The Pediatric Cardiac Surgery Inquest Report



Alyssa's admission to the Children's Hospital

Alyssa was admitted to the HSC on Tuesday, May 4. The admitting nurse wrote that her chest air entry was good but she had an occasional dry cough. The admitting medical student charted that Alyssa's chest was clear, with good air entry in both lungs. The physiotherapist assessed Alyssa's respiratory status in the afternoon. Alyssa's chest again sounded clear, although Alyssa's mother told the physiotherapist that Alyssa still had a congested cough in the morning and evening.

At 1600 hours, Wong assessed Alyssa's condition in preparation for surgery. On the consultant's report, he wrote, "Acyanotic but potential for cyanotic episodes exist. ASA II. Acceptable risk for GA [general anaesthetic]. In good condition." (Exhibit 11, page STI 49)

That evening Alyssa's mother and grandmother toured the PICU as part of the pre-operative preparation for surgery.

In her testimony, Donna Still said that on May 4 she had reservations about going through with the operation. That day Alyssa had become very upset when a blood sample was taken. Donna Still expressed her concerns to a nurse, although she could not recall which nurse she spoke to.

I said I had a bad feeling about this surgery. Like I wasn't sure if I really wanted to go through with it. They made it perfectly clear that it had to go through, that there was no discussion otherwise. (Evidence, page 2,250)

Shirley Mae Still also testified to this hesitation. She said that she thought either Giddins or Odim was present and persuaded them to allow the operation to proceed.

In the early morning hours of May 5, 1994, as Alyssa underwent her final preparations for surgery, the nurse wrote, "...occasional congested cough noted overnight (no) nasal discharge." (Exhibit 11, page STI 40)



Current Home - Table of Contents - Chapter 6 - Alyssa's admission to the Children's Hospital
Next The operation-May 5
Previous Pre-operative condition-second admission
Section 1 Chapter 1 - Introduction to the Issues
  Chapter 2 - Pediatric Cardiac Issues
  Chapter 3 - The Diagnosis of Pediatric Heart Defects and their Surgical Treatment
  Chapter 4 - The Health Sciences Centre
Section 2 Chapter 5 - Pediatric Cardiac Surgery in Winnipeg 1950-1993
  Chapter 6 - The Restart of Pediatric Cardiac Surgery in 1994
January 1, 1994 to May 17, 1994
  Chapter 7 - The Slowdown
May 17 to September 1994
  Chapter 8 - Events Leading to the Suspension of the Program
September 7, 1994 to December 23, 1994
  Chapter 9 - 1995 - The Aftermath of the Shutdown
January to March, 1995
Section 3 Chapter 10 - Findings and Recommendations
Appendix 1 - Glossary of terms used in this report
Appendix 2 - Parties to the Proceedings and counsel
Appendix 3 - List of witnesses and dates of testimony
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