The Pediatric Cardiac Surgery Inquest Report



Pre-operative status

Erica's blood pressure and central venous pressure (CVP) dropped all day on October 2, requiring an increase in the use of dopamine. Her urine output was good. She had mild pulmonary edema, for which she was treated with a diuretic. A chest X-ray showed improved ventilation of the left lobe of her lung, when compared with an X-ray taken that morning. However, there was a suggestion of collapse in the right lung and the presence of a small amount of pulmonary edema.

That day the Bichels gave verbal consent to proceed with the operation on Tuesday, October 4, 1994.

Erica's colour remained pale and dusky and she was jaundiced, a sign that her liver was failing. She was given a drug (Pavulon) to relax or weaken her muscles. This was done to decrease oxygen consumption by the muscles and make mechanical ventilation of her lungs easier. Erica required many changes to the settings of the ventilator during the day, to accommodate her declining oxygen saturation.



Current Home - Table of Contents - Chapter 8 - Pre-operative status
Next A desperate situation
Previous The decision to operate
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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