Apollo Hospital, surgeon, anaesthetist held liable for patient death post spinal surgery, slapped Rs 30 Lakh compensation

The patient died during the pendency of the complaint in April 2017.

Noting the sequence of events, the commission said the patient failed to regain consciousness after the surgery after being extubated (removal of the tube which helps a patient breathe during surgery).

Also Read: Alleged Medical Negligence Leading To Death: 4 Apollo Doctors Arrested Under IPC 304A

BNN reports that the patient's surgery led to unintended consequences when he failed to regain consciousness, attributed to a delay in medical response post-operation. The NCDRC pinpointed the failure to promptly reintubate the patient as a critical lapse in care. This inaction, over a span of five hours, was deemed "in all probability fatal" by the commission. The accountability was extended to both the anaesthetist, for not acting swiftly and the consulting spine surgeon for not ensuring his advice was followed, marking a clear instance of negligence.

The Commission said the advice for reintubating the patient, which was given at 4 pm on the same day, was not followed promptly.

“It is not understood as to why the anaesthetist did not attempt this and instead opted to wait for the CT scan,” the commission said, adding “There is no evidence of any active role being performed till 9 pm with no plausible explanation as to why the patient was left without intubation.”

In its order dated February 26, the NCDRC said the waiting period of around five hours, despite the advice of reintubation, was “in all probability fatal for the patient”.

The commission noted that there was “a clear negligent conduct” by the anaesthetist and other hospital staff who were attending to the patient.

It said the hospital staff responded only when the patient slipped into complete coma. The commission said;

“The surgeon has also not come forward to offer any plausible explanation as to why his own advice for reintubation was not followed or pursued by him when the patient was unresponsive and remained unconscious.”