Pediatrics

Journal Article

  1. Coté CJ, Posner KL, Domino KB.: Death or Neurologic Injury After Tonsillectomy in Children with a Focus on Obstructive Sleep Apnea: Houston, We Have a Problem! Anesth & Analg 2014 June; 118(6), 1276-83  |  NLM PubMed Link  |  Subjects: Hemorrhage, Obstructive Sleep Apnea, Respiratory System Damaging Events, Pediatrics
    This article reviews factors related to adverse events occurring during or after tonsillectomy with a focus on obstructive sleep apnea (OSA). Cases were submitted via a survey to members of the Society for Pediatric Anesthesia and review of the Anesthesia Closed Claims Project. Death or permanent neurological injury occurred in 77% of reported cases. Events occurred across the care spectrum from surgery to post-release at home. Fifty-seven percent of the children fulfilled the at risk criteria for OSA. At risk children were more likely to be obese and have co-morbidities. These are of particular concern in association with reported opioid sensitivity in children with OSA. Obesity, a history of OSA, and the use of postoperative opioids increase the risk of postoperative respiratory events. Better evaluation of these risk factors must occur, postoperative follow-up and monitoring with at risk children must be in place, and some children are not candidates for out-patient tonsillectomy.
  2. Ramamoorthy C, Haberkern CM, Bhananker SM, Domino KB, Posner KL, Campos JS, Morray JP. Anesthesia-related cardiac arrest in children with heart disease: data from the Pediatric Perioperative Cardiac Arrest (POCA) registry. Anesth Analg. 110(5):1376-82, 2010.  |  NLM PubMed Link  |  Subjects: Pediatrics
  3. Bhananker SM, Ramamoorthy C, Geiduschek JM, Posner KL, Domino KB, Haberkern CM, Campos JS, Morray JP. Anesthesia-related cardiac arrest in children: update from the Pediatric Perioperative Cardiac Arrest Registry. Anesth Analg. 105(2):344-50, 2007.  |  NLM PubMed Link  |  Subjects: Pediatrics
  4. Jimenez N, Posner KL, Cheney FW, Caplan RA, Lee LA, Domino KB. An update on pediatric anesthesia liability: a closed claims analysis. Anesth Analg. 104(1):147-53, 2007.  |  NLM PubMed Link  |  Subjects: Pediatrics
    Death and brain damage remained the dominant injuries in pediatric anesthesia malpractice claims in the 1990s. Cardiovascular events joined respiratory events as the major sources of liability.
  5. Morray JP, Geiduschek JM, Ramamoorthy C, Haberkern CM, Hackel A, Caplan RA, Domino KB, Posner K, Cheney FW. Anesthesia-related cardiac arrest in children: initial findings of the Pediatric Perioperative Cardiac Arrest (POCA) Registry. Anesthesiology 93(1):6-14, 2000.  |  NLM PubMed Link  |  Subjects: Pediatrics
  6. Morray JP, Geiduschek JM, Caplan RA, Posner KL, Gild WM, Cheney FW: A comparison of pediatric and adult anesthesia closed malpractice claims. Anesthesiology 78:461-467, 1993.  |  NLM PubMed Link  |  Subjects: Pediatrics
    This is a review of 238 anesthesia related closed claims in the pediatric age group in a total database of 2400 claims. The mechanism of injury was much more apt to be of respiratory origin in the pediatric as opposed to the adult claims.
  7. Posner KL, Geiduschek J, Haberkern CM, Ramamoorthy C, Hackel A, Morray JP. Unexpected cardiac arrest among children during surgery, a North American registry to elucidate the incidence and causes of anesthesia related cardiac arrest. Qual Saf Health Care. 11(3):252-7, 2002  |  NLM PubMed Link  |  Subjects: Pediatrics

Abstract

  1. Morray J, Ramamoorthy C, Haberkern C, Bhanaker S, Posner K: Anesthesia-Related Cardiac Arrest in Children with Heart Disease: Data from the POCA Registry. Anesthesiology 109: A11, 2008.  |  Subjects: Pediatrics  |  PDF icon Click here for .pdf
  2. Jimenez N, Posner KL, Domino KB, Cheney FW: Trends in Pediatric Anesthesia Malpractice Claims over Three Decades. Anesthesiology 103: A1309, 2005.  |  Subjects: Pediatrics  |  PDF icon Click here for .pdf
  3. Bhananker SM, Ramamoorthy R, Posner, KL, Domino KB, Morray JP: Changing Profile of Anesthesia-Related Cardiac Arrests in Children: Update from Pediatric Peri-Operative Cardiac Arrest (POCA) Registry. Anesthesiology 103: A1310, 2005.  |  Subjects: Pediatrics  |  PDF icon Click here for .pdf

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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

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