Who Is Liable for a Pediatric Surgery Error in Florida?

When a child suffers additional harm during or after surgery in Florida, legal responsibility may fall on one provider or several providers. Depending on the facts, a pediatric surgeon, anesthesiologist, nurse, hospital, surgical center, or another health care provider may be responsible if negligent care fell below the prevailing professional standard of care and proximately caused the injury.

A complication alone does not establish medical malpractice. A Florida claim generally requires evidence showing what the provider should have done, how the care fell below the applicable standard, and how that failure caused the child’s additional harm.

A pediatric surgical team works in an operating room.

Families in Orlando, Winter Park, and other Florida communities can learn more about pediatric surgical malpractice claims at https://faiellagulden.com/orlando-pediatric-surgery-error-lawyers/.

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How Liability Is Determined After a Pediatric Surgery Error

Pediatric surgery can involve several health care professionals before, during, and after an operation. The treatment team may include surgeons, anesthesiologists, certified registered nurse anesthetists, operating room nurses, technicians, specialists, recovery-room staff, and other hospital personnel.

When a child is injured, identifying the responsible party usually requires a review of the entire course of care. The review may examine preoperative planning, the surgery itself, anesthesia management, postoperative monitoring, communication among providers, and the response to complications.

Under Florida medical malpractice law, a claimant generally must prove that a health care provider breached the prevailing professional standard of care. The claimant must also prove that the breach proximately caused the injury.

A poor outcome does not automatically mean that negligence occurred. Some known complications can happen even when providers follow accepted medical practices. The legal question is whether the child suffered additional harm because a provider failed to deliver care that a reasonably prudent similar provider would have provided under the circumstances.

Elizabeth H. Faiella

Elizabeth has represented plaintiffs in numerous jury trials since 1976. A member of the exclusive Inner Circle of Advocates, Elizabeth is a legal powerhouse who has been given numerous awards and honors--and she's not done yet.

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Peter J. "Tres" Gulden, III

The son of a doctor and an attorney, Peter has a unique and in-depth understanding of all the complicated medical and legal issues involved in a malpractice claim. He has won many 7-figure verdicts for clients since joining his mother's firm in 2004.

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Allison C. McMillen

Allison C. McMillen is proud to be a second-generation plaintiffs’ attorney representing victims of medical malpractice, having practiced with her father, attorney Scott R. McMillen, for over a decade before joining the team at Faiella & Gulden, P.A.

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When a Pediatric Surgeon May Be Liable

A pediatric surgeon may be liable when the surgeon’s decisions, technique, planning, or response to a complication falls below the applicable professional standard of care and causes injury.

Depending on the facts, potential issues may include:

Performing surgery on the wrong body part

Performing the wrong surgical procedure

Injuring an organ, blood vessel, nerve, or nearby structure through negligent technique

Failing to recognize relevant anatomy or surgical risks

Failing to control bleeding appropriately

Leaving a surgical object inside the child

Failing to identify a serious complication

Delaying necessary corrective treatment

Failing to order or arrange appropriate postoperative monitoring

None of these circumstances proves malpractice by itself. The medical records, operative report, imaging, laboratory data, provider communications, and qualified medical expert review may all be needed to determine whether the surgeon’s care met the required standard.

For information about surgical malpractice claims beyond pediatric cases, visit https://faiellagulden.com/orlando-surgical-error-lawyers/.

When the Anesthesia Team May Be Responsible

Anesthesia care is a separate part of many pediatric surgical procedures. The anesthesia team may be responsible for evaluating the child before surgery, selecting and administering medications, managing the airway, monitoring vital signs, responding to changes in the child’s condition, and overseeing recovery from anesthesia.

Potential anesthesia-related issues may include:

Administering an incorrect medication

Giving an incorrect dose

Failing to account for relevant allergies or medical history

Inadequate airway management

Failing to recognize or respond to low oxygen levels

Failing to monitor blood pressure, heart rate, or other required measurements

Delaying treatment of an anesthesia complication

Providing inadequate monitoring during recovery

Responsibility may involve an anesthesiologist, a certified registered nurse anesthetist, another anesthesia provider, or an organization that may be legally responsible for the provider’s conduct.

Families can review more information at https://faiellagulden.com/orlando-pediatric-anesthesia-error-attorneys/.

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Can Nurses or Other Operating Room Staff Be Liable?

Yes. Nurses and other operating room professionals have duties that are separate from the surgeon’s duties.

A nursing error may support a medical malpractice claim when a nurse fails to perform required safety checks, administer medication correctly, communicate critical information, monitor the child, document relevant changes, or notify the appropriate provider about signs of a developing complication.

Examples of postoperative changes that may require clinical attention can include:

Abnormal oxygen levels

Significant changes in heart rate or blood pressure

Signs of bleeding

Unexpected swelling

Changes in consciousness

Signs of infection

Other unexpected or worsening symptoms

Whether a nurse acted negligently depends on what the nurse knew or should have known, what the applicable nursing standard required, and whether any delay or failure caused additional harm.

Other operating room personnel may also become part of the investigation when surgical counts are inaccurate, equipment is prepared incorrectly, specimens are mislabeled, or critical information is not communicated.

When a Hospital or Surgical Center May Share Liability

A hospital or surgical center may also bear legal responsibility in a pediatric surgery case.

Depending on the facts, a facility may face liability for negligent acts of employees acting within the scope of their employment. A facility may also face a direct claim based on its own conduct.

Potential facility-level issues may include:

Inadequate staffing

Unsafe policies or procedures

Communication failures

Inadequate supervision

Negligent credentialing

Failure to maintain medical equipment

Inadequate surgical safety procedures

Inadequate postoperative monitoring systems

The relationship between a physician and a hospital can affect whether the hospital is legally responsible for that physician’s conduct. A physician may be an employee, an independent contractor, or a member of a separate medical group. Other facts, including how the physician was presented to the patient and the degree of control involved, may also matter.

For more information about hospital negligence claims, visit https://faiellagulden.com/orlando-hospital-negligence-attorneys/.

More Than One Provider May Be Responsible

A pediatric surgical injury can result from more than one error.

For example, a child may develop internal bleeding after an operation. The surgeon may have failed to control or recognize the bleeding. Recovery-room staff may have failed to report significant changes in vital signs. Another provider may have delayed diagnostic testing or treatment. A communication failure may have added more time before the child received needed care.

In that situation, each provider’s conduct may need to be evaluated separately.

A medical malpractice claim can involve one defendant or several defendants. The surgeon should not automatically be assumed to be the only responsible party. A review of the complete medical record may reveal that several decisions or delays contributed to the injury.

What Evidence Can Help Identify the Responsible Party?

Medical records and expert review often play a central role in determining who may be liable for a pediatric surgery error.

Relevant evidence may include:

Preoperative medical history

Physical examination records

Surgical consent documents

Operative reports

Anesthesia records

Medication administration records

Nursing notes

Vital sign records

Laboratory results

Imaging studies

Recovery-room records

Discharge instructions

Follow-up treatment records

Electronic medical record timestamps

Provider communications that are available and legally obtainable

Parents can also create a written timeline. The timeline can identify when the child arrived at the hospital, what the family was told before surgery, when symptoms or complications appeared, when concerns were reported, and what treatment followed.

A detailed timeline can help show where an unexplained delay, communication failure, or change in care occurred.

Medical malpractice attorneys and qualified medical experts can compare that timeline with the medical chart to determine which providers were involved at each stage.

What Must Be Proven in a Florida Pediatric Medical Malpractice Claim?

A Florida pediatric medical malpractice claim generally requires proof of two central issues.

Breach of the prevailing professional standard of care: The claimant must show that the provider failed to deliver the level of care, skill, and treatment recognized as acceptable and appropriate by reasonably prudent similar health care providers under comparable circumstances.

Causation: The claimant must show that the breach proximately caused the child’s injury.

Causation can be especially significant when a child had a serious medical condition before surgery. The question may be whether negligent care caused a new injury, worsened the existing condition, delayed recovery, created the need for additional procedures, or contributed to long-term complications.

Florida law also requires a presuit investigation before a medical negligence lawsuit is filed. A claimant generally must conduct an investigation to determine whether reasonable grounds exist to believe that a prospective defendant was negligent and that the negligence caused injury. The reasonable grounds generally must be supported by a verified written medical expert opinion. Presuit notice must then be provided to each prospective defendant before the lawsuit is filed.

Because these requirements take time, a family should not delay seeking legal guidance when there is concern about a possible pediatric surgery error.

How Long Do Parents Have to Bring a Claim?

Florida medical malpractice deadlines can be difficult to calculate, especially when the injured patient is a child.

Florida law generally requires a medical malpractice action to be started within two years from the incident or within two years from when the incident was discovered, or should have been discovered with due diligence. The law also generally imposes a four-year statute of repose from the date of the incident.

Florida law includes a specific rule for minors. The four-year repose period does not bar certain medical malpractice actions brought on behalf of a minor on or before the child’s eighth birthday.

Parents should not assume that a pediatric malpractice claim remains available until the child reaches adulthood. Other statutory rules and case-specific facts can change the deadline.

More information about Florida medical malpractice filing deadlines is available at https://faiellagulden.com/blog/statute-of-limitations-for-medical-malpractice-in-florida-dont-miss-your-deadline/.

What Damages May Be Available?

If medical negligence causes a child’s injury, the available damages depend on the facts of the claim and the losses supported by the evidence.

Potential economic damages may include:

Past medical expenses

Future medical treatment

Rehabilitation

Physical therapy

Occupational therapy

Assistive equipment

Home care

Specialized educational needs

Long-term caregiving expenses

Noneconomic damages may also be recoverable when supported by the facts and permitted by Florida law.

When a pediatric surgical injury causes permanent or long-term limitations, the evaluation may include the effect on the child’s mobility, development, education, future independence, and long-term care needs. Medical experts, life-care planners, economists, and other qualified professionals may be used to evaluate these losses.

What Parents Can Do After a Suspected Pediatric Surgery Error

The child’s health should come first. If the child develops severe, unexpected, or worsening symptoms after surgery, seek appropriate medical care.

After urgent medical concerns have been addressed, parents can take practical steps to preserve information that may later be relevant to a legal review:

Request copies of the child’s medical records

Keep discharge instructions and follow-up recommendations

Preserve medical bills, receipts, and insurance records

Save patient portal messages

Write down relevant conversations with providers

Create a dated treatment timeline

Keep records of follow-up appointments and additional procedures

Parents should also use care when discussing detailed allegations on social media. Public posts can become part of later disputes about the facts of a claim.

Families do not need to identify every potentially responsible provider before contacting a medical malpractice attorney. An investigation can help determine who participated in the child’s care and whether the evidence supports a claim against one or more providers.

Frequently Asked Questions About Pediatric Surgery Liability in Florida

Can a Surgeon Be Liable if the Surgery Had a Known Complication?

A known complication does not automatically prevent a medical malpractice claim, and the existence of a complication does not automatically establish negligence. The issue is whether the provider met the prevailing professional standard of care and whether a breach proximately caused the child’s injury.

Can an Anesthesiologist Be Sued Separately From the Surgeon?

Potentially. Surgeons and anesthesia providers perform different roles and can have separate professional duties. A claim may involve one provider, both providers, or other members of the care team, depending on what the evidence shows.

Can a Hospital Be Responsible for a Pediatric Surgery Error?

A hospital may be responsible for its own negligence, such as certain staffing, supervision, credentialing, equipment, or safety failures. It may also be responsible for negligent acts of employees in circumstances recognized by Florida law. The relationship between the hospital and an individual physician must be evaluated separately.

Can Several Providers Be Named in the Same Medical Malpractice Case?

Yes. When several providers contributed to the same injury, a claim may involve multiple defendants. Each provider’s conduct and causal role must still be evaluated based on the evidence.

Does a Child Have Until Age 18 to File a Florida Medical Malpractice Claim?

Not necessarily. Florida has specific limitation and repose rules for medical malpractice claims, including a rule affecting certain claims brought on behalf of minors on or before the child’s eighth birthday. Parents should obtain case-specific advice promptly rather than relying on the child’s age alone.

Speak With a Florida Pediatric Medical Malpractice Attorney

If your child suffered a serious injury during or after surgery, you may have questions about whether the outcome resulted from a recognized complication or negligent medical care.

Faiella & Gulden, P.A. represents families in Orlando, Winter Park, and other Florida communities in medical malpractice matters. The firm can review the treatment timeline, obtain and analyze medical records, consult qualified medical experts, and evaluate the roles of surgeons, anesthesia providers, nurses, hospitals, surgical centers, and other health care professionals.

Call 407-470-1225 to discuss your situation, or visit https://faiellagulden.com/contact/.

This article is for informational purposes only and is not legal advice. Consult a qualified attorney about the facts and deadlines that apply to your situation.

Elizabeth H. Faiella Avatar

Elizabeth H. Faiella

Attorney Emory University School of Law, Inner Circle of Advocates, Board Certified in Civil Trial Law by The Florida Bar

Elizabeth Hawthorne Faiella is an experienced medical malpractice attorney, as well as a noted lecturer and author.

Ms. Faiella is a member of the Inner Circle of Advocates, the most prestigious and selective attorney organization in America. Membership is limited to the top 100 plaintiff’s trial attorneys in the entire Nation.

In addition, Ms. Faiella is board-certified in Civil Trial Law by The Florida Bar, an accomplishment that only 7% of eligible attorneys achieve. Since 1983, Elizabeth has kept her certification current, and was awarded a 25-year certificate for her efforts in 2008.

Areas of Expertise: Medical Malpractice