The patient died the following day and his chances of survival may have been further lowered by the doctor's delay in recognising the changes in the patient’s vital signs, says the disciplinary tribunal.
SINGAPORE: For leaving an operating theatre several times to speak on his mobile phone, an anaesthetist has been suspended for two-and-a-half years by a Singapore Medical Council disciplinary tribunal.
The grounds of the tribunal's decision were made public on Tuesday after the hearings in October and November last year.On Sep 1, 2016, the 64-year-old patient underwent an open reduction internal fixation bone cement right femur surgery at Gleneagles Hospital, where Dr Islam was the patient’s only attending anaesthetist for the operation.
“A responsible and competent anaesthetist is required to be constantly physically present by the patient’s side to closely monitor a patient at all times during an operation,” stated the tribunal. “But the relevant benchmark standard required him to have been constantly physically present by the patient’s side to closely monitor the patient at all times during the operation,” said the disciplinary tribunal.
During the operation, an alarm went off and both the patient’s blood oxygen levels and pulse reading became unreadable. The electrocardiogram monitor continued to show readings, while no blood oxygen level could be obtained even after using an ear probe.Closed-circuit television recordings showed that the anaesthetist was in the corridor when blood products were brought into the operating theatre.
The patient suffered from cardiac arrest in the operating theatre but was resuscitated by a team of doctors, including Dr Islam. The patient was then sent to the intensive care unit to recover before he died the next day. However, they were concerned that he left a high-risk patient undergoing high-risk surgery, under the care of the AU nurse and it did not appear to be clear - even from the anaesthetist's own evidence - that he had informed the AU nurse on every occasion.
When a patient is under general anaesthesia, the patient’s basic bodily functions such as breathing, are largely dependent on the anaesthetist, the council added.
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