「麻醉醫師在手術中投予患者過量麻醉劑導致死亡」之損害賠償事例【寰宇醫事裁判】 試閱
A Case of Damage Claim: Anesthesiologist Administered Too Much Anesthetics to A Patient in Surgery Led to Death
原告為A之子，A由被告B執刀施以人工關節置換術，被告C投予全身麻醉藥Propofol、局部麻醉藥Mepivacaine。A血壓遽降時，C並未適當減量，致末梢血管收縮代償機轉無法作用，造成心臟停止。B亦未立即心臟按摩，宣告不治。原審認為被告B未立即心臟按摩與適當減量投藥雖有過失，但僅與A「延命可能性」有因果關係，與「死亡」並無因果。然最高裁判所則認為未回復血壓時卻未減緩投藥速度，已逾對一般成人之使用狀況，該過失應與死亡有相當因果關係，判決原告勝訴。
The plaintiff is the son of A. The defendant B performed an Artificial Bone Replacement on A, and the defendant C administered general anesthetic Propofol and local anesthetic Mepivacaine to A. As A’s blood pressure suddenly dropped, C didn’t reduce the dose in time, as a consequence the compensatory mechanism of peripheral vasoconstriction couldn’t function normally to maintain blood perfusion pressure, causing cardiac arrest. At that moment, B did not perform cardiac message immediately on A, and A was declared dead afterwards. The original trial determined that in spite of the fact that the defendants neither perform cardiac massage immediately nor reduced the dose of anesthetics to the appropriate level, they were only responsible for “lower the possibility of survival, ”not for the patient’s “death.” However, the Supreme Court considered that it was out of the ordinary for C not to reduce the dose of anesthetics when seeing the patient’s blood pressure drop; the negligence should have a causal relationship with A’s death, hence the plaintiff won.
102-109
