Can completely understand the skepticism around the 'people at the top' they wernt wrong that there was something going on there.
Yes there are bidding wars between trusts that may exist outside of all this. I always thought it was pertinent that they were building that new baby unit and all the publicity that was due to bring.
I can't see though, why CoC would want to downgrade to a level 1 is usual circumstances. They would absolutely want to keep their level 2.
Ahead of the independent inquiry there was a peer review of the unit. Certain recommendations came out of that.
However a senior managers response to that scenario is not going to be ' ahh okay then, let's downgrade'
I think it's more likely that senior management tried to keep all this under the radar, to avoid getting downgraded. Then, when they had no choice because they were getting overturned by the consultant team and an investigation was getting launched, suddenly, they were all about 'well we must act immediately and downgrade'
They were knee deep in it, knowing they'd failed to act earlier. What would the public think, if they heard that a potential serial killer had been ignored for so long and the Trust did nothing except for 'get overturned'
They fell back on an old report and blamed it on poor staffing. The consultant were not sucking that up. jmo
Yeah, I think you're right optiflow is just a brand name for hight flow.Yeah I have not heard of anyone getting a pneumothorax from a high flow nasal cannula. I googled and I think that is what Optiflow is? I suppose maybe it's possible if grossly misused (flow turned up to 15L?) but can't imagine that happening accidentally. The pneumo was discovered shortly after a successful resuscitation, on x-ray. I can imagine a pneumothorax arising during the process of resuscitation or after being intubated and placed on a ventilator. As you said - from the high pressures needed to ventilate and oxygenate the baby.
So if a result of resus, is it still the air pressure that causes it to occur?
I wonder also how AE through Ng tube or bloodstream might increase risk of pneumo. Apparently they are quite rare now, due to volume targeted ventilation. I still find it unusual that there would be two babies with this condition in a level 2 within 6 months. Maybe in a surgical unit dealing with the whole region but in one level 2 unit? Just another rarety I guess...jmo