title: Loss prevention case of the month. Surgeon or system--malpractice.
authors.affiliation: Loss Prevention Committee, State Volunteer Mutual Insurance Company, Brentwood.
authors.forename: J K
authors.initials: JK
authors.lastname: Avery
mesh_terms: D001784:Blood Gas Analysis; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008318:Malpractice; D008875:Middle Aged; D016343:Monitoring, Intraoperative