Cereno Vs CA
Cereno Vs CA
Cereno Vs CA
operate on Raymond. Lastly, the trial court faulted petitioners for the delay in the
vs. transfusion of blood on Raymond.
COURT OF APPEALS, SPOUSES DIOGENES S. OLAVERE and FE R.
SERRANO, Respondents On appeal, the CA affirmed the decision rendered by the RTC finding herein
petitioners guilty of gross negligence in the performance of their duties and awarding
G.R. No. 167366 damages to private respondents, prompting the petitoners to file a petition for review
on certiorari before the Supreme Court.
September 26, 2012
Issue:
Facts:
Whether Dr. Cereno and Dr. Zafe are guilty of gross negligence in the
At about 9:15 in the evening of 16 September 1995, Raymond S. Olavere,a victim of performance of their duties.
a stabbing incident, was rushed to the emergency room of the Bicol Regional Medical
Center. Dr. Realuyo — the emergency room resident physician, recommended that Held:
the patient undergo "emergency exploratory laparotomy." Dr. Realuyo then requested
the parents of Raymond to procure 500 cc of type "O" blood needed for the operation. Petition GRANTED.
At 10:30 P.M., Raymond was wheeled inside the operating room. During that time, The Supreme Court held that the petitioners are not guilty of gross negligence.The
the hospital surgeons, Drs. Zafe and Cereno, were busy operating on gunshot victim type of lawsuit which has been called medical malpractice or medical negligence, is
Charles Maluluy-on. Assisting them in the said operation was Dr. Tatad, who was the that type of claim which the complainant must prove: (1) that the health care provider,
only senior anesthesiologist on duty at BRMC that night.Just before the operation on either by his act or omission, had been negligent, and (2) that such act or omission
Maluluy-on was finished, another emergency case involving Lilia Aguila, a woman proximately caused the injury complained of.
who was giving birth to triplets, was brought to the operating room.
The best approach to prove these is through the opinions of expert witnesses
At 10:59 P.M., the operation on the gunshot victom was finished. By that time, belonging in the same general line of practice as defendant surgeon. The deference
however, Dr. Tatadis still engaged in another operation and there being no other of courts to the expert opinion of qualified physicians stems from the former’s
available anesthesiologist to assist them, Drs. Zafe and Cereno decided to defer the realization that the latter possess unusual technical skills which laymen in most
operation on Raymond. The petitioners, in the meantime, proceeded to examine instances are incapable of intelligently evaluating, hence, the indispensability of
Raymond and they found that the latter’s blood pressure was normal and "nothing in expert testimonies.
him was significant." Dr. Cereno reported that based on the xray result he interpreted,
the fluid inside the thoracic cavity of Raymond was minimal at around 200-300 cc.
In the case at bar, there were no expert witnesses presented to testify norwas there
any testimony offered, except that of Dr. Tatad’s, on which it may be inferred that
At 11:15 P.M, the relatives of Raymond brought the bag of blood to be used for blood petitioners failed to exercise the standard of care, diligence, learning and skill
transfusion. Dr. Cereno and Dr. Zafe immediately started the operation around 12:15 expected from practitioners of their profession. Dr. Tatad is not an expert witness in
AM of 17 September 1995. Upon opening of Raymond’s thoracic cavity, they found this case as her expertise is in the administration of anesthesia and not in the
that 3,200 cc of blood was stocked therein. The blood was evacuated and petitioners determination of whether surgery ought or not ought to be performed.
found a puncture at the inferior pole of the left lung.Dr. Cereno did not immediately
transfuse blood because he had to control the bleeders first.Blood was finally
transfused on Raymond at 1:40 A.M. While the operation was on-going, Raymond In medical negligence cases, it is established that the complainant has the burden of
suffered a cardiac arrest. The operation ended at 1:50 A.M. and Raymond was establishing breach of duty on the part of the doctors or surgeons. It must be proven
pronounced dead at 2:30 A.M.Raymond’s death certificate indicated that the that such breach of duty has a causal connection to the death of the patient.Aside
immediate cause of death was "hypovolemic shock". from their failure to prove negligence on the part of the petitioners, they also failed to
prove that it was petitioners’ fault that caused the injury.
The parents of Raymondfiled a case for damages against the attending surgeons
claiming that there was negligence on the part of those who attended to their son.
The trial court found petitioners negligent in not immediately conducting surgery on
Raymond and that that the non-availability of Dr. Tatad after the operation on the
gunshot victim was not a sufficient excuse for the petitioners to not immediately