The Pediatric Cardiac Surgery Inquest Report



Pre-operative status

Swartz conducted a pre-operative assessment that evening. She observed that Jesse's extremities were cool, his heartbeat was irregular and his chest was clear. She assessed him as ASA IV and indicated that he was at risk for arrhythmias, heart block, coagulopathy, paralysis and other neurological injuries. The morning of surgery, Jesse's condition remained relatively unchanged.

There was no evidence presented to this Inquest to suggest that there were any errors in the diagnosis, the pre-operative care or the surgical plan. Several consulting witnesses indicated that the one-stage repair that Odim chose is increasingly common, for the reasons that Odim advanced.



Current Home - Table of Contents - Chapter 8 - Pre-operative status
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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
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