Analysis of endotracheal intubation-related judicial precedents in South Korea

Background Medical malpractice during endotracheal intubation can result in catastrophic complications. However, there are no reports on these severe complications in South Korea. We aimed to investigate the severe complications associated with endotracheal intubation occurring in South Korea, via m...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hye-Yeon Cho, SuHwan Shin, SangJin Lee, Susie Yoon, Ho-Jin Lee
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society of Anesthesiologists 2021
Materias:	airway management complications emergency treatment intratracheal intubation medical legislation medical liability Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/09172f76b4d74af0b5dd7e279865a31c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:09172f76b4d74af0b5dd7e279865a31c
record_format	dspace
spelling	oai:doaj.org-article:09172f76b4d74af0b5dd7e279865a31c2021-11-30T23:47:49ZAnalysis of endotracheal intubation-related judicial precedents in South Korea2005-64192005-756310.4097/kja.21020https://doaj.org/article/09172f76b4d74af0b5dd7e279865a31c2021-12-01T00:00:00Zhttp://ekja.org/upload/pdf/kja-21020.pdfhttps://doaj.org/toc/2005-6419https://doaj.org/toc/2005-7563Background Medical malpractice during endotracheal intubation can result in catastrophic complications. However, there are no reports on these severe complications in South Korea. We aimed to investigate the severe complications associated with endotracheal intubation occurring in South Korea, via medicolegal analysis. Methods We retrospectively analyzed the closed judicial precedents regarding complications related to endotracheal intubation lodged between January 1994 and June 2020, using the database of the Supreme Court of Korea. We collected clinical and judicial characteristics from the judgments and analyzed the medical malpractices related to endotracheal intubation. Results Of 220 potential cases, 63 were included in the final analysis. The most common event location was the operating room (n = 20, 31.7%). All but 3 cases were associated with significant permanent or more severe injury, including 31 deaths. The most common problems were failed or delayed intubation (n = 56, 88.9%). Supraglottic airway device was used in 5.2% (n = 3) cases of delayed or failed intubation. Fifty-one (81%) cases were ruled in favor of the plaintiff in the claims for damages, with a median payment of Korean Won 133,897,845 (38,000,000, 308,538,274). The most common malpractice recognized by the court was that of not attempting an alternative airway technique (n = 32, 50.8%), followed by violation of the duty of explanation (n = 10, 15.9%). Conclusions Our results could increase physicians’ awareness of the major complications related to endotracheal intubation and help ensure patient safety.Hye-Yeon ChoSuHwan ShinSangJin LeeSusie YoonHo-Jin LeeKorean Society of Anesthesiologistsarticleairway managementcomplicationsemergency treatmentintratracheal intubationmedical legislationmedical liabilityAnesthesiologyRD78.3-87.3ENKorean Journal of Anesthesiology, Vol 74, Iss 6, Pp 506-513 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	airway management complications emergency treatment intratracheal intubation medical legislation medical liability Anesthesiology RD78.3-87.3
spellingShingle	airway management complications emergency treatment intratracheal intubation medical legislation medical liability Anesthesiology RD78.3-87.3 Hye-Yeon Cho SuHwan Shin SangJin Lee Susie Yoon Ho-Jin Lee Analysis of endotracheal intubation-related judicial precedents in South Korea
description	Background Medical malpractice during endotracheal intubation can result in catastrophic complications. However, there are no reports on these severe complications in South Korea. We aimed to investigate the severe complications associated with endotracheal intubation occurring in South Korea, via medicolegal analysis. Methods We retrospectively analyzed the closed judicial precedents regarding complications related to endotracheal intubation lodged between January 1994 and June 2020, using the database of the Supreme Court of Korea. We collected clinical and judicial characteristics from the judgments and analyzed the medical malpractices related to endotracheal intubation. Results Of 220 potential cases, 63 were included in the final analysis. The most common event location was the operating room (n = 20, 31.7%). All but 3 cases were associated with significant permanent or more severe injury, including 31 deaths. The most common problems were failed or delayed intubation (n = 56, 88.9%). Supraglottic airway device was used in 5.2% (n = 3) cases of delayed or failed intubation. Fifty-one (81%) cases were ruled in favor of the plaintiff in the claims for damages, with a median payment of Korean Won 133,897,845 (38,000,000, 308,538,274). The most common malpractice recognized by the court was that of not attempting an alternative airway technique (n = 32, 50.8%), followed by violation of the duty of explanation (n = 10, 15.9%). Conclusions Our results could increase physicians’ awareness of the major complications related to endotracheal intubation and help ensure patient safety.
format	article
author	Hye-Yeon Cho SuHwan Shin SangJin Lee Susie Yoon Ho-Jin Lee
author_facet	Hye-Yeon Cho SuHwan Shin SangJin Lee Susie Yoon Ho-Jin Lee
author_sort	Hye-Yeon Cho
title	Analysis of endotracheal intubation-related judicial precedents in South Korea
title_short	Analysis of endotracheal intubation-related judicial precedents in South Korea
title_full	Analysis of endotracheal intubation-related judicial precedents in South Korea
title_fullStr	Analysis of endotracheal intubation-related judicial precedents in South Korea
title_full_unstemmed	Analysis of endotracheal intubation-related judicial precedents in South Korea
title_sort	analysis of endotracheal intubation-related judicial precedents in south korea
publisher	Korean Society of Anesthesiologists
publishDate	2021
url	https://doaj.org/article/09172f76b4d74af0b5dd7e279865a31c
work_keys_str_mv	AT hyeyeoncho analysisofendotrachealintubationrelatedjudicialprecedentsinsouthkorea AT suhwanshin analysisofendotrachealintubationrelatedjudicialprecedentsinsouthkorea AT sangjinlee analysisofendotrachealintubationrelatedjudicialprecedentsinsouthkorea AT susieyoon analysisofendotrachealintubationrelatedjudicialprecedentsinsouthkorea AT hojinlee analysisofendotrachealintubationrelatedjudicialprecedentsinsouthkorea
_version_	1718406183256064000

Analysis of endotracheal intubation-related judicial precedents in South Korea

Ejemplares similares