$21 Million BOTCHED Anesthesia Case 

When my father worked for a private hospital system, they tried replacing most of the anesthesiologists with CRNAs to save money. He tried to garner the support of his colleagues to prevent this from happening. However, his effort was futile, compelling him to start his own practice. Favoring profit over the lives of patients is a terrible thing

My blood pressure dropped while I was in the ER and I stop breathing. I basically had a stroke at 23yrs old. I was in a coma for less than a month regain consciousness and now I’m paralyzed from the waist down. It’s been 17 yrs and I’m still paralyzed but I have learn to accept my fate.

The cases of malpractice lawsuits (that we've heard) with CRNAs involved are cases of "non life saving" surgeries/procedure, like leg surgeries or dental procedure. So proving it was easier. It makes me wonder if there was malpractice in "life saving" surgeries where CRNAs are involved.

I'M AN EXPERIENCED BOARD CERTIFIED ANESTHESIOLOGIST. Thank you Dr. Cellini. You're analysis of this case is pretty spot on. I just wanted to add to what you've already laid out. First of all, this was a 27 year old patient who seemed relatively healthy as far as I can tell. These tend to be one of those anesthesia cases that we feel that even a beginning anesthesia resident should be able to handle. When these cases go wrong, it's usually something that's either horribly unfortunate, or gross medical misconduct. Second, I am really perfectionistic about my patients and I don't like supervising anyone in general, including residents or CRNAs. There are some fantastic CRNAs out there, don't get me wrong, but I have had many experiences with CRNAs who have intubated a patient without informing me, extubated a patient without informing me, performing epidurals without informing me, pushing back on my medical direction or even flatly refusing. I once ran into an OR where things got bad, and instead of calling the attending assigned to the room, he or she called his or her fellow CRNA. And another situation where I gave a CRNA a morning break only to realize that there was something seriously wrong with the breathing tube, and while trying to save the patient, the CRNA returns only to curse at me and "talk shit to me" while I'm trying to fix the emergency situation. Third, the 1:4 model really makes anesthesiologists so busy, that we are almost incapable of swinging by the ORs. It can work if most of the patients are healthy and the CRNAs are trustable, skilled, and quick to ask for help, but already that's a lot of "ifs." Fourth, I've seen a lot of hypotension in my life, and especially in a healthy appearing 27 year old, it's hard to believe that that was the real cause, unless the BP was maintained at 40/20 or worse for a long time. More likely IMHO is that there was some oxygenation issue caused by a misplaced endotracheal tube or LMA, running the anesthesia at needlessly deep levels or ventilator settings that were incompatible with life. Fifth, it's not uncommon for us to give each other breaks. That's a necessary part of our days so we can get more coffee, use the toilet, or stay fed. What is not acceptable is to leave a patient unattended to for 12 minutes. In closing, I will say that I'm critical even of my anesthesiologist colleagues as well, but IMHO in my experience, I've seen a difference and I'm certain that this will not be the only catastrophe of this sort, based upon what I have observed. There is a movement coming down the pipeline where the CRNA training program will be a PhD program so that they can introduce themselves to patients as "doctors" further confusing and deceiving patients.

Such a horrible case. And no amount of money will bring his quality of life back. I’m here in Texas. Baylor almost killed my daughter. Zero trust for them.

Oh wow. I always thought it was mandatory to monitor vitals while someone is in surgery/ after being given medication, etc. I can't believe someone would gamble with people's life like this. I think with that horrific quote it's for legal reasons. "Never admit responsibility" even though this case clearly speaks for itself.. super sad and preventable. He probably immigrated here for a better life and this was his outcome. Just sad

What a horrible thing that could have been prevented! My prayers go out to this man and his family.

This story is not simply about one really bad CRNA. The surgeon & the OR staff were all negligent in allowing this situation to occur. Apparently, they all kept their mouths shut about what really happened. Certainly SOMEONE SHOULD HAVE DEMANDED anesthesia coverage BEFORE the CRNA was allowed to leave the room.

Thank you so very much for providing details about this unfortunate sad outcome. From you covering this information it will help so many people as we will pass this along! Many aren’t aware that as a patient we are permitted to be fully informed prior to procedures of those who are on the team throughout caring for us and have choices as well.

I've had anesthesia many times and always had my vitals monitored. How does the hospital think this is proper Care? The staff was negligent.

As a nurse, I think the most important factor in this is integrity. Therefore I think a person should have more experience in ICU care before being eligible for for nurse anesthetist training. A provider’s integrity is tested over time. That’s the biggest benefit to the residency training for physicians-they are tested over time. I also believe the integrity of all anesthesiologists is crucial. I can’t help but think there is something fishy in this case. Corners were cut along the way for some reason. I’ve always maintained that while patients think choosing their surgeon is the most important thing, being able to choose your anesthesiologist is at least as important!

Thank you for the education for all people, this information is of paramount importance. Some patients may not be aware of questions to ask before their surgical procedure. I’m impressed you brought this to the surface. As an operating room nurse for over three decades (retired now), this and other information is overdue. Thank you for making patients safer through education.

Hey Dr. C! I am confused: Why didn't the OR RN or Surgeon not notice there was no CRNA/Anesthesiologist?

I had an outpatient procedure 6 weeks ago and asked if I could have the same anesthologist that had one year before for another outpatient procedure . I was bummed to hear the group dissolved. I really liked that anesthesiologist because I felt safe. He was very detail oriented. That CRNA changed many lives by his/ her negligence.

I've seen many cases in hospitals where precious time is lost, brain and life, not "believing" what the blood pressure or oxygen levels were. So they retest, get another monitor or machine, and the patient ends up like this out worse.

When I have had surgery the Anesthesiologist was there in the beginning and end and even checked on me in recovery. Thank goodness.

I have surgery scheduled for Monday 11/21/22. I've been through many surgeries due to a drunk driver & grateful to all the excellent care I've received. Now that I'm older, all of the sudden I am nervous about this anesthesia. Thx for helping me with a few more questions to talk to my anesthesiologist before surgery.

Patients do NOT require "brain monitoring" in the majority of general anesthesia cases. If that were the case, such monitoring would be a standard of care, and it isn't.

Didn’t even know we had an option…thank you for the insight! Missed seeing the educational videos, so this was a nice surprise!

Things in this case are just not adding up. As a former recovery RN, I've worked with some amazing CRNA's and some ding dong anesthesiologists. It was my experience that MD's were in on the more complicated cases and CRNA's on the more elective cases. Our patients also never were given the option to choose one over the other. They were always monitored and everything recorded electronically unless there was some kind of system wide EMR outage, which still happens, then it would be paper charting which the copy of was given to the recovery RN along with a report and another copy scanned into the system. Also, the pt would NEVER be left unattended. And, where was the surgeon or the surgical RN? Because when any of the vitals fall outside of set parameters, there are LOTS of alarms that go off. I feel like there is missing info. Poor patient.

Botched Spinal Anesthesia - my case - healthy 52 yr old admitted for broken femur surgery- the Anesthesiologist put my spinal in wrong location and I was awake so they weren’t monitoring me. I went into cardiac arrest and they didn’t notice until I turned blue. I arrested and they resuscitated me 3 times. I now have Action Myoclonus and it has destroyed my life.

Electronic notes are not failsafe. I’ve been in offices where the computer crashed and now everyone just stands around incapacitated. I’ve also been in a computerized hospital undergoing surgery and my file has someone else’s pre-op info on it. Very scary because I was given allergies I don’t have and the surgical team doubted what I said. I had to re-do all the blood work to re-confirm everything. Then after all the blood was drawn, just as I was about to be released to be re-scheduled; they found my actual medical file. Phew!

Good video Dr. C Valuable information

Wow, eye opening, very informative, thank you

The reason fax machines are still utilized is they are not part of Hippa compliance as telephone lines are not considered electronic transmission which is what Hippa is all about and an easy way to share patient reports quickly

Wow I’m pretty sure the whole show Dr Death showed most of his mistakes happened at Baylor Medical in Texas. Something needs to change that’s negligent for sure.

I would say in many cases patients don't know/don't ask who will be giving them anesthesia. This scares me to death. If I need to have surgery I usually pick the doctor that will provide me with the best care/outcome. Fast forward to the day of the surgery your surgeon who you picked is ready to do your surgery and in most cases, you have not met the person who will put you to sleep who is arguably the most important freaking person in the room. If you have met them it is in passing Hi I'm so and so I will be doing your case today. I might not have surgery if I can put it off but if not I pick Kristina Braly for my Doctor :)

what! no criminal charges? If this kind of negligence happed to any one other then Priests, Cops or Medicine; you bet there would be charges. When a dr murder my wife due to negligence the hospital changed her medical records too. In my case they forgot to delete the original ones. I got sh!t for my pain and lost and no one went to jail.

Had surgery for a shoulder injury at work, a 90 minute surgery had me out for almost 6 hours, I haven't been right since

I have to wonder if he had an anaphylaxis reactions to some medication. That can cause a sudden and rapid decrease in blood pressure.

Why don’t the Hospitals give us the option??? I’ve had too many surgeries n I need total knee replacement on right knee. I’ve been dealing with it. When n if I have it done, you best believe I’ll have these questions when I talk with anesthesiologist. Thank you. I love the information you pass on

I work with CRNA’s during MRI anesthesia and they watch that blood pressure like hawks!

Thank you for educating us on these medical situations. It's very important to be aware.

Scrub tech here. When we do orthopedic cases, sometimes the surgeon will ask for the BP to be artificially lowered to prevent gross blood loss. It bleeds a lot during orthopedic surgery. Some procedures are unable to use a tourniquet (I kinda wonder if this was a TFN) I wonder if this is what happened- the surgeon asked the BP to be artificially lowered and the CRNA just got careless with it. I’ve watched some anesthesiologists deny their request for patient safety. Some of them lower it a tiny bit. Just curious if this was the case…

Hi Being a RN , we only have a certified anaesthetist which by the way are called here in the UK .and is illegal for a RN to be involved with any anaesthesia.we only take over the care of the patient once he or she has regained consciousness and has been transferred to recovery .

Agree with your view on excellent care, with the staffs review on this one. Dr. Heshmatpour his credentials are impeccable. Effingham IL

I work for a //very// small long term care and rehab facility. We just changed over from paper to electronic. It was a huge shift for many of the staff who were use to the paper charts. It not just the cost of the program, and training. It is the cost of taking nurses off the floor, and any staff who work on charts. You have to pay them for training, and pay agency or other staff overtime to cover their shifts if you need to. It is so much money. Plus you have to invest in computers for people to use, and equipment to make the shift easier. We are a few months in and still hitting bumps. We are what I call the odd hybrid phase where we are 75% electronic but 25% paper on some things still. I am not surprised if some departments just aren't able to make the shift without literally pausing for a day or two just to make things smooth/safe for patient care.

Oh, to be a fly on the wall while that case was in progress. Or when the department heads got wind of it.

More videos like dizzzzz!!! Loveeeeeit!💕

You can't stop the tide. MD groups want the money CRNAs bring, hospital systems want the money they save on CRNAs.

Interesting. If I was to have surgery, I would say the same thing. I would want a board certified anesthesiologist. What about the attending surgeon. As a double board trauma cardiothoracic surgeon, I am always aware of every possible situation; including blood pressure adjustments at all times. This was a negligent surgery. Plain and simple.

My X had an anesthesia error when he had open heart surgery (at a major world class hospital) and was awake during the whole procedure. The surgeon after surgery said he didn't know when the patient (my X) would wake up because he had such a bout of high blood pressure. After 4 days when the ventilator came off, my X blurted right out - "I felt the whole thing". The nurse in attendance said... "Well, it is our word against his". What a strange reactive comment. So I asked the surgeon when he made rounds what he made of the fact my X believed he was awake - the surgeon said... well, he very well might have been - that's probably what caused his blood pressure to spike so high. My X did not want to pursue legal action because he felt his life was in the hands of this hospital for ongoing medical problems - so we didn't. I will probably always believe his was a case of the anesthesiologist either being grossly negligent or was a resident/ingern or CRNA without proper supervision. Sadly, we willl never know - but has bothered me ever since. My X has since passed away.

Yo! Why do all the malpractice cases happen at Baylor lol

You use a fax machine because it is the most secure way to send client documents. The financial industry also uses fax machines to send client documents for this very same reason. Both industries have rules requiring private client information be protected, thus we use fax machines to send documentation to avoid use of other modes such as email. The document is then scanned into a secure system for others to view.

Decades ago, at hospital I worked at, a young man undergoing cosmetic surgery suffered anxoxia resulting a vegetative state. The anesthesiologist fell asleep during the surgery and never noticed the ET had slipped and the patient was not getting oxygen.

I later went on to Med School, but started as a CRNA. My IQ is 166. The CRNA program I attended in the 70's was taught by an Anesthesiologist who felt that CRNA didactic training should be similar to M.D. as he just came from teaching Anesthesiologists. He was big into Chem, Pharm and Physiology. (the backbone of Anes.). Our hospital served mainly patients with Black Lung and Malnutrition so the most were ASA Class III+ patients with little lung capacity or health reserve. He arraigned Neuro Affiliations for us to travel to Large Univ. with Neuro programs. Our trauma experience was mostly crush injuries from Coal Mine Cave-ins. And since it was still the Hatfields and McCoys, we have more gunshot wounds than Detroit receiving (where I later worked) He made sure we were all proficient in Spinal/Epidural/Regional Blocks. We had to all become proficient with Central Line and Swanz Line Placements to keep track of Blood/Fluid replacement with wedge pressures with all the massive blood loss cases we managed. Even though outdated, he made us learn open drop ether anesthesia using gauze layers rubber banded over a stainless steel sieve like mask. Using eye signs and respirations to determine Anes. Depth. Our OR's still had carbon impregnated floors, machine tubing and tires and we wore shoe covers with a carbon strip that tucked against our skin inside our socks. To prevent static sparks that could cause explosions. The program exceeded CRNA Accreditation Standards and he was notified the he was spending too many hrs with unnecessary didactic classes. That did not stop his teaching. He had been a Missionary and made us learn to do Anesthesia with old outdated equipment in case we found ourselves in a Foreign 3rd World Country (Military etc), we could still safely adm. Anes. Just so happened that I ended up in 3 of those Countries and the MD's did not have a clue how to use the equip. I spent the first day making cheat sheets for everyone (Copper Kettle Vaporizers). And "J" tanks for O2 and N2O. No EKG Monitors and few ET tubes. I taught them how to hold a mask with their pinky finger in front of the ear to monitor the rate and quality of the pulse and the other hand on the breathing bag and constantly looking at the bleeding in the operative field to eval. SaO2. Before Med School, worked Anes. Dept Head over 17 CRNA's and 7 MDA's. Fired a few CRNA's who I felt were incompetent and worked with the MDA Group Head to get him to train his low performing MDA's They came mostly from the UofM and were big with egos and little with clinical skills that still needed developing as they were all new grads. Not suggesting this was ideal, but these high mountain probracitos would never have received needed surgical intervention. It was that or nothing. Later in Med School the only thing new to me was Virology and Embryology. (Straight A's) I became particularly proficient in Virology. Thankfully, it made me realize what a dunce Fauci is, Few know this but his training is in Allergy Medicine and NOT VIROLOGY. Since CRNA School, I spent at least 1 hr/day reading research and new techniques, and continued while in Med School. So, Dr. Cellini, I present to you it is not the title but the training and drive of the individual that makes the difference in Pt. care and Safety. And I might add that CRNA were the first formally trained Anesthesia Providers in the USA. It all started with the Mayo Brothers Clinic insisting on only using Alice McGraw to provide they Ether Anes. She ended up writing a book of Techniques of Ether Anes. and Published in the Lacet. Doctors came the world over to learn to safely administer Ether Anes. from her. Her delivery of fourteen thousand anesthetics without an anesthesia-related death established a record for the safety of the practice of anesthesia by nurses.[3] She incorporated hypnotic anesthesia and the Open Drop method in her work, needing less chemical anesthesia with both techniques which helped reduce the risk of overdose.

How do we know a blood clot didn’t get dislodged and cause the brain injury, which could have caused the hypotension

I had an anesthesiologist openly brag to me after surgery that I was not in fact allergic to a medication that I told him I was. I was dumb founded. The entire time he refused to believe that I was allergic to Zofran. After the fact, I reported his behavior to the surgery center and my surgeon. I later found out that he pushed the med with steroids and benadryl. I have since (accidentally) been given it again and the nurse and surgeon watched as the hives spread up my arm. I now yell every anesthesiologist, that I am highly allergic, received the medication 3 times after knowingly reporting it as an allergy and now my anesthesiologists tell me they remove it from the room to ease my mind. I'm tempted to write it on my forehead now!

My question is, did she administer the medications before or after her 12 minute absence?

I came out of a hysterectomy surgery convulsing but aware......been left with Temporal Lobe Epilepsy from this.

I'm going to have a minor outpatient procedure this week a colonoscopy plus a minor surgery under general anesthesia for the first time now I'm scared to death

I live in area where several Baylor Hospitals. My friends and I all have had complications. My complications were serious with mistakes. I now use Seton.

Could it have been a pulmonary embolism, and cardiovascular collapse considering its a lower extremity fracture?

Because of poor oxygen blood flow, can a person end up with hydrocephalus? Also, if I was poorly positioned, can one have ulnar nerve damage? in the supine position

Love these suing cases playlist

I had 2 surgeries in 24 hours. Scary to have to go under twice back-to-back.

also interesting to know the total # of malpractice cases and awards by both physician anesthiology and crna's as well as what % of each gets sued.

This is gold!!!

Hmmm, I wonder if there were other doctors and nurses in that particular surgery. They all were covering up something?

Managed to get out of Venezuela to live in a better placer and then this happens to him. Really sad

What about the ET tube? Dislodged? Then drop bp?

Which Baylor hospital? I think there are 51 of them in Texas. My Baylor hospital uses electronic medical records (EPIC).

A similar situation... Caused great difficulties

I work at a level 1 trauma center with 1300 beds and anesthesia uses paper chart now that I see your video I understand why the use paper charts to hide vitals

Dr. Should Hospital in ICU train students to take care patients without supervision?

I was at a hospital a few weeks ago and the anaesthetist was drawing graphs by hand

I am in nursing school for my BSN. And all three hospitals that I work in use electronic charting exclusively. I would decline employment from any nursing facility that uses paper charts.

The institutions and nursing organizations are much more powerful than most people realize. $$$$ drives a lot of things. Many states, because of nursing lobbying, allow CRNAs to operate independently, and without any physician supervision. I do not think that is wise.

Where does anesthesia come from?

I work for 2 hospital systems in TX - Ascension and Baylor Scott & White. I have worked in PACU for over 7 years and the patient is always brought to the recovery room by the CRNA or AA (anesthesiologist assistant) and OR nurse. I don’t believe the patients are given a choice about what type of provider they get. It just is what it is. I’ve never heard of a patient demanding that only an anesthesiologist take care of their anesthesia needs, but it’s probably happened.

It is malpractice if a CRNA or anesthesiologist left the OR with an anesthetized patient without another replacing them. I doubt that happened.

Was Dr. Ortiz the supervising anesthesiologist? It would explain a lot. Baylor hospital in Texas? Sounds familiar somehow...

I’m in TX and Baylor uses EPIC so that’s odd.

Thanks for the insightful and rational discussion of this case. I'm in medical school now but before this, I was an RN who considered the CRNA route. It just did not sit right with me that they perform the job of a board-certified anesthesiologist with so much less training so I decided to go to med school instead. A BSN and having ICU experience are nothing close to physician training. The balance of implementing mid-level providers is tricky and it's unfortunate patient safety is at risk. Of course many other factors involved but that's my 2 cents.

Multiple outcome studies demonstrate that for routine and lower risk surgeries, there is absolutely no difference btw CRNAs and anesthesiologists. Clearly, in this case, the CRNA should have contacted the attending ASAP after hypotension developed.

There seems to be lot of missing information in this case.. Q1. How did the BP fell ? Was it due to effect of Anaesthesia drugs or due to the uncontrolled surgical bleeding or due to inability of the lone nurse Anesthetist to quickly provide lot of fluids, blood and BP raising medications all at the same time, in sufficient amount and quickly, so that the BP could have been maintained. Q2. Where that CRNA had gone for 12 mins ? Was it for a break ? or was it for calling help or arranging resuscitative equipment? I have seen leg surgeries. Sometimes they bleed like hell. And even if it is a small surgery , one has to be fully prepared for the worst. All iv lines, fluids, drugs, blood bags and other equipment for resuscitation as well as extra human help should be available before starting the case. If it goes alright, then its fine, but in 1out of 1000 cases, things can go south. And when it starts slipping, then it is impossible to control. It takes lot of experience of thousands of cases to handle such situations. I fully empathize with the patient, but it is not clear with the information given, that was it due to negligence or was the situation too difficult to handle..

I Thank God that when I broke (compound) my leg I live just a 15 minute ambulance ride to North Carolina's premier Medical school. I was introduced to my anesthesiologist prior to surgery and he was introduced as "doctor". Of course I have no idea if he was the only one during my 4 hour surgery. All I know is that my leg was saved and my brain still seems intact 🙂. However, when we lived in a different city, my neighbor was an anesthesiologist at our local hospital. He was supervising the CRNA for a patient undergoing knee surgery. The patient died for lack of oxygen. The jury trial determined that the MD was at fault because even though the CRNA inserted the tube, the Anestestiologist approved the placement. Tragic.

How truly devastating!!!! THIS is why there is SO much redundancy built into Healthcare!!!!!!! So cases such as this didn't happen! I'm truly surprised bcuz Baylor is normally SUCH a good hospital

After surgery I woke up with retinopathy in my left eye. Much later, after eye exams and tests, I realized it was from BP drop during my surgery. Of course there are never any notes about this so there is no way to prove it. If I had asked the doc while I was in the hospital I am sure I would have gotten something close to the truth. But now I realize that I was lucky it was not worse. I have had many surgeries since then and when I go in, I always ask who's there, did they get enough sleep the night before, etc...

I thought there was a cap on malpractice damages of $250k in Texas?

One of our anesthesiologists was adamant against electronic records. If the BP machine was to malfunction for example it might show a normal reading one minute, something else. Nothing wrong with the BP, but if it’s on the electronic record; Potential malpractice 8:15

It’s crazy to me you had to show a picture of a pager haha

On the last video I was in disagreement with your views. But, in this, I am in total agreement. And, living in Texas, you have opened my eyes on a very serious subject that affects me. Thank you, Sir

Did I hear him say at 7:46 that “CRNA’s are doing that”: go a block to get coffee? Putting other professionals down 😮😱🙄

Lol, ‘THE BALOR" medical center. 98% of hospitals in the United States have some sort of EHR. Now, 94% have implemented CPOE (computer practitioner order entry). Very very few hospitals have no EHR.

I just had 2 surgeries in 5 days. Uterine uneventful @ local hospital, with Certified Nurse Anesthetist, under Anesthesiologist no problems. Removal of Submandibular gland @ major Cancer Center more challenging. Certified Nurse looked like Tammy Faye Baker. Extremely Long curled eye lashes, make up…Anesthesiologist himself very competent appearing. As a retired RN, I was upset @ nurse anesthetist appearance/ demeanor. As she had very small eyes. I wondered as I looked up how she could see, as I was being sedated. I awoke with an Arterial line in foot & several spiked BP readings, last one 232/112? I have no history of HTN. I do have mild Cor Pulmonale. Jeanne

you kno what's even scarier, patients that are sedated 24/7 on ventilators in the ICU with only nurses monitoring the patients (there is no anesthesiologist or even CRNA present monitoring that sedation that is going 24 hours/day). it's just a person with the training of a nurse (which im not discrediting nurses but that's not a huge amount of training even with ICU experience). and each nurse has 2-3 patients they're taking care of at once. a blood pressure can drop at any point and there isn't always someone right there watching the patient's vitals 24/7. the nurse could be in another patient's room or on a lunch break. and when nurses take a break, that means another is nurse is covering that nurse's patients as well as their own patients since most hospitals don't have break nurses to do the lunch breaks. that is not close monitoring whatsoever for a patient that is in an incredibly critical and vulnerable state. there is a charge nurse in the ICU but they're not straight up sitting there staring at every single patient's vitals 24/7 and a lot of times they are away from the nurses station in one patient's room at a time. the patients are always "under" a nurse's care all the time but there is no dedicated person that is giving attention to all the sedated patients 100% of the time

CRNA vs MDA aside....this is a case of negligence versus training which happens with MDs as well. Protocol was not followed and they left the room for a period of time. He was too complacent.

Excellent discussion. Spot on Dr. Cellini.

Why do CRNA’s even exist? You know, when properly trained Anesthesiologists are out there (I’m a foreigner so I just don’t get it)

I found this a very scary topic, thinking of past surgeries and hopefully no future ones.

You need to be able to continue treating patients in the event of a power outage or your computer malfunctions, able to write it out.

All these California people moving to Texas for lower taxes and housing prices should see this video. Nurses allowed to function as doctors in operating rooms with patients on breathing machines? Really? Of all the things to substitute a nurse for a specialist doctor they pick that? I've also heard there are also no state inspections of elevators in Texas. You get what you pay for.

You can be sure CEO pay is quick to change and only up!

Patients should be fully informed whether an anesthesiologist or CRNA will be doing the anesthesia.

I have had 2 nurse anesthetists. No issue. Now MDs use CRNA. They pay the CRNA a small amount in salary. The MDs get the big bucks. Pure greed

i don't doubt that there is a high level of training that goes into CRNA programs but i still don't trust it 100% with my own life on the line. there's still a significant difference between people that had to through all the training of becoming a doctor to that of a nurse. i kno CRNA programs are competitive and intense but at the end of the day it's still a nurse. and i also think about the fact that CRNA schools are pulling from a pool of people that wanted to be nurses whereas an anesthesiology residency is pulling from a pool of doctors. it's just not the same even tho both end up with the same position (as far as what they're allowed to do in the job). im sure there are many nurses out there that are smart enough to have become doctors but not all of them are on that level. at the end of the day, if im on the operating table unconscious, i'd definitely want an anesthesiologist over a CRNA if i knew nothing of their experience, negative patient outcomes, near misses, patient death statistics, etc.

2024 and we still shuffle a lot of paper.. and our PACS system is at least 20 years old!! We still have to burn CDs!! Who has CD drives in their computers?? The scheduling system is well over 20 years old. We have to SCAN our hand written documents. It's crazy.

Everyone on his care is responsible. Because no one notice his BP was going down ? No one question why wasn’t his brain being monitored? Like unless you’re new at that hospital I’m sure there is a routine. No matter who it is you have to call out any negligence you see doesn’t matter if is a higher up.

Baylor owns all of TX health care. I had 3 surgeries with similar complications and make sure to talk to anesthesia before. How can one leave for 12 min. and have it be legit. Baylor just closed 6 hospitals in Dallas because a nurse killed babies in ICU. Baylor is all learning hospitals which means a resident could have been doing the surgery with a supervisor. They suck.