ASC Laparoscopy - Loss of Fertility and Alleged Juror Racial Favoritism

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A 29-year-old woman presented to an IVF clinic after 2 years of infertility.

She was found to have bilateral hydrosalpinx, and it was recommended to remove her fallopian tubes to improve her chance of carrying a fetus to term.

The following was performed at an ASC.

She arrived to PACU at 3:30pm with a blood pressure of 114/74 and a heart rate of 82bpm.

Anesthesiologist Dr. D did her case and signed out to anesthesiologist Dr. G at 5:30pm

During her PACU course she became hypotensive and less rousable.

• 3:35pm Zofran given

• 3:45pm Celebrex PO given

• 4:10pm BP 87/43 - Dilaudid 0.25mg given

• 5:10pm BP 80/40 - fluid bolus ordered

• 5:30pm BP 94/48 HR 68

• 6:30pm BP 84/63 HR 77 - patient unable to ambulate - lap sites stained red, abdomen felt to be distended - surgeon called

• 7:30pm surgeon arrives - transfer arranged to hospital

At the main hospital she went immediately to the OR where hemoperitoneum was found without an obvious source.

As a result of her surgeries she developed severe vaginal prolapse and chronic pain.

She underwent a hysterectomy because of this. She did not conceive a child.

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The patient’s aunt was an ICU RN and her sister a pharmacist.

They were both in PACU and were extremely dissatisfied with the care received.

The anesthesiologist who performed the case (Dr. D) heard about the events and went to see the patient in the hospital. She had a discussion with the family and wrote an email to the second anesthesiologist (Dr. G) which is what was referenced in the above affidavit.

Here is the email:

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