EXPERT ASSESSMENT OF DEFECTS IN MEDICAL CARE IN SPINAL ANESTHESIA

Abstract

The article presents the data of analysis, synthesis and generalization of the results obtained in the provision of medical care by anesthesiologists. It has been demonstrated that the issues of choosing the type of pain relief and the occurrence of possible complications, including those injured as a result of road traffic accidents, are given a lot of attention. It has been shown that there are cases of complications, including fatal ones, during or after anesthesia - spinal anesthesia. It was emphasized that in order to clarify the circumstances that are important for criminal proceedings to establish a causal relationship between the proper / improper performance by medical workers / anesthesiologist, their professional duties during the examination and treatment of patients, as well as the onset of severe consequences (including lethal), special knowledge, therefore, there is always a need for forensic medical examinations. When solving these issues, an analysis of medical documentation, synthesis and generalization of the data obtained is necessarily carried out, therefore, high-quality maintenance of medical documentation by anesthesiologists, which objectively reflects the methods of anesthesia and the patient's condition, is of great importance. It is emphasized that in the absence of both absolute and relative contraindications in patients for this type of anesthesia such as spinal anesthesia, anesthesiologists correctly choose both the drug itself and its dose, infusion with body fluid (to increase the volume of circulating blood), and the like. However, there have been cases when deaths occur as a result of correctly performed (both from the point of view of the technique and from the point of view of preliminary preventive measures) medical manipulation - spinal anesthesia, which leads to the development of a collapse with implementation in heart failure. Somatic diseases in patients (ischemic heart disease, hypertension, etc.) can contribute to the development and intensify the course of heart failure. However, there are no defects in the provision of medical care with which the onset of death of patients was in a causal relationship. In these cases, you can focus on the kind of death of patients - an accident.