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| Woman's oxygen tube possibly crushed by trolley wheel, inquest told | Woman's oxygen tube possibly crushed by trolley wheel, inquest told |
| (38 minutes later) | |
| Jasmine Hill was placed on a hospital trolley while connected to a tube delivering oxygen, the inquest heard | Jasmine Hill was placed on a hospital trolley while connected to a tube delivering oxygen, the inquest heard |
| A woman died after her oxygen tube was possibly squashed by a hospital trolley wheel, an inquest has heard. | |
| Jasmine Hill, 19, went into cardiac arrest after a neck procedure at Gloucestershire Royal Hospital. | Jasmine Hill, 19, went into cardiac arrest after a neck procedure at Gloucestershire Royal Hospital. |
| Miss Hill, from Cirencester, was re-admitted to hospital when her neck became swollen five days after the operation in September 2020. | |
| Doctors feared the surgical wound had become infected and a pathologist was unable to ascertain the cause of death. | Doctors feared the surgical wound had become infected and a pathologist was unable to ascertain the cause of death. |
| An ear, nose and throat specialist attempted to use a needle to relieve the swelling following the thyroidectomy, an inquest at Gloucestershire Coroner's Court heard. | |
| When that failed, the medical team decided Miss Hill needed to be taken to theatre to have the wound cleaned under general anaesthetic. | |
| The procedure took less than an hour but Miss Hill went into cardiac arrest shortly after she was moved by staff from the operating table to a bed. | The procedure took less than an hour but Miss Hill went into cardiac arrest shortly after she was moved by staff from the operating table to a bed. |
| A report commissioned by lawyers acting for her family referred to the tube being "squashed by the wheel of a trolley". | A report commissioned by lawyers acting for her family referred to the tube being "squashed by the wheel of a trolley". |
| Pressure alarm | Pressure alarm |
| The court heard the endotracheal tube, which supports breathing, was positioned behind Miss Hill's head, away from her neck and was fixed to a holder and connected to the ventilator. | The court heard the endotracheal tube, which supports breathing, was positioned behind Miss Hill's head, away from her neck and was fixed to a holder and connected to the ventilator. |
| Dr Mahesh Shetty, the on-call anaesthetist, said the ventilator had been fitted with an alarm. | Dr Mahesh Shetty, the on-call anaesthetist, said the ventilator had been fitted with an alarm. |
| "If there is a blockage and the pressures go below a certain level, it alarms," he said. | "If there is a blockage and the pressures go below a certain level, it alarms," he said. |
| Dr Shetty said it was "probably less than 30 seconds" between Miss Hill going into cardiac arrest and resuscitation beginning. | Dr Shetty said it was "probably less than 30 seconds" between Miss Hill going into cardiac arrest and resuscitation beginning. |
| Anaesthetic nurse Gerry Paclejan said the endotracheal tube was secured loosely to the side of the trolley with a tourniquet. | Anaesthetic nurse Gerry Paclejan said the endotracheal tube was secured loosely to the side of the trolley with a tourniquet. |
| "There is no way the tube will be laying on the floor - it is always on the side of the table," he said. | "There is no way the tube will be laying on the floor - it is always on the side of the table," he said. |
| Assistant Gloucestershire coroner Roland Wooderson asked Mr Paclejan: "In Jasmine's case, can you remember where the tubes were on that day?" | Assistant Gloucestershire coroner Roland Wooderson asked Mr Paclejan: "In Jasmine's case, can you remember where the tubes were on that day?" |
| He replied: "I can't remember the actual time. During intubation I always make sure the tube is tied up and safe before we moved the patient." | He replied: "I can't remember the actual time. During intubation I always make sure the tube is tied up and safe before we moved the patient." |
| The inquest, which is due to conclude on Wednesday, continues. | |
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