LadyEdgeworth
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- Nov 3, 2022
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10:59am
At 5.30am, Child G had a profound desaturation.
"Her heart rate dropped to 60[bpm] and her oxygen [saturation] to 40% - which is unusual" when Child G was on a ventilator.
Dr Ventress wondered if the problem was the ventilation equipment, so moved to manual breathing support via a Neopuff device.
Child G was then reattached to a ventilator, before the ventilator was changed.
A 'large leak' remained, which meant the issue was unlikely to be with the ventilator.
The 'large leak', Dr Breary says, he cannot explain, for a pre-term baby.
He says Dr Ventress was getting chest movement from Child G on the Neopuff device.
"It's perplexing and I can't think of a natural cause why that would happen."
11:05am
Child g had another profound desaturation at 6.05am and the decision was made to reintubate Child G.
The heart rate increased but the oxygen saturation levels remained low, despite further breathing support, with 100% oxygen ventilation and increased respiratory pressure.
Those levels were "low" in the context of those support measures being applied, Dr Breary says.
'Thick secretions ++ in mouth' were noted, with a blood clot at the end of the ETT.
The oxygen saturation levels fell to 17%, with the heart rate down to 70bpm, and 'poor chest movement'.
Dr Breary tells the court a heart rate under 100bpm was cause for concern.
He was called in urgently, the clinical note adds.
The naso-gastric tube was aspirated and 100mls was aspirated from Child G.
"This seemed surprising" as Child G had been fed 45mls every three hours, and Child G "had already had a large vomit which covered the cot and the area around the cot".
"It seems abnormal and I can't explain where that [aspirate] would have come from."
www.chesterstandard.co.uk
At 5.30am, Child G had a profound desaturation.
"Her heart rate dropped to 60[bpm] and her oxygen [saturation] to 40% - which is unusual" when Child G was on a ventilator.
Dr Ventress wondered if the problem was the ventilation equipment, so moved to manual breathing support via a Neopuff device.
Child G was then reattached to a ventilator, before the ventilator was changed.
A 'large leak' remained, which meant the issue was unlikely to be with the ventilator.
The 'large leak', Dr Breary says, he cannot explain, for a pre-term baby.
He says Dr Ventress was getting chest movement from Child G on the Neopuff device.
"It's perplexing and I can't think of a natural cause why that would happen."
11:05am
Child g had another profound desaturation at 6.05am and the decision was made to reintubate Child G.
The heart rate increased but the oxygen saturation levels remained low, despite further breathing support, with 100% oxygen ventilation and increased respiratory pressure.
Those levels were "low" in the context of those support measures being applied, Dr Breary says.
'Thick secretions ++ in mouth' were noted, with a blood clot at the end of the ETT.
The oxygen saturation levels fell to 17%, with the heart rate down to 70bpm, and 'poor chest movement'.
Dr Breary tells the court a heart rate under 100bpm was cause for concern.
He was called in urgently, the clinical note adds.
The naso-gastric tube was aspirated and 100mls was aspirated from Child G.
"This seemed surprising" as Child G had been fed 45mls every three hours, and Child G "had already had a large vomit which covered the cot and the area around the cot".
"It seems abnormal and I can't explain where that [aspirate] would have come from."

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