Cardiovascular System Damaging Events

Abstract

  1. Lee LA, Dutton RP, Posner KL, Stephens LS, Domino KB: Massive Hemorrhage: A Report from the Closed Claims Project. Anesthesiology, A3002, 2013  |  Subjects: Hemorrhage, Cardiovascular System Damaging Events  |  PDF icon Click here for.pdf
  2. Spitellie PH, Bowdle TA, Posner KL, Cheney FW, Domino KB: Injuries from Central Lines: A Closed Claims Analysis. Anesthesiology, 96: A1124, 2002.  |  Subjects: Cardiovascular System Damaging Events, Equipment Problems as Damaging Events, Physiologic Monitoring  |  PDF icon Click here for .pdf

Journal Article

  1. Bhananker SM, Liau DW, Kooner PK, Posner KL, Caplan RA, Domino KB. Liability related to peripheral venous and arterial catheterization: a closed claims analysis. Anesth Analg. 109(1):124-9, 2009.  |  NLM PubMed Link  |  Subjects: Cardiovascular System Damaging Events, Equipment Problems as Damaging Events, Physiologic Monitoring
    This analysis of claims arising from complications after peripheral IV and arterial vascular cannulation found that IV catheters were an important source of liability for anesthesiologists. IV claims involved a larger proportion of cardiac surgery procedures during which arms were tucked. Approximately half of IV claims resulted from extravasation of drugs or fluids. Claims related to radial arterial catheterization were uncommon.
  2. Domino KB, Bowdle TA, Posner KL, Spitellie PH, Lee LA, Cheney FW. Injuries and Liability Related to Central Vascular Catheters: A Closed Claims Analysis. Anesthesiology 100(6):1411-1418, 2004.  |  NLM PubMed Link  |  Subjects: Cardiovascular System Damaging Events, Equipment Problems as Damaging Events, Physiologic Monitoring
    Claims for injuries related to central vascular catheters had a greater proportion of death than other claims in the Closed Claims database. The most common central vascular catheter complications causing patient injury were wire/catheter embolus, cardiac tamponade, carotid artery puncture/cannulation, hemothorax, and pneumothorax. Patient safety may be improved by pressure waveform monitoring, use of ultrasound guidance for difficult catheterization, and checking and acting on a chest radiograph after vascular catheter insertion.
  3. Caplan RA, Ward RJ, Posner K, Cheney FW: Unexpected cardiac arrest during spinal anesthesia: A closed claims analysis of predisposing factors. Anesthesiology 68:5-11, 1988.  |  NLM PubMed Link  |  Subjects: Regional Anesthesia / Monitored Anesthesia Care, Cardiovascular System Damaging Events
    This is an in-depth review of 14 cases of unexpected cardiac arrest in healthy patients which were identified in the first 900 claims reviewed in the ASA Closed Claims Project. A major factor in the poor outcome (six deaths, eight permanent brain damage).

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Closed Claims Bibliography

To access a complete bibliography of peer-reviewed journal articles from the Closed Claims Project, click here; Closed Claims Project Bibliography . You may also request delivery of the bibliography via e-mail, fax or postal mail.

Note to Patients

These studies are primarily designed to aid physicians in improving their clinical practice. We are sorry we cannot address individual patient questions or give medical or legal advice or provide data analysis.