CERTAIN INJECTIONS MUST BE ADMINISTERED ONLY BY QUALIFIED DOCTORS.
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INJ. TRACURIUM IS THE TRADE NAME OF ‘ATRACURIUM’ SHOULD BE USED ONLY BY ANAESTHETIST – NOT TO BE GIVEN BY STAFF NURSE AT ANY CIRCUMSTANCES – IT CAN BE ADMINISTERED ONLY IN OPERATION THEATRE - MUST BE AVAILABLE ONLY AT OPERATION THEATRE - FACILITIES FOR RESPIRATORY AND CARDIOVASCULAR RESUSCITATION ARE IMMEDIATELY AT HAND.
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The Laparoscopic Tubectomy operation was planned for a lady of good health taken to o...peration theatre, slipped into coma thereafter and eventually died. There was cardio respiratory arrest. The cause for respiratory arrest is administration of Inj.Tracurium at ward by staff nurse.
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(1) Inj. Tracurium is the trade name of ‘Atracurium’. It is a neuromuscular blocking agent. Its main clinical use is in surgical anaesthesia to obtain relaxation of skeletal muscles, particularly of the abdominal wall, so that operative manipulations are facilitated. It is a potentially hazardous drug, should be administered by anaesthesiologist and other clinicians who have had extensive training in their use; and in a setting where facilities for respiratory and cardiovascular resuscitation are immediately at hand.
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(2) The Inj. Tracurium should not be given by staff Nurse under any circumstances to any patient. In this case inj. Tracurium was given by the staff Nurse in the ward after the surgery which is wrong.
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(3) If inj. Tracurium is given by anybody other than an anaesthetist, in any place other than an operation theatre setting, it can lead to respiratory arrest similar to the events that have taken place in Dr. Ashalatha’s case as described in the hospital case sheets, leading onto her death.
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(4) inj. Tracurium is a drug which should be stored and used in the operation theatre only. It should not be available anywhere in the hospital other than the operation theatre. In case of emergency anaesthetist can prescribe inj. Tracurium and obtain from a responsible person to be used in the operation theatre only.
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(5) Death is due to coma as a result of cerebral anoxia, due to paralysis of respiratory muscles secondary to the drug inj. Tracurium which was given to the patient in the ward after the surgery.”
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“a nurse is not supposed to administer any drug without the written order of the attending doctor. But in this case the nurse had administered the drug without any oral or written order of the attending doctor”.
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Medical Negligence Proved. Compensation 20 Lakhs awarded.
.
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INJ. TRACURIUM IS THE TRADE NAME OF ‘ATRACURIUM’ SHOULD BE USED ONLY BY ANAESTHETIST – NOT TO BE GIVEN BY STAFF NURSE AT ANY CIRCUMSTANCES – IT CAN BE ADMINISTERED ONLY IN OPERATION THEATRE - MUST BE AVAILABLE ONLY AT OPERATION THEATRE - FACILITIES FOR RESPIRATORY AND CARDIOVASCULAR RESUSCITATION ARE IMMEDIATELY AT HAND.
.
The Laparoscopic Tubectomy operation was planned for a lady of good health taken to o...peration theatre, slipped into coma thereafter and eventually died. There was cardio respiratory arrest. The cause for respiratory arrest is administration of Inj.Tracurium at ward by staff nurse.
.
(1) Inj. Tracurium is the trade name of ‘Atracurium’. It is a neuromuscular blocking agent. Its main clinical use is in surgical anaesthesia to obtain relaxation of skeletal muscles, particularly of the abdominal wall, so that operative manipulations are facilitated. It is a potentially hazardous drug, should be administered by anaesthesiologist and other clinicians who have had extensive training in their use; and in a setting where facilities for respiratory and cardiovascular resuscitation are immediately at hand.
.
(2) The Inj. Tracurium should not be given by staff Nurse under any circumstances to any patient. In this case inj. Tracurium was given by the staff Nurse in the ward after the surgery which is wrong.
.
(3) If inj. Tracurium is given by anybody other than an anaesthetist, in any place other than an operation theatre setting, it can lead to respiratory arrest similar to the events that have taken place in Dr. Ashalatha’s case as described in the hospital case sheets, leading onto her death.
.
(4) inj. Tracurium is a drug which should be stored and used in the operation theatre only. It should not be available anywhere in the hospital other than the operation theatre. In case of emergency anaesthetist can prescribe inj. Tracurium and obtain from a responsible person to be used in the operation theatre only.
.
(5) Death is due to coma as a result of cerebral anoxia, due to paralysis of respiratory muscles secondary to the drug inj. Tracurium which was given to the patient in the ward after the surgery.”
.
“a nurse is not supposed to administer any drug without the written order of the attending doctor. But in this case the nurse had administered the drug without any oral or written order of the attending doctor”.
.
Medical Negligence Proved. Compensation 20 Lakhs awarded.
.
For full details of the case refer to Law Journal : IV (2015) CPJ 215 (NC)
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