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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: In a Clinical Crossroads article,1 Ms G notes that she agreed to receive a short-acting anesthetic agent (lidocaine) preoperatively. However, without discussion, a different anesthesiologist administered a longer-acting anesthetic (bupivacaine). Ms G was dismayed to have been given a drug she had not agreed to, and comments that "there was absolutely no reason to change to bupivacaine." Her dissatisfaction with this aspect of her care thus has 2 components: the change in plan and the failure to communicate this change.

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