篇名

「醫師在手術中未依麻醉劑說明書進行血壓監測」之損害賠償事例   免費試閱

並列篇名

A Case of Damage Claim: Doctor Didn't Follow Anesthetic Drug Instructions of Blood Pressure Monitoring During Surgery

中文摘要

被告Y2執刀X1闌尾切除手術並投與麻醉劑時,未依藥劑說明書每兩分鐘監測血壓,僅依醫療慣行每5分鐘監測。術中X1失去意識、血壓遽降,雖立即按摩心臟,仍造成術後永久性重度腦機能障礙,原告X1雙親遂請求損害賠償。原審認Y2未按說明書指示監測有過失,但無法確定與重度腦機能障礙發生之因果。最高裁判所亦認踐行醫療慣行不等同盡「醫療水準」之注意義務,然鑑定顯示手術開始時即有缺氧傾向,若按指示監測極可能及時發現異常,故有因果關係,原告勝訴。

英文摘要

The defendant Y2 performed an appendectomy surgery on X1. When administering anesthesia, Y2 did not follow the anesthetic drug instructions used to monitor X1’s blood pressure every 2 minutes but instead every 5 minutes as a customary medical practice. During surgery X1 lost consciousness, and his / her blood pressure suddenly dropped. Although a cardiac massage was carried out immediately, X1 still got severe and permanent postoperative brain dysfunction afterwards. The plaintiff, X1’s parents, then filed a damage claim. In the original trial the court considered that Y2 was at fault for not following the anesthetic drug instructions, but its causal relationship with severe brain dysfunction couldn’t be determined. The Supreme Court viewed that” customary medical practice” doesn’t equal “standard of care.” Moreover, according to the forensic study, X1 showed a tendency to hypoxia at the beginning of the surgery. If Y2 had followed the anesthetic instructions to monitor X1’s condition every 2 minutes, it would have been likely to detect abnormalities. Therefore, there was a causal relationship; the plaintiff won.

起訖頁

167-174

出版單位
DOI

10.3966/241553062017040006009  複製DOI  DOI查詢

QRCode

數位整合服務
產品服務
讀者服務專線:+886-2-23756688   傳真:+886-2-23318496   地址:臺北市館前路28號7樓

Copyright © 元照出版 All rights reserved. 版權所有,禁止轉貼節錄
TOP