Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
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.
Drasner K. A Patient Dissatisfied With Her Care. JAMA. 2001;286(11):1311-1315. doi:10.1001/jama.286.11.1311