看板 medstudent 關於我們 聯絡資訊
關鍵字 NG(stylet) -> pneumothorax -> died A 92-year-old woman was admitted to the hospital with a severe left-sided ischemic stroke causing altered mental status (i.e.,a score of 9 on the Glasgow Coma Scale, on which scores range from 3 to 15, with higher scores indicating increased consciousness), weakness on the right side, and dysphagia. An initial attempt to insert a small-caliber nasogastric tube for feeding was unsuccessful, with coiling of the tube in the mouth. A subsequent attempt with a stiff stylet resulted in easy insertion, without cough or respiratory distress. While awaiting radiography to confirm positioning of the tube, the patient had shortness of breath and was found to have decreased air movement in the right lung. Chest radiography revealed the tip of the nasogastric tube lying in the pleural space in the presence of a large pneumothorax on the right side (arrow). The nasogastric tube was removed immediately, but the patient died before further intervention. Though nasogastric tubes are generally considered safe, there is a risk of substantial pulmonary complications from blind insertion of small-caliber nasogastric tubes with a stiff stylet, particularly in patients with a reduced Glasgow Coma Scale score. 這在台灣不知道要賠多少,七位數? 搞不好還要進去關幾個月 還是說會在路上被人找黑道亂棒打死.... -- ※ 發信站: 批踢踢實業坊(ptt.cc) ◆ From: 221.120.64.216
daze:92歲應該只能請求精神賠償吧,一人十萬到三十萬左右。 12/01 22:54
daze:另外喪葬費有的沒的加一加,頂多勉強上七位數吧。 12/01 22:56
daze:醫死壯年人才會有一堆有的沒的扶養費之類的。 12/01 22:57
daze:至於會不會進去關幾個月就難說了。 12/01 22:57
CKun:在台灣鐵定是業務過失致死,刑事民事雙賠! 12/01 23:06
CKun:看有幾個直系親屬吧,有看過好幾份判決書是賠給六個以上的家屬 12/01 23:07
tkr:一定民刑事全輸進去關的啦 還用想嗎 12/01 23:10
tkr:NG沒有同意書 保證完蛋的 NG每次上法院都是全輸的.... 12/01 23:10
dammm:NG插不進去沒膽用stylet +1 12/02 07:01
yamatai:NG 用 stylet? 這哪招? 12/02 22:11
yamatai:把NG沖水拿去冰凍就變硬了阿,不過病人可能鼻腔會有凍傷XD 12/02 22:12
pluseeman:所以NG最危險了 12/03 00:21
CKun:GI有NG專用stylet, 軟頭的超細guidewire 12/03 03:44
CDRW:這可是刊在NEJM上, 台灣的話應該是上蘋果社會版 12/07 19:12