Anesthesiology Standards of Care Expert

Specialties & Experience of this Expert Witness

Additional Information

CRNA expert specializing in anesthesia malpractice, including anesthesia awareness, office-based anesthesia complications, and failures in anesthetic delivery and monitoring. Provides clear, evidence-based opinions on standard of care, breach, and causation. Janet Graham, CRNA, is a full-time practicing anesthesia provider with 14 years of independent clinical anesthesia experience and over 20 years in critical care, beginning with a foundation in cardiovascular ICU nursing. Her anesthesia practice spans a wide range of hospital and outpatient environments, including Level I trauma centers, rural hospitals, ambulatory surgery centers, and office-based surgical settings across multiple states. Throughout her career, she has served as a clinical preceptor for student nurse anesthetists and has collaborated with a broad range of surgeons, patient populations, and anesthesia techniques. This breadth of experience has strengthened her adaptability, clinical judgment, and ability to manage complex and varied perioperative scenarios. In addition to hospital-based practice, she has extensive experience as a solo practitioner in office-based clinics and ambulatory surgery centers—settings that represent the fastest-growing areas of anesthesia delivery and present unique risk profiles due to limited infrastructure compared to traditional hospital environments. This experience provides valuable insight in matters involving anesthesia-related malpractice in office-based and ambulatory settings. She is available to provide expert witness services for both plaintiff and defense counsel and offers a comprehensive, clinically grounded and evidence-based perspective on anesthesia and critical care within a reasonable degree of medical certainty, consistent with applicable standards of care. She has utilized electronic charting systems (AIMS/EMR) continuously since 2010. Licensure: • Tennessee – APRN (CRNA), RN • Mississippi – APRN (CRNA) Certification: • National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) • CPCA Recertification • ACLS, BLS Focus Areas / Case Types: • Anesthesia malpractice (standard of care, breach, causation) • Anesthesia awareness and intraoperative awareness • Failure to monitor anesthetic depth and delivery • Office-based and ambulatory anesthesia complications • Airway management and failed airway events • Sedation-related complications (including propofol and opioid use) • Medication errors and anesthetic drug management • Anesthetic delivery system failures (including vaporizer-related events) • Monitoring and documentation standards (including end-tidal anesthetic and capnography interpretation) • PACU and postoperative respiratory events • Informed consent in anesthesia care