| Discussion in 'All Categories' started by Manav Katitar - Aug 7th, 2014 7:23 pm. | |
Manav Katitar
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My four-year-old son had accidentally caught his finger inside a bicycle wheel, amputating area of the distal phalanx. In the Emergency Department of the local hospital, it was found that the pulp and nail from the finger were lost and also the bone from the terminal phalanx was exposed. General anaesthesia was handed to my son by consultant anaesthetist, who noted that my son would be a fit case for general anesthesia and well boy weighing 18kg, didn't have medical problems or allergies, coupled with been appropriately fasted. Anesthetist has inserted a laryngeal mask airway (LMA) to keep the airway, and maintained the anaesthetic having a mixture of nitrous oxide, oxygen and sevoflurane. Towards the end of the operation, as applying the dressings, the theatre sister, noted that pulse of my Son was very slow at 45 beats per minute. The pulse oximeter showed that the saturations were 52%. 100% oxygen was applied by facemask and an oropharyngeal airway. No pulse was palpable after 20 seconds of high flow oxygen, so anesthetist instructed choices to perform external chest compressions. He gave 0.1mg of adrenaline and a second dose after two minutes. The 2nd dose was effective in restoring a palpable pulse, and the oxygen saturations recovered to normalcy. Upon attempting to wake from the anaesthetic, he manifested severe extensor spasms and epileptiform movements of his limbs. He was intubated, sedated and transferred to intensive care. After a prolonged period of care, he was discharged from intensive care with extensive neurological damage in line with hypoxic brain injury. I complained and inquiry was undertaken, which highlighted several regions of very deficient anaesthetic care. Anesthetist hasn't explained me prior to the anaesthetic, coupled with not warned me of the risks of anaesthesia. After induction, anaesthetist had left the reservoir bag concealed under the drapes, where he could not see its movement. He had not used a capnograph to monitor respiration. He had not recorded a blood pressure or respiratory rate at any time throughout the case. The computer monitor alarms had all been switched off earlier in the day and that he had not checked or reinstated them. Surgeon that has done surgery accepted there would be a protracted period of inadequate vigilance throughout the case, during which an extended episode of severe hypoxia occurred. This case occurred over a Two year ago and my son has become a teenager. My Son has now profound impairment of sensation, movement, communication, intellectual function and memory. Help me what should I do. Manav Katitar |
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re: Brain Damage of my Son
by Nidhi -
Aug 23rd, 2015
7:55 pm
#1
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Nidhi
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Dear Nothing special can be done. Only mental exercises and supportive treatment can be helpful. You should consult a good psychiatrist for the treatment. With regards Nidhi |
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