No worse than the M&M of the 65 year old guy that came in for fatigue and ended up dead due to TRALI. Certainly no worse than the 24 year old soldier with a shattered but repairable leg who ended up dead of TAGVHD.So glad I'm not at NNMC right now....can only imagine what that M&M is going to look like
Except that TRALI and TAGVHD are unavoidable complications (presuming satisfactory indication for transfusion). A bowel perforation, especially unrecognized, is another matter.No worse than the M&M of the 65 year old guy that came in for fatigue and ended up dead due to TRALI. Certainly no worse than the 24 year old soldier with a shattered but repairable leg who ended up dead of TAGVHD.
In the words of a surgery attending from medical school, "Surgeries, no matter how small, are not benign procedures. There is a reason that we put death on the consent forms."
All these laps. Does anybody do conventional surgery anymore? If I'm 80 yo, do I really care about having a big scar, or that the healing time will be significantly greater? So I'll be in bed for 2 weeks. Would rather have that and get the job done safely, no?!i'm sure it will be blamed on the medstudent holding the scope camera. it's all i remember from lap-appys-- "you're too close", "you're not close enough", "did you remember to white balance the scope?", "what the hell are you doing over there" etc etc. gallbladder ruptures, an artery bleeds-- it was always due to the view.
interesting he didn't go back to NNMC when he (i assume) became septic.
--your friendly neighborhood "steadicam" caveman
Well certain biotechnology companies would assert that TRALI and TAGVHD are avoidable as long as your hospital purchases their assays that screen for anti-HLA antibodies and perform HLA genotypes.Except that TRALI and TAGVHD are unavoidable complications (presuming satisfactory indication for transfusion). A bowel perforation, especially unrecognized, is another matter.
Here ya go, the drumbeat begins:It's interesting that there is radio silence about this...
It's when names are named that I start to really worry.Here ya go, the drumbeat begins:
Do you actually think there were housestaff involved in this case?I have rotated at NNMC as a subspecialist. I can say that I am not terribly impressed with their residents. I would often get consults for a particular concern with no work up what so ever. As a resident, if I tried a stunt like that to a consultant, I would have been blown out of the water with that person over the phone.
I don't know what the surgery department is like there but if it is anything like I've experienced, I can see how this complication occurred.