because the operating room (OK) in the second hospital used keys channeling gas supplied from gas central space.

Anastesi doctor in the room is not OK to use gas cylinders and offer directly to the body of the patient, but to take gas from the buttons in the room. So, on the contents of medical gas cylinders is not the responsibility of the doctor, but it's anastesi gas in the space of central and logistics officers (of goods) hospital.

The truth content of medical gas cylinders is very related to the procurement of health equipment in hospitals that is fully tangggung responsibility for logistics hospitals concerned. It was during this, there is no tool detector contents of medical gas cylinders. Thus, the party's anastesi based on the trust to the producers, believe it listed on the label. If the label with N2O, anastesi party's contents will be sure only certain N2O. Similarly, if a label is shown O2. Next,'s anastesi will conduct inspections on the three control factors, namely, the color tube, tube label content, and form the connector tube.

If so, the question is should Distributors. It is feared there is fraud or even tertukarnya contents of medical gas cylinders with gas technical.

Case''patient deaths due to the use of N2O tube that terlaporkan in three cities, Bengkulu, Bandung and Jakarta. Total number of cases, we note that there are four. We believe this phenomenon iceberg, meaning there are many similar cases of death, but not terlaporkan,''he said.

Which suspect there are indications of fraud content of gas cylinders by irresponsible parties. Therefore, this should become a world medical attention and the national government.

The IDI, continued, stating objections over the handling of two cases is that only made the doctor as the only suspect. The doctor is also a victim of product gas cylinders that are not in accordance with the contents of the label indicated. However, according to a former businessman distribution of health tools that are also members of the Parliament commission VII, Tibrani Basri, falsification of medical gas is almost not possible. The gas is the price of medical content ulangnya very cheap. Even if fraud occurred, the benefits of counterfeiting that will be very thin.

Tibrani The fact there is the possibility of negligence on the medical gas producer. Manufacturers can be negligent because they are not human resources people educated. He saw one of the largest medical gas producer in Indonesia employ people graduate school at the point of production and re-charging medical gases in the branches of the company.

If so, it's very risky if cases like this diusut diligence. Very ironic if doctors have the patient lives in the operating table to be brought to the table green 'only' a mistake because anastesi gas cylinders that may be falsified. Moreover, if the patient eventually died.

0 Comments: