Medical Research in the USA (for a medical malpractice case)
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Post a project like this1122
$200
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- Proposals: 9
- Remote
- #3168541
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Senior Medical Writer/ Senior Medical Scribe / Medical Record Reviewer / Medical Transcriptionist
New Castle
Medical Doctor / Medical Writer / Health & Wellness Writer /Clinical Writer/ Health Content Writer
Stoke-on-Trent
1873322683731583675233869140670254906035511069151637445359580
Description
Experience Level: Expert
Hello!
I am looking for a medical researcher.
I went in for eye surgery and ended up with 4 life threatening leg surgeries. I've got proof the anesthesiologist, the MD on staff (through admittance of her own notes), and the Harvard Park Surgery Center caused an injury during my anesthesia / response to emergence delirium, which led to compartment syndrome and a fasciotomy.
I need someone to do research to find more examples of anesthesiologists performing the right response, like the following case examples:
Case Example 1
Clinical scenario
A 4-year-old 18-kg boy presents for a tonsillectomy. He is an only child, raised at home, and the parents are extremely anxious. As the anesthesiologist introduces herself to the family and discusses the patient’s medical history and the plan of anesthetic care, the child is becoming agitated and uncooperative. The anesthesiologist prepares midazolam 8 mg in a sip of clear syrup, and the parents coax the child to drink it.
The anesthesia team proceeds to perform inhalation induction with sevoflurane in the specialized induction room, while the parent holds the crying child. After induction, the child is moved to the operating room (OR). The anesthesiologist proceeds with general anesthesia with sevoflurane and administers IV dexamethasone, acetaminophen, fentanyl, and ondansetron. The case proceeds smoothly, and the child is extubated and promptly transferred to the PACU.
On arrival in the PACU, the child starts crying inconsolably. He is not making eye contact or focusing at all and is kicking and moving purposelessly, with resultant disconnection of the monitors and the supplemental oxygen. He is observed to cough up a small amount of blood-tinged secretions.
Resolution
The anesthesiologist promptly administered 10 mg of IV propofol and 15 μg of IV fentanyl. The child became sleepy, and the nurse was able to place him on his side and replace the monitors and blow-by oxygen. A call was placed to the waiting area to bring the parent to the bedside. While being held by the parent, the child slowly woke up with a small cry, but he was calmed down by the parent, and recovery then proceeded uneventfully. The patient was discharged home when he met the discharge criteria.
Case Example 2
Clinical scenario
A 26-year-old 73-kg man, who has recently returned from overseas military service with multiple injuries sustained in a military operation, presents for exploratory laparotomy and reversal of a colostomy. He states that he has been under a significant amount of stress and has been experiencing persistent debilitating pain. He also reports that he has undergone two surgical procedures in the field hospital and that after both of them, he woke up from anesthesia with agitation and hallucinations. During one of these episodes, he accidentally removed his urinary catheter.
Resolution
The anesthesiologist administered gabapentin 300 mg orally with a sip of water in the preoperative area. In the OR, the monitors were placed and IV induction performed with propofol 2 mg/kg and a muscle relaxant. Total IV anesthesia was initiated with infusion of propofol 200 μg/kg/min and dexmedetomidine 0.2 μg/kg/min, along with intermittent IV doses of fentanyl. Dexamethasone and IV acetaminophen were administered intraoperatively, and at the end of the procedure, ondansetron and fentanyl bolus were given.
After the extubation criteria were met, the endotracheal tube was successfully removed and the patient transferred to the stretcher. During transport to the PACU, the patient became slightly agitated and started attempting to remove his gown. The anesthesiologist reoriented the patient verbally and, after inquiring about the patient’s level of pain, administered an additional 75-μg dose of fentanyl. The patient was admitted to the PACU and completed his recovery uneventfully.
.........................................
I'm looking for more cases like this, any year and anywhere (in the USA, or world if you find them), so I can make my case against their standard of care, better than I already have.
I am looking for a medical researcher.
I went in for eye surgery and ended up with 4 life threatening leg surgeries. I've got proof the anesthesiologist, the MD on staff (through admittance of her own notes), and the Harvard Park Surgery Center caused an injury during my anesthesia / response to emergence delirium, which led to compartment syndrome and a fasciotomy.
I need someone to do research to find more examples of anesthesiologists performing the right response, like the following case examples:
Case Example 1
Clinical scenario
A 4-year-old 18-kg boy presents for a tonsillectomy. He is an only child, raised at home, and the parents are extremely anxious. As the anesthesiologist introduces herself to the family and discusses the patient’s medical history and the plan of anesthetic care, the child is becoming agitated and uncooperative. The anesthesiologist prepares midazolam 8 mg in a sip of clear syrup, and the parents coax the child to drink it.
The anesthesia team proceeds to perform inhalation induction with sevoflurane in the specialized induction room, while the parent holds the crying child. After induction, the child is moved to the operating room (OR). The anesthesiologist proceeds with general anesthesia with sevoflurane and administers IV dexamethasone, acetaminophen, fentanyl, and ondansetron. The case proceeds smoothly, and the child is extubated and promptly transferred to the PACU.
On arrival in the PACU, the child starts crying inconsolably. He is not making eye contact or focusing at all and is kicking and moving purposelessly, with resultant disconnection of the monitors and the supplemental oxygen. He is observed to cough up a small amount of blood-tinged secretions.
Resolution
The anesthesiologist promptly administered 10 mg of IV propofol and 15 μg of IV fentanyl. The child became sleepy, and the nurse was able to place him on his side and replace the monitors and blow-by oxygen. A call was placed to the waiting area to bring the parent to the bedside. While being held by the parent, the child slowly woke up with a small cry, but he was calmed down by the parent, and recovery then proceeded uneventfully. The patient was discharged home when he met the discharge criteria.
Case Example 2
Clinical scenario
A 26-year-old 73-kg man, who has recently returned from overseas military service with multiple injuries sustained in a military operation, presents for exploratory laparotomy and reversal of a colostomy. He states that he has been under a significant amount of stress and has been experiencing persistent debilitating pain. He also reports that he has undergone two surgical procedures in the field hospital and that after both of them, he woke up from anesthesia with agitation and hallucinations. During one of these episodes, he accidentally removed his urinary catheter.
Resolution
The anesthesiologist administered gabapentin 300 mg orally with a sip of water in the preoperative area. In the OR, the monitors were placed and IV induction performed with propofol 2 mg/kg and a muscle relaxant. Total IV anesthesia was initiated with infusion of propofol 200 μg/kg/min and dexmedetomidine 0.2 μg/kg/min, along with intermittent IV doses of fentanyl. Dexamethasone and IV acetaminophen were administered intraoperatively, and at the end of the procedure, ondansetron and fentanyl bolus were given.
After the extubation criteria were met, the endotracheal tube was successfully removed and the patient transferred to the stretcher. During transport to the PACU, the patient became slightly agitated and started attempting to remove his gown. The anesthesiologist reoriented the patient verbally and, after inquiring about the patient’s level of pain, administered an additional 75-μg dose of fentanyl. The patient was admitted to the PACU and completed his recovery uneventfully.
.........................................
I'm looking for more cases like this, any year and anywhere (in the USA, or world if you find them), so I can make my case against their standard of care, better than I already have.
Projects Completed
85
Freelancers worked with
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Projects awarded
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Last project
4 Apr 2024
United States
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Sorry Sir, but I will like to ask exactly what is your case? Perhaps if you can present your case in details such that the focus of the research is clear? Thanks, Dr. Yong
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