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논문 기본 정보

자료유형
학술저널
저자정보
Cho Hye-Yeon (Department of Anesthesiology and Pain Medicine Seoul National University Hospital) Shin SuHwan (Medical Law and Ethics Graduate School Yonsei University) Lee SangJin (Department of Anesthesiology and Pain Medicine Seoul National University Hospital) Yoon Susie (서울대학교병원 마취통증의학과) 이호진 (서울대학교병원)
저널정보
대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.74 No.6
발행연도
2021.12
수록면
506 - 513 (8page)
DOI
10.4097/kja.21020

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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%).Conclusion: Our results could increase physicians’ awareness of the major complications related to endotracheal intubation and help ensure patient safety.

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