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September 19, 2001

A Patient Dissatisfied With Her Care

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;286(11):1311-1315. doi:10.1001/jama.286.11.1311

To the Editor: A Clinical Crossroads article1 describes a woman who was dissatisfied with the medical care she received during and after her outpatient surgery. In her discussion, Dr Daley criticized the use of spinal bupivacaine instead of lidocaine, which caused the patient to experience several additional hours of unexpected anesthesia. Daley speculates that this choice was based on the anesthetic's duration of action. In an accompanying Editorial, Dr Eisenberg2 accuses the anesthesiologist of violating "the elementary norms of ethical behavior."

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