The Pediatric Cardiac Surgery Inquest Report




Throughout this period Maas spoke with the nurses and anaesthetists about their concerns. He said that after the Ulimaumi case, Swartz, McNeill, Youngson and Hinam were quite critical of Odim. In particular, they were concerned about cannulation and blood loss. Maas said the perfusionists sought to remain neutral, saying that "it takes time to learn someone's techniques, someone's abilities, and I don't believe that it's fair in one or two cases, particularly ones where some of these cases were as difficult as they were, to judge them. At least I am not capable to do that." (Evidence, page 6,983) Maas also said that after a number of the early cases, Youngson asked him to stand at the head of the table and observe Odim's cannulation style. Maas said:

There seemed to have been more blood loss than we would have anticipated during cannulation, and that indicated that they were losing obviously blood during the venous cannulation in particular; and we were told by the nursing staff that he quite often cut some sutures, which were replaced and retightened. (Evidence, page 6,727)



Current Home - Table of Contents - Chapter 6 - Perfusionists
Next Approaches to Wiseman
Previous The response of the nurses
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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