Mechanism of Malpractice

A clinical analysis of anesthetic pharmacology and medicolegal case law, written for those wanting to learn more about modern anesthesia. This site documents the intersection of biochemical mechanisms and litigation, exploring the failures that define best practice.

Bite Sized Concepts

Focused breakdowns of core anesthesia principles — monitoring indices, PK/PD fundamentals, and physiological ratios that form the mechanistic backbone of clinical practice.

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Case Law Index

Structured analysis of anesthesia malpractice litigation — identifying failure points, standard-of-care deviations, and expert testimony patterns that shape how the specialty defines duty and breach.

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Drug Spotlight

Mechanistic deep dives into anesthetic agents — receptor pharmacodynamics, pharmacokinetic profiles, hepatic metabolism, and the clinical margins that separate therapeutic effect from adverse outcome.

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The Mission

Learn more about the goals of the website and its founder.

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Latest:

  • AA and Informed Consent

    by

    Bryan Rogers
    in

    The Right to Know Who Puts You Under A Case Analysis of Informed Consent Failure, Supervision Ratio Negligence, and the Anesthesia Care Team Model Case…

  • Bennie Moore

    by

    Bryan Rogers
    in

    Hypoxic Brain Injury During Sedation A Case Analysis of MAC Monitoring Failure in a High Risk Patient Case Law Index  ·  MAC Failure  ·  Airway…

  • Bispectral Index (BIS): Monitoring the Brain Under Anesthesia

    by

    Bryan Rogers
    in ,

    Bispectral Index (BIS): Monitoring the Brain Under Anesthesia EEG Signal Processing, Spectral Analysis, and the 0–100 Scale as a Proxy for Hypnotic Depth M&I  · …

  • Maria Ocasio

    by

    Bryan Rogers
    in

    Cardiorespiratory Collapse During Routine Endoscopy A Case Analysis of Monitoring Failure and Delayed Resuscitation During Propofol Sedation Case Law Index  ·  Monitoring Failure  ·  Resuscitation…

  • On the Autonomy of Anesthetist

    by

    Bryan Rogers
    in

    On the Autonomy of Anesthetist A Legal Doctrine Analysis of Supervised Provider Liability and the Fall of Byrd Doctrine Case Law Index  ·  Anesthetist Liability…

  • Propofol

    by

    Bryan Rogers
    in

    Propofol The Milk of Amnesia Drug Spotlight  ·  IV Anesthetic  ·  GABA Modulator TL;DR Propofol is the white, milky-looking IV drug you’ve probably seen in…

  • Rocuronium

    by

    Bryan Rogers
    in

    Rocuronium Stay Still Drug Spotlight  ·  Neuromuscular Blocker  ·  nAChR Antagonist TL;DR Rocuronium is the drug that makes intubation possible — it temporarily paralyzes every…

  • Sugammadex

    by

    Bryan Rogers
    in

    Sugammadex The Reversal Agent Drug Spotlight  ·  Neuromuscular Reversal   TL;DR Sugammadex is a modified sugar molecule shaped like a hollow ring that works by…