A youngster could have died as a result of her respiration tube was run over and blocked by the wheel of a hospital trolley, an inquest has heard.
Jasmine Hill, 17, went into cardiac arrest shortly after having surgical procedure on her neck at Gloucestershire Royal Hospital in September 2020.
She had a thyroidectomy 5 days earlier however was readmitted and operated on as medical doctors believed her wounds had develop into contaminated.
Data from a surgical machine confirmed a 30-second break within the administration of oxygen by way of her endotracheal tube.
Jasmine’s household imagine the tube could have develop into trapped as she was moved from the working desk to a restoration mattress, Gloucestershire Coroner’s Court was informed.
Professor Jonathan Hardman, a marketing consultant anaesthetist, mentioned an “obstruction of the breathing line”, as a consequence of rotating the mattress to help the switch, is “the most likely explanation for the sudden catastrophic event”.
He mentioned a concept she could have woken and bitten the tube by chance was unlikely as there was no injury to it.
Prof Hardman informed the inquest: “We know that the bed was rotated 180 degrees horizontally, meaning that the head end of the bed was akin to where the foot end was previously, to allow the anaesthetist to remain standing by the anaesthetic machine and have easy access to the patient’s airway.
“That motion of the mattress supplies a chance for the wheels of the mattress or every other tools to roll over the respiration system tubing.”
Read extra from Sky News:
Nurses vote to go on strike for first time
Around 380 youngsters contaminated with HIV
He continued: “There have been previous disasters described where that is exactly that has happened – where the bed has been moved and obstructed breathing systems.
“I keep in mind being informed about it once I was a junior trainee again within the final century. I feel it stays a risk and a transparent hazard to sufferers.
“If the breathing system tubing was obstructed and fresh gas supply to Jasmine’s airway was denied, it more than minimally and materially contributed to her death.”
The process on Jasmine, who was from Cirencester in Gloucestershire, took lower than an hour, the coroner was informed.
The inquest continues.
Source: information.sky.com”