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 (SMC) disciplinary tribunal.
Dr Islam Md Towfique pleaded guilty to a charge of professional misconduct over a procedure in 2016 in which an elderly man, considered a"high anaesthetic risk patient", underwent surgery.
The patient was considered a high anaesthetic risk as he was elderly, obese, and had significant co-morbidity of ischaemic heart diseases. He had a coronary stent and was taking cardiac and anti-lipid medication.The operation, which lasted about two-and-a-half hours, was a “high-risk surgery”, said the tribunal.
The operating theatre has two sets of intervening doors - one set leads to an induction room, while the other leads to the corridor. The tribunal added that Dr Islam had left the operating theatre several times during the operation without briefing the AU nurse - the nurse from the hospital’s anaesthetic unit assisting the operation - as to what she should do in his absence.
“As a result of the respondent's absences from the operating theatre when the operation was being performed on the patient, he failed to detect, recognise and/or closely monitor the changes in the patient’s vital signs and failed to initiate early supportive and resuscitative treatments when the patient suffered from intraoperative acute pulmonary embolism,” said the tribunal.
A postmortem report found the cause of death to be pulmonary thromboembolism, a blockage of blood supply to the lungs. While the tribunal accepted that there was no delay in the blood transfusion to the patient, it was concerned that Dr Islam was giving instructions from the induction room when there was a"massive blood transfusion" to be carried out.
It said Dr Islam demonstrated a"reckless or wilful disregard for the patient’s welfare and interest in leaving the patient’s side repeatedly, despite knowing that it was a high-risk operation on a high-risk patient, whose parameters were deteriorating".Dr Islam submitted that only slight harm was caused, as his misconduct caused"little to no direct harm to the patient".
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