Is Anesthesia Error Medical Malpractice? Pennsylvania Laws Explained?
December 30, 2025
Anesthesia is supposed to keep you safe and comfortable during surgery or a procedure. When it’s handled correctly, most patients wake up and recover without major issues. But when a mistake happens, the harm can be serious, including breathing failure, oxygen loss, brain injury, or death.
If you’re dealing with unexpected complications, it’s normal to wonder whether this was a known risk or something preventable. In Pennsylvania, an anesthesia error can be medical malpractice, but only if certain legal pieces are in place.
What Counts as an Anesthesia Error in the First Place?
An anesthesia error can happen before, during, or after a procedure. Common examples include:
- Overdose or underdose
- Failure to monitor vital signs like oxygen levels, heart rate, or blood pressure
- Improper intubation or airway management because the breathing tube was placed wrong or not managed correctly.
- Medication errors including giving the wrong drug or missing allergic reactions
- Equipment problems such as outdated equipment, device failure, and misuse
- Poor communication between staff
These are the kinds of mistakes that often show up in anesthesia malpractice discussions in Pennsylvania.
Why isn’t Every Bad Anesthesia Outcome Malpractice?
Because complications can happen even when care is appropriate. Pennsylvania law draws a line between:
- Complication: a known risk that can occur even when the provider does everything reasonably.
- Malpractice: the provider fails to meet the accepted standard of care, and that failure causes harm.
So, a poor outcome alone doesn’t automatically mean malpractice. The key is whether the care fell below what a reasonably careful anesthesia provider would have done in the same situation.
What Does Pennsylvania Require to Prove Anesthesia Malpractice?
Pennsylvania malpractice cases must prove four key points:
1. Duty of care
There must be a patient-provider relationship. In surgery settings, that’s usually clear.
2. Breach of the standard of care
This means the anesthesia provider or another responsible party did something a reasonably careful provider would not do, or failed to do something they should have done.
Examples could include ignoring oxygen alarms, giving an incorrect dose, or failing to manage the airway properly.
3. Causation
You must be able to connect the mistake to the injury. In anesthesia cases, that often means showing the error was a substantial factor in causing harm, such as oxygen deprivation leading to brain injury.
4. Damages
There must be real harm, such as additional medical care, disability, lost income, long-term limitations, or death.
How does the Pennsylvania Certificate of Merit fit in?
Pennsylvania requires a Certificate of Merit in most medical malpractice cases. This is a filing that confirms a qualified medical professional reviewed the situation and found a reasonable basis to claim the care fell below the standard and caused harm.
This requirement is one reason anesthesia malpractice claims can feel more complex than people expect. It usually takes a record review and medical input early in the process.
Who Can Be Responsible for an Anesthesia Error in Pennsylvania?
Depending on what happened, responsibility may involve more than one person or entity, such as:
- Anesthesiologist
- CRNA (nurse anesthetist)
- Surgeon or other staff
- Hospital or surgical facility
One practical point, Pennsylvania cases can involve dividing fault among multiple parties, and liability can depend on each party’s assigned share of fault.
How Can You Tell If An Anesthesia Error May Have Happened?

You don’t need to diagnose it yourself, but these are common situations:
- A breathing emergency during or after surgery
- Unexplained brain injury or cognitive changes
- A prolonged loss of oxygen or blood pressure crash
- A patient who was hard to wake or deteriorated after discharge
- Severe complications without a clear explanation
- Records or explanations that don’t match what the family observed
Anesthesia cases often come down to timing and monitoring. That’s why records matter.
What Should You Do If You Suspect Anesthesia Malpractice in Pennsylvania?
Here’s a simple, practical checklist:
- Get medical help first if symptoms are urgent.
- Request key records, including the anesthesia chart, medication administration record, PACU notes, and vital sign logs.
- Write down your timeline such as what happened, when symptoms started, and what staff said.
- Contact a Pennsylvania anesthesia error lawyer if the harm is serious or the explanation doesn’t match what you saw, especially since Pennsylvania deadlines and filing requirements can limit your options.
Ready to Get Answers About What Happened?
An anesthesia complication can leave you with a lot of questions, especially when recovery doesn’t go the way you were told it would. If you believe an anesthesia mistake may have caused serious harm, it’s worth getting your records reviewed and understanding your options under Pennsylvania law.
Contact Lowenthal & Abrams, P.C. to talk with a team that handles anesthesia error cases. We can listen to what happened, review the details, and help you decide on your next step.