Stories of what went wrong — and what we can all learn from them.

Here you’ll find case studies of actual anesthesia care, from anonymous practitioners, and the stories of what happened, what went wrong, and what they learned – so that we can raise awareness for the overall safety and health of our patients and practitioners.

The following stories have been submitted anonymously using a secure data link. No record exists regarding from where or whom stories have been submitted.

A meticulous effort is made to remove all protected health information (PHI), if inadvertently submitted, according to the “Safe Harbor Guidelines” of the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Original submissions are not posted directly on this website, but rather used as the basis for case presentations by Anesthesia eNonymous/VCU Nurse Anesthesia faculty.



When you submit a story, our REDCap IT security ensures your submission is completely unidentified, as follows:

  1. We do not record the IP address on your computer.
  2. The webpage to which you are redirected is on a separate server, not linked in any way to your Anesthesia eNonymous user account.
  3. A data reviewer will review the information you submit in RedCAP and, in accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, will remove all potentially identifiable information from your report using the “Safe Harbor” method.