The Pediatric Cardiac Surgery Inquest Report



The case of Erica Bichel

Background and diagnosis
The decision to operate
Pre-operative status
A desperate situation
Preparation of the NICU
The operation-October 4

The issue of cardioplegia
The failure to wean from bypass

Post-mortem findings

Should the Winnipeg team have attempted a Norwood procedure, given its recent history and its level of experience?
Should Erica have been transferred out of Winnipeg?
Should the operation have taken place before October 4?
Were her parents provided with sufficient information to allow them to give informed consent to the procedure?
Was Erica given adequate myocardial protection?
What was the cause of death and was it preventable?



Current Home - Table of Contents - Chapter 8 - The case of Erica Bichel
Next Issues
Previous Whistle-blowing
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
Search the Report
Table of Contents