February 14, 2012
Published: 10 Feb 10 08:45 CET | Double click on a word to get a translation
Online: http://www.thelocal.se/24896/20100210/
A woman has reported Lund University Hospital to Sweden's Medical Responsibility Board (HSAN) after being subjected to a caesarian section without the benefit of an anaesthetic.
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fin
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Fin means anyhting from sweet to proper. When someone says, Du är så fin it's quite a compliment.
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Here is the tough part..... General anesthesia is riskier for both the mother and baby so there is a sound reason not to add a general anesthetic in addition to the spinal anesthetic unless absolutely necessary. Even a sedative to calm the mother will sedate the baby as well as the mother. Needless to say, rarely it is necessary to administer a general anesthetic when the spinal/epidural has completely failed.
Here is the key point: Once the baby is delivered - should be less than 5 minutes after the start of surgery - the mother can be heavily sedated or, if necessary, a general anesthetic can be given without any risk to the baby. The risk of general anesthesia remains for the mother but sometimes it is necessary to take the risk. In any case, the mother should not be in pain for more than 5 minutes before aggressive intervention.
Hats off and well said Kroddman. If you are right (as your comment does sound extremely convincing). It is really good to see someone really trying to explain why this happens and putting across the facts, instead of the usual comments e.g "well why am I never failed to be surprised by these reports" (Sorry peropaco not picking on you I promise) as one does see many similar comments from other people who simply say the same as in "why am I never surprised blah blah blah....
Holy crap! Hari Kari without the kaishakunin. Tough Lady.
I have heard of epidurals not working. But never heard such a story like this. 5 minutes is a long time to be in her kind of pain.
I don't know if the baby was in distress making delivery of the baby an urgent matter. I don't know if the mother had risk factors for general anesthesia(obesity/ recent meal/diabetes/ high blood pressure etc) All of these factors would be critical to the actions of the anesthesiologist.
I do know that in medicine we are often forced to make a decision between two less than perfect alternatives. For the purposes of this discussion I am going to assume that the anesthesiologist was concerned and well trained and diligent. In a situation like this, the anesthesiologist was forced to choose between the patient having pain for a short period of time, or putting the patient at risk by administering a general anesthetic. In the high risk the potential complications from general anesthesia are real and potentially life-threatening. So, the decision is not always an easy one.
We do not have enough information to decide if the doctor acted in the best interests of the patient or not.
The weakness of the situation in Sweden is that the whole system relies on the clinic reporting itself to the national board of health and welfare for investigation. some are more inclined to do this than others
EVERY ONE SUFFERS FROM THE MEDICAL CARE IN SWEDEN. their rule is like communist you cant change your doctors, they are pack of DOGS in a hälsocentral mafia they support each other. No specialist all are general medicine.
If they dont know what is a disk? or IBS, or some new disease this means you are okay to them. I luckily met a german doctor in Stockholm who helped me and thank God. i meet some foriegn docs here once a while. better than nothing.
Still can't belief how well the social system (including medical care) work here in Sweden. I have sympathy with any individual who has a bad experience and of course think the responsible caregiver should be investigated and reprimanded if proves to be human error BUT compared to many other countries people living in Sweden have a lot to be thankful for.
I continue pay my tax with a smile.
Have you stopped to read what you wrote? ...Women have been giving birth by c-section for millions of years...? Do you know what a c-section is? It involves CUTTING someone open with a knife. Millions of years ago, indeed even as recently as a century or so women either gave birth naturally or died in the process.
The reasons for a doctor to make a decision to go forward with an big operation like that is one thing.But that after such a major incident the complete medical staff passively agrees not to report the incident ,be quite about it and hide it by throwing away the report..........
In my eyes it shows a common problem in Swedish society, nobody takes responsibility for his actions and the laws and rules are bend when you might get in trouble .
I bet you that this is going to end up in the same way as a million times before and a million times after.
There´s going to be an investigation into the case of a group heavily over paid people, its going to take as much time as it takes to let everybody forget what it was all about.
The conclusion will be vague recommendations , no disciplinary actions will be taken to anybody.
Then everything can go back to normal