The Pediatric Cardiac Surgery Inquest Report



Vinay Goyal - the second procedure

Consent for the reoperation
Delay in the second operation
Pre-operative status
The operation-April 18
Intra-operative incidents

Dribbling of adrenalin on the heart
Testing the patch
The premature removal of a cannula


Findings - Were Vinay's parents provided with sufficient information to allow them to give informed consent to the procedure?
Findings - Would Vinay have been taken to surgery with a potential infection if his parents had not intervened?
Findings - Did the surgeon demonstrate the skills and experience necessary to undertake this high-risk surgery?
Findings - What was the cause of death and was it preventable?



Current Home - Table of Contents - Chapter 6 - Vinay Goyal - the second procedure
Next Consent for the reoperation
Previous The events of early April, 1994 - April 13
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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