AnesthesiologyHigh-CatastrophePlaintiff-side

Built for the anoxic-brain / awareness / LAST case.
AI deposition trainer with ASA standards depth.

Anesthesia cases have a uniquely high catastrophic-outcome ratio — death, anoxic brain injury, intraoperative awareness with PTSD. The patient is sedated and can't self-report. The ASA Standards for Basic Anesthetic Monitoring, the 2022 ASA Difficult Airway Guideline, and the ASRA LAST Checklist define the floor. Generic AI doesn't run that floor. This one does.

Try the 2-min anesthesia demo → All specialties
10
Anesthesia failure modes
3
ASA / ASRA guidelines cited
4
severity-10 catastrophic-outcome modes

Why an anesthesia-specific trainer matters

Anesthesia is the specialty where the chart's documentation almost is the case. The ASA monitoring standards specify what continuous monitoring must be done; the chart either reflects compliance or it doesn't. The 2022 ASA Difficult Airway Guideline requires a documented backup plan for predicted difficult airways; the chart either contains it or it doesn't. The ASRA LAST checklist requires immediate lipid emulsion in the room for any regional block; the chart either shows the lipid was given within seconds or it doesn't. Cross-exam locks the witness into the published standard and walks through the chart.

The 10 failure modes

Sev 10

Difficult airway — no documented backup plan

2022 ASA Difficult Airway Guideline requires written backup plan (LMA, fiberoptic, awake intubation, surgical airway) for predicted difficult airways. Absent from chart.

Sev 10

Capnography not used in deep sedation

ASA monitoring standards require continuous ETCO2 in moderate and deep sedation. Chart shows pulse-ox only.

Sev 10

LAST event — lipid rescue delay

Local anesthetic systemic toxicity from regional block; lipid emulsion not given immediately per ASRA Checklist.

Sev 9

Intraop awareness — no depth-of-anesthesia monitoring

BIS or equivalent not used or charted abnormal; patient reports awareness with recall.

Sev 9

Regional block — wrong site / no time-out

Block performed on wrong side or wrong nerve distribution; Universal Protocol time-out skipped or abbreviated.

Sev 9

Aspiration — RSI not performed

Patient with documented aspiration risk (full stomach, GERD, pregnant) received standard induction instead of rapid-sequence intubation.

Sev 9

Medication-error event

Wrong drug, wrong dose, wrong route; documentation gaps on syringe labeling or double-check procedures.

Sev 8

Peripheral nerve injury from positioning

Ulnar, brachial, common peroneal nerve injury from positioning; chart doesn't document protective padding or position checks.

Sev 8

Premature extubation — postop hypoxia

Extubation criteria (TOF, sustained head lift, adequate TV) not documented; patient desats in PACU requiring reintubation.

Sev 7

PACU handoff — no documented brief

SBAR-type handoff to PACU nurse missing or inadequate; postop event not communicated.

The signature impeachment trap

"Clinical monitoring" vs ASA monitoring standards

Lock the witness into "I was monitoring clinically" framing, then juxtapose against the ASA Standards for Basic Anesthetic Monitoring which the deponent admits is the standard of care.

"You were monitoring the patient continuously?" → "Yes."
"The ASA Standards for Basic Anesthetic Monitoring require continuous capnography during moderate and deep sedation?" → "Yes."
"Your chart for this case does not contain a continuous capnography trace, does it?"

Why this lands: the witness has framed clinical attention as an alternative to the documented monitoring the standards require. The standards exist because clinical gestalt produces measurable false-negatives in detecting hypoventilation.

The 3 cited guidelines

ASA Standards for Basic Anesthetic MonitoringContinuous O2, ventilation, circulation, temperature; capnography mandatory for moderate/deep sedation. Foundational floor for every anesthesia case.
ASA Practice Guidelines for Management of the Difficult Airway (2022)Documented backup plan canon. The "no plan B" failure mode. Required for any predicted difficult airway.
ASRA Checklist for Local Anesthetic Systemic ToxicityImmediate lipid emulsion for LAST; in-room availability standard. Failure to have lipid in the room is its own count.

FAQ

How is this different from generic AI deposition tools?

The trainer loads the anesthesia pack as soon as you tag the case. The AI examiner runs the ASA monitoring drilldown, the difficult-airway backup-plan trap, the LAST lipid-rescue timing analysis, and recognizes anesthesia-specific terms (capnography, ETCO2, BIS, TOF, LAST, lipid emulsion, intralipid, RSI, succinylcholine, rocuronium, ASA monitoring standards, Mallampati, LEMON, plan B/C/D airway).

Does it work for defense expert prep too?

Yes. Flip to expert-prep mode and the AI runs as hostile plaintiff counsel against your defense anesthesiologist. Same 10 failure modes surface vulnerabilities pre-depo so you patch them.

What case types should I bring to it?

Difficult-airway anoxic-brain injury or death, intraop awareness with recall (PTSD damages), LAST event with lipid-rescue delay, regional block on wrong site, aspiration pneumonitis after non-RSI induction, peripheral nerve injury from positioning, medication-error event, postop respiratory depression after premature extubation.

Pricing?

Bundled in MedLegal AI Pro ($49/mo) for 1 user, Professional ($249/mo) for 5 users, or Firm ($499/mo) for 20 users. Free 14-day trial, no credit card. Pay-per-analysis $19/run.

Start with the 2-minute anesthesia demo

No signup, no mic. The cross-exam architecture transfers to anesthesia — lock witness into ASA standard, walk the chart.

Run the 2-min demo → Start free 14-day trial

Deposing an anesthesiology expert on the other side? See questions to ask an anesthesiology expert witness at deposition.