The Pediatric Cardiac Surgery Inquest Report



April 18 - Meeting of the
Section of Pediatric Anaesthesia

On the same day as Vinay Goyal's second operation, the regular monthly meeting of the Section of Pediatric Anaesthesia was held. McNeill and Swartz were in the operating room, looking after Vinay Goyal until well after 1900 hours, when the meeting apparently ended. Of the four anaesthetists who provided anaesthetic care for pediatric cardiac patients, Reimer was present at the meeting. At this meeting he discussed the concerns that the four anaesthetists had with cannulation problems and lengthy surgical times.

The members of the section resolved to appoint a liaison between Anaesthesia and Surgery. The liaison person's function was to communicate the concerns of the anaesthetists to those in charge of the program and those responsible for monitoring the surgeon, on whom most of the concerns centred. The role of the liaison also apparently was to continue over the longer term and was not intended to simply be a one-shot effort. The four anaesthetists involved in the pediatric cardiac program were to meet in order to select the person who would act as the liaison.



Current Home - Table of Contents - Chapter 6 - April 18 - Meeting of the Section of Pediatric Anaesthesia
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Previous Anaesthetic meetings
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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