Clarifying the case of a 2.5-month-old baby's death at Nghe An Maternity and Pediatrics Hospital
(Baonghean.vn) - Nghe An Obstetrics and Pediatrics Hospital is coordinating with authorities to clarify the cause of death of the 2.5-month-old baby.
On the night of May 23 and early morning of May 24, on some social networking sites, there were shares, citing sources from other personal pages about the story of a child who died during treatment at the hospital.Nghe An Obstetrics and Pediatrics Hospital.
Before the information about the incident, on the morning of May 24, reporters were present atNghe An Obstetrics and Pediatrics Hospitalto find out. Representative of Nghe An Maternity and Pediatrics Hospital said: The deceased child is N.D.B.
N.D.B was admitted to the hospital at 9:44 p.m. on May 22, 2021. The reason for admission was difficulty breathing, cyanosis, and refusal to breastfeed. The child's medical history showed that he had not detected any illness or allergies.
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| Nghe An Obstetrics and Pediatrics Hospital. Photo: PV |
Pathological process: 7 days after hospitalization, the child was vaccinated with the 6-in-1 vaccine. After the injection, the child was stable. 2 days before hospitalization, on May 21, 2021, at 8:35 am, the child went to Nghe An Obstetrics and Pediatrics Hospital for examination with clinical symptoms of fussiness and no fever. The child was assigned to do paraclinical tests (CTM: BC 15.94 G/l; HC: 3.33T/l; Hgb: 96g/l; Neut: 40.5%; TC: 347G/l. CRP level: 30.1mg/l). Blood biochemistry was normal. ENT endoscopy: Acute left otitis media with pus/exudative rhinitis... The child was diagnosed with: Left otitis media with pus/exudative rhinitis, without a diagnosis of sepsis.
The doctor explained to the family about the child's condition and requested hospitalization for treatment, but the family did not agree. The doctor then prescribed outpatient medication (Cefprozil 15mg/kg/24h) to take at home. At the same time, he instructed the family to bring the child back for a check-up if any unusual symptoms worsened (clearly noted in the prescription medical examination book).
On the evening of May 21, 2021, the child had a high fever of over 39 degrees Celsius, and the family used fever-reducing medicine instead of taking the child to see a doctor again. On the morning of May 22, 2021, the child cried a lot and had poor feeding. The family did not use the medicine prescribed by the hospital doctor on May 21, 2021. The family took the child to a private clinic and was treated with an unknown ear spray (information reported by the patient's mother).
On the evening of May 22, 2021, the child had a high fever, suddenly turned purple, hiccuped, and stopped breastfeeding. The family took the child to the Emergency Department, Nghe An Obstetrics and Pediatrics Hospital in the following conditions: groaning, purple lips, cold limbs, pale mucous membranes, respiratory rate 65 breaths/minute, temperature 37 degrees Celsius, pulse 140 times/minute, SPO2: 86%, moist rales in the lungs scattered on both sides. Diagnosed: Respiratory failure/Severe pneumonia/congenital heart monitoring. The child was treated with throat suction, oxygen 2l/minute, and transferred to the Intensive Care and Anti-Poisoning Department at 9:48 p.m.
Recorded at the Department of Intensive Care and Anti-Poisoning: The child was lethargic, had respiratory failure. Poor response to pinching. Pupils on both sides were 2.5 mm, light reflex +/-. No edema, no subcutaneous hemorrhage. Flat fontanel. Purple lips. Groaning. Purple veins all over the body. Cold limbs. Weak peripheral pulse. Sp02: 60%. Moist rales in the lungs, wheezing on both sides. Heart rate 160 beats/min, systolic murmur 2/6 before the heart, average blood pressure 35mmHg; soft abdomen; liver close to the ribs; meningitis syndrome (-)... Diagnosis at the Department of Intensive Care and Anti-Poisoning: Shock of unknown cause/Monitoring for sepsis/Monitoring for cerebral hemorrhage/Monitoring for congenital heart disease/Bronchopneumonia/Otitis media. The doctor explained that the prognosis was very severe with a high risk of death. After listening to the doctor's explanation, the family signed the confirmation.
The hospital has performed the following treatment steps: The child was intubated, ventilated, and given intensive resuscitation (central venous catheter, invasive arterial catheter, vasopressor Adrenaline: dose 0.5 mcg/kg/min, Dobutamine: dose 25 mcg/kg/min), and injected with vitamin K1. The child also had blood gas tests, blood count, blood biochemistry, basic coagulation tests, echocardiogram, CT scan of the brain...
During the monitoring and treatment process, the child continued to receive emergency resuscitation and metabolic acidosis compensation. At 11:00 p.m., the antibiotic Ceftriaxone (tested negative) was injected, and the child was registered for transfusion of fresh frozen plasma and packed red blood cells of the same group. At 0:30 a.m. on May 23, 2021, the child's condition did not improve, but worsened, with a weak radial pulse and purple lips. The child was treated with the vasopressor Noradrenalin at a dose of 0.5 mcg/kg/min, but the disease progressed more severely.
At 3:00 a.m. on May 23, 2021: The child had circulatory arrest, and was resuscitated after 25 minutes. The child's circulation was restored but the prognosis was poor. The doctor explained the high risk of death to the family. The child had circulatory arrest for the second time at 4:15 a.m., the third time at 5:30 a.m., and after 30 minutes of resuscitation, the child did not recover. The child died at 6:00 a.m. on May 23, 2021.
The Hospital's professional council held a meeting and came to the following conclusions: The process of examination, diagnosis and prescription of outpatient treatment for the patient on May 21, 2021 was carried out in accordance with the regulations on professional regulations. The process of examination, diagnosis and emergency treatment of the patient from the time the patient was admitted to the hospital until death was carried out in accordance with the procedure.
The expert council concluded the cause of death: Irreversible shock of unknown cause (thinking of one of the following causes: Septic shock; anaphylactic shock; metabolic disorder).
A representative of Nghe An Obstetrics and Pediatrics Hospital said: After the child died, the hospital really wanted to clarify the cause by performing an autopsy. The hospital has completed the procedures to invite the provincial forensic team. The provincial police have also invited the Ministry of Public Security's forensic team. At 11 p.m. on May 23, 3 forensic officers from the Ministry of Public Security arrived at the hospital. However, the family took the child home for burial and did not agree to an autopsy.
It is known that currently, Nghe An Obstetrics and Pediatrics Hospital has sent a quick report to Nghe An Department of Health and relevant authorities.