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Monitored Anesthesia Care (MAC) refers to a range of sedation from light to deep sleep and is typically administered by a Certified Registered Nurse Anesthetist (CRNA) under the oversight of the operating physician, not an anesthesiologist. It is growing in popularity in endoscopic surgeries (endoscopy), radiology tests and other minimally invasive procedures performed in ambulatory surgical centers and doctor’s offices across the country. The drug of choice when performing MAC with sedation is propofol (brand name, “Diprivan”),

Issues With Propofol

Propofol is typically administered via a peripheral intravenous (IV) line and can produce varying depths of sedation when used in carefully titrated dosages. It also offers certain advantages over general anesthesia including:

  • Quicker recovery to baseline activities versus other sedatives
  • Fewer side effects than general anesthesia
  • Rapid onset and shorter waking and recovery times
  • Reduces the need for opioids resulting in less nausea and vomiting

While propofol has many benefits, it is not without significant risks. The response to Propofol can be unpredictable and there is no antidote to reverse its effect. Some patients quickly cross over from light sedation to deep sleep without warning, resulting in full respiratory arrest in a matter of seconds. For this reason, the American Association of Nurse Anesthetists and the American Society of Anesthesiologists issued the following joint statement in April, 2004 regarding propofol administration:

Because sedation is a continuum, it is not always possible to predict how an individual patient will respond. Due to the potential for rapid, profound changes in sedative/anesthetic department and the lack of antagonistic medications (antidotes), agents such as propofol require special attention.

Whenever propofol is used for sedation/anesthesia, it should be administered only by persons trained in the administration of general anesthesia who are not simultaneously involved in the surgical or diagnostic procedures. This restriction is concordant with specific language in the propofol package insert, and failure to follow these recommendations could put patients at risk of significant injury or death.

Issues With Monitored Anesthesia Care (MAC)

Despite these clear warnings, MAC with sedation continues to be administered by providers and facilities that are ill prepared to respond to foreseeable emergencies. If you or someone you know has suffered a serious injury because of a preventable anesthesia accident or mistake, you should contact an attorney at Burnside Law Firm LLP to learn more about your legal rights.

First and foremost, monitored anesthesia care (MAC) should only be administered by health care providers who are experts in general anesthesia, resuscitation and the use of emergency equipment. Secondly, it is imperative that anesthesia providers diligently monitor ventilation, oxygenation, cardiovascular status, and neuromuscular function throughout the procedure. Continuous clinical observation and vigilance is the basis of safe anesthesia care.

When emergency situations arise—and they certainly will—anesthesia providers must be prepared to respond with proper airway management and the administration of fluids and emergency drugs. They must also be prepared to provide Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) protocols when necessary. Unfortunately, anesthesia accidents occur too often because anesthesia providers fail to exercise that degree of skill and care required under the circumstances; Examples include:

  • Failure to timely react to decreasing oxygen saturation levels
  • Failure to properly monitor a patient’s vital signs (pulse, respiration, blood pressure, oxygen saturation)
  • Failure to properly administer oxygen during the procedure
  • Administering too much anesthesia medication such as propofol
  • Administering the wrong medication
  • Failing to react to physiological signs of distress
  • Failure to set proper threshold alarms on monitoring devices
  • Failure to have the proper equipment ready in case of emergency
  • Failure to follow BLS and ACLS protocols
  • Failure to deliver emergency medications in a timely fashion or correct dose
  • Failure to have adequate number of qualified personnel immediately available to assist in the event of emergency

When mistakes occur during the administration of anesthesia, the consequences can be devastating and include:

  • Anoxic brain injury
  • Stroke
  • Paralysis
  • Brain damage
  • Heart attack or failure
  • Coma
  • Death

Many injuries can be prevented altogether if medical providers adhere to the standard of care required of them when administering MAC with sedation or other anesthesia. If you or a loved one has experienced injury on account of an anesthesia error committed by a certified registered nurse anesthetist (CRNA), anesthesiologist, or other medical provider, you should contact an attorney at Burnside Law Firm LLP for a free initial consultation to learn more about your legal rights. We have successfully represented people injured by anesthesia errors and we have the resources necessary to pursue meritorious claims.

To help us better understand the issues involved in your medical malpractice claim, please complete our intake form.

If you suspect medical negligence, do not hesitate to contact our Augusta, Georgia, lawyer. We offer experienced, strategic advocacy in cases involving IV infiltration and IV injury. Call 800-569-1937 or contact us by e-mail for an initial consultation.

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2919 Professional Pkwy

Augusta, GA, 30907

Phone: (706) 432-8320


325 North Milledge Avenue

Athens, GA, 30601

Phone: (706) 227-4264

We have recovered millions for our clients

The attorneys at Burnside Law Firm LLP have over 30 years of collective experience handling personal injury claims. Over that time, we have helped hundreds of injured people recover the compensation they deserve and need in order to begin putting their lives back together. This list is just a sample of the recoveries we have obtained for some of our clients here and during our time at our former firm, Burnside Wall LLP. Obviously, success in obtaining significant judgments and settlements for other clients is no guarantee of success in your case. Each case must be evaluated and handled based on the individual merits of that particular case. To discuss the facts of your case and learn more about your legal rights, contact one of the personal injury attorneys at Burnside Law Firm LLP for a free initial consultation.

Medical Malpractice / Head Injury

$4,500,000 settlement

Pharmacy & Prescription Error

$1,800,000 settlement

Medical Malpractice / Anesthesia Injury

$1,600,000 settlement

Auto Accident / Multiple Fractures

$1,250,000 judgment

Auto Accident / Wrongful Death

$1,000,000 settlement

Dram Shop / Wrongful Death

$1,000,000 settlement

Read more

Meet The Team

Thomas R. Burnside III Personal Injury Attorney

Thomas R Burnside III

Thomas R. Burnside III is a personal injury lawyer who focuses his law practice on the representation of individuals who have suffered injury as a result of automobile collisions, trucking accidents, medical malpractice, work related accidents or other causes. With over 20 years of experience in personal injury law at both the trial and appellate court levels, Attorney Burnside has represented people with brain and head trauma...

Meet Thomas Burnside
Mark B. Williamson Personal Injury Attorney

Mark B. Williamson

Mark B. Williamson has been engaged in a civil litigation practice since 1997, both at the trial and appellate court levels, focusing primarily on personal injury related cases. The personal injury litigation focuses on the representation of individuals who have been injured or damaged as the result of automobile accidents, truck accidents, medical malpractice, and workplace injuries.

Meet Mark Williamson
Garon Muller Personal Injury Attorney

Garon Muller

Garon Muller is a trial lawyer who focuses his law practice on the representation of individuals who have been seriously injured or damaged through the negligence or recklessness of others, including automobile collisions, workplace injuries, premises injuries, or defective products. Before beginning his practice in the representation of injured individuals, Mr. Muller served the community as an Assistant District Attorney...

Meet Garon Muller

Our Client Reviews

Burnside Law Firm

5.0 / 5.0

Based on 38 reviews

Erin Wren

After my car accident they helped me every step of the way! They were up front and answered any questions I had! They negotiated the insurance and got a higher settlement than was offered! I would definitely use them again!

Terri Hawkins

My husband and I had an awesome experience in dealing with Attorney Mark Williamson and the entire staff at the Burnside Law Firm. We received exceptional service and was very pleased with the outcome. Mr. Williamson and his colleagues were very helpful and assisted us from the beginning to the end. We highly recommend the Burnside Law Firm.

Damien Lanclos

I have known Thomas Burnside and his family for years as I grew up with Thomas. I have recently had the pleasure of meeting his partner, Mark Williamson. There is an aphorism that I have found to be universally true, "A company is known by its people." Thomas, Mark and their staff are great people. I have leaned on Thomas for legal advice not related to his expertise and he has referred me to others who have taken good care of my personal and business interests.

Debbie Walker

In November 2017, I was in a car accident and I decided to seek out legal assistance. I chose to go with Burnside Law Firm, LLP because of their five star rating. My inital consultation was with attorney, Mr. Garon Muller. I knew immediately that I wanted Mr. Muller to take my case. His professionalism and expertise in personal injury made my decision easy. Mr. Muller maintained his professionalism throughout my case. He kept me updated on a regular basis via telephone or email. He was always available to me when I call. I did not have to wait 24 hours to get a call back from him. I would greatly recommend Mr. Muller and the Burnside Law Firm, LLP.

Rick Estep

Burnside Law Firm is who you want to represent you. Mr. Muller came to our house for a free consultation without hesitation. He guided us and overcame every obstacle we encountered. He secured the maximum insurance limits for us and we couldn't be more happy. If you are injured, DO NOT attempt to recoup compensation without the expertise of a trusted, skilled and able law firm to be your voice. THANK YOU MR. MULLER!!!

Jennifer Malonjao

Burnside Law Firm LLP is one of the best law firms in Augusta. Before starting my lawsuit I checked out a few places and Burnside felt to be the best. They did not let me down. Mr. Mark Williamson was my attorney and throughout my entire case he was extremely easy to talk to and I felt like I was treated like a person, and not just a check. He worked very hard on my case and I feel as if I could not have received the settlement I did with anyone else. He made sure my husband and I knew everything that was going on throughout the entire process. I will always recommend Burnside to anyone that needs legal assistance. The entire staff is very friendly and welcoming from your first step in the door on day one to your last step out the door when your case is complete. I am beyond satisfied.

Joseph Mitchell

One of the best experiences I have ever had, friendly staff, my lawyer Mark Williamson was very ho est and detailed in what the procedures he was able to offer. I will definitely come back with anything I need again. I highly recommend

Alexander Hughes

Garon Muller with Burnside Law Firm makes client satisfaction his priority. Mr. Muller made sure that I had a lucid understanding during every discussion. He never made a decision without my input and made me feel like we were partners. Garon Muller was very professional and push for the maximum dollar amount from the insurance company. Me and my family considered ourselves blessed to have been represented by Garon Muller with Burnside Law Firm. We highly recommend Garon Muller and Burnside Law Firm! Burnside Law Firm staff are exceptional and exceeded our expectations.

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    2919 Professional Pkwy

    Augusta, GA, 30907

    Phone: (706) 432-8320


    325 North Milledge Avenue

    Athens, GA, 30601

    Phone: (706) 227-4264