Michael and Another v Linksfield Park Clinic (Pty) Ltd and Another (1) (361/98) [2001] ZASCA 12; [2002] 1 All SA 384 (A); 2001 (3) SA 1188 (SCA) (13 March 2001)
The Supreme Court of Appeal found, on the probabilities, that the cardiac arrest suffered by the patient was caused by cocaine toxicity alone, not by propranolol or a combination of both. The quantity of cocaine used was within accepted safe limits and its use was standard practice for the procedure. The anaesthetist's diagnosis and management, including the administration of propranolol, were reasonable and not negligent. The evidence did not establish that the clinic's defibrillator was defective or that ignorance of its operation caused a material delay in resuscitation. Although both the anaesthetist and the nurse were found to be ignorant of the defibrillator's features, this was not...
- Citation
- [2001] ZASCA 12
- Parties
- Appellant: Leonidas Souzou Michael; Appellant: Thelma Michael; Respondent: Linksfield Park Clinic (Pty) Limited; Respondent: Dr Hugh M Thomas
- Court
- Supreme Court of Appeal
- Jurisdiction
- South Africa
- Judgment Date
- 13 March 2001
- Case Number
- 361/98
- Procedural Posture
- Civil Appeal / Appeal From High Court Judgment on Liability
- Outcome
- Appeal dismissed as regards liability; costs and referral issues reserved for further submissions.
- Judges
- CT Howie, I G Farlam, D Chetty
- Legal Topics
- Medical Negligence, Expert Evidence, Causation, Hospital Liability, Professional Standard of Care, Costs Orders
Case Brief
Summary, issues, holding and outcome
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Parties
Leonidas Souzou Michael
Appellant
Thelma Michael
Appellant
Linksfield Park Clinic (Pty) Limited
Respondent
Dr Hugh M Thomas
Respondent
Procedural Posture
Civil Appeal / Appeal From High Court Judgment on Liability
Legal Issues
- 1 What was the cause of the cardiac arrest suffered by the patient during surgery.
- 2 Was the cardiac arrest reasonably foreseeable and avoidable by the anaesthetist.
- 3 Did the clinic and/or anaesthetist act negligently in the management of the resuscitation process, including the use of the defibrillator.
Ratio Decidendi
The Supreme Court of Appeal found, on the probabilities, that the cardiac arrest suffered by the patient was caused by cocaine toxicity alone, not by propranolol or a combination of both. The quantity of cocaine used was within accepted safe limits and its use was standard practice for the procedure. The anaesthetist's diagnosis and management, including the administration of propranolol, were reasonable and not negligent. The evidence did not establish that the clinic's defibrillator was defective or that ignorance of its operation caused a material delay in resuscitation. Although both the anaesthetist and the nurse were found to be ignorant of the defibrillator's features, this was not...
Court Disposition
Appeal dismissed as regards liability; costs and referral issues reserved for further submissions.
Orders
- The appeal is dismissed as regards the issue of liability.
- All questions of costs, both of trial and appeal, stand over for later determination.
Full Case Text
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