The Pediatric Cardiac Surgery Inquest Report

 

 

Post-operative care

This was followed by a discussion of the location for the post-operative care of neonates. Dr. Molly Seshia, head of the NICU, was present for this discussion. She was a strong advocate for the position that newborn children had a unique set of problems that did not lend themselves easily to the same care as was provided to older children and to adults. She had long felt that such children should be cared for in the Nursery, as the NICU was called.

The view expressed by Odim and others was that there were not enough pediatric cardiac surgical cases involving neonates for the NICU staff to gain sufficient experience in dealing with the complications that they presented. Seshia was asked to discuss with her staff the possibility of developing a system in which neonates who had undergone open-heart surgery would be handled by the PICU, while the NICU would handle neonates who underwent closed procedures. Although not convinced that there was a problem with the way that matters were being handled, Seshia agreed.

 

 

Current Home - Table of Contents - Chapter 7 - Post-operative care
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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
Diagrams
Tables
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