MANJU ANIL CHAWLA Vs. JIVANDHARA HOSPITAL

JUDGEMENT

(1.) Brief facts of the Complaint :

(2.) The OP-2 conducted operation of Septoplasty with functional endoscopic sinus surgery with left maxillary clearance using Caldwell Luc Approach under General Anesthesia on the patient. Dr. Rajesh Kolte was an anesthetist. It was clear that, after proper radiological (x-ray) and blood investigations it was confirmed that the patient had gross deviation of the cartilaginous nasal septum. Surgery performed by -OP2 on the patient was a non-invasive surgery, which has no surgical complications. Also, OP-2 as routine done endoscopy to determine the surgical steps.. The operation started at 8:50 p.m. and was completed in an hour.

(3.) The OP-2 Dr. Amit Chadha submitted that, the attendant of the patient called him at 11.25 PM there was sudden cessation of respiration. The OP-2 examined the patient whose Pulse and BP were not recordable. Therefore, all emergency measures were carried out by OP-2 and the Anesthetist Dr. Kolte. Immediately cardiac massage was one, patient's throat was checked for secretions, blood, gauze, which were absent, then the patient was intubated immediately with endo-tracheal tube by the anesthetist. Intermittent positive pressure ventilation was given with 100% oxygen started by the anesthetist through the tube with the help of portable Boyle's Machine apparatus. Cardiac massage continued, IV adrenaline, atropine, soda bicarb and I/C adrenaline were given but the patient did not respond. The OP-2 called the physician, Dr. Vinay Bhomia,(OP-3) who came at about 11.30 p.m. and in a couple of minutes he revived the patient with the help of DC shock and Intra Cardiac adrenaline. There was no secretions/blood, in the oro-pharyngeal tract. The patient was thereafter shifted to ICCU of Navneet Memorial Hospital and was put on to ventilator with I.P.P.R. mode. The patient was attended by Dr. Guha, the doctor in-charge of the ICCU, at that time. The OP No. 2, 3 and Dr. Kolte were also present there. Also opinion of Dr. Parindra Desai, Neuro-Physician was also taken. The patient was diagnosed to have suffered a cardio-respiratory-arrest.