Newborn in coma after accidently administered CO2 instead of O2... - page 2

Can someone tell me the rationale behind why they would have CO2 available for use? Healthy newborn gassed into coma at Tripler Ken Wilson A healthy baby was given the wrong gas at... Read More

  1. by   babyktchr
    Doesn't make sense to me either....CO2 in any area???? There are just too many questions here....poor parents...to have to watch it happen. Yikes
  2. by   klone
    Quote from babyktchr
    Doesn't make sense to me either....CO2 in any area????
    Maybe used in the OR to help inflate cavities and certain organs?

    I can't imagine why it would be in a regular old L&D suite, though.

    Even if the supply company accidently filled the tank with CO2, I would still think the staff would be liable for not assessing the baby.
  3. by   jeepgirl
    Quote from klone
    Maybe used in the OR to help inflate cavities and certain organs?

    I can't imagine why it would be in a regular old L&D suite, though.

    Even if the supply company accidently filled the tank with CO2, I would still think the staff would be liable for not assessing the baby.

    But you would think that something else was going on becuase you were giving the baby O2!

    this makes no sense. i have to say that i feel sorry for the nurse who received the baby.
  4. by   Mulan
    Maybe it wasn't a nurse. Maybe it was a corpsman or whatever they are called in the army, a medic?
  5. by   klone
    Quote from Mulan
    Maybe it wasn't a nurse. Maybe it was a corpsman or whatever they are called in the army, a medic?
    The article said "nurse" though.

    a nurse placed a mask over the baby's face to administer oxygen. At least it was supposed to be oxygen. It turned out to be carbon dioxide.
  6. by   Twinkie1
    God bless that poor family and baby. In a room full medical personal no one noticed. I find that very questionable.
  7. by   kate930
    I gave birth at Tripler Army Medical Center in 1990. Sadly, everyone calls it Crippler.

    Having had two other births at two other hospitals, I would say, without hesitation, the medical and nursing care was substandard, and I would never have another baby there. Nor would I go there for any other kind of treatment.

    I have heard numerous horror stories over the years about Tripler (thankfully, none as bad as this one).
  8. by   kmchugh
    Quote from klone
    Maybe used in the OR to help inflate cavities and certain organs?
    Exactly. CO2 is used in the OR to insufflate the abdomen for laparoscopic surgery. It is used because it does not promote combustion, the way O2 or room air would. However, it comes in a gray cannister, and supposedly O2 tank fittings cannot be attached to CO2 because of the pin index system. Either someone bypassed the pin index system and ignored tank color, or an O2 tank was filled with CO2. Either way, someone went out of their way to put CO2 in absolutely the wrong place.

    Kevin McHugh
  9. by   Gompers
    What the heck kind of third world hospital is this? Even in those hospitals, oxygen tanks are always green. If it was the company's fault for putting the wrong gas in the tank, then that's a different story. But whether the oxygen is supplied by tanks or through central wall outlets, it's always green.

    I agree that if the baby was healthy and screaming, there really should be no need for supplemental oxygen, especially not face-mask delivery! The NRP program specifically teaches that only blow by should be used on a baby that is actively crying and breathing. If there is apnea or poor respiratory effort, then face-mask CPAP should be used for 30 seconds.

    To me, it's both the fact that they used bag-mask ventilation on this kid PLUS the fact that it was the wrong gas. Two mistakes, and I don't blame them for contacting a lawyer.
  10. by   mercyteapot
    Quote from Gompers
    What the heck kind of third world hospital is this? Even in those hospitals, oxygen tanks are always green. If it was the company's fault for putting the wrong gas in the tank, then that's a different story. But whether the oxygen is supplied by tanks or through central wall outlets, it's always green.

    I agree that if the baby was healthy and screaming, there really should be no need for supplemental oxygen, especially not face-mask delivery! The NRP program specifically teaches that only blow by should be used on a baby that is actively crying and breathing. If there is apnea or poor respiratory effort, then face-mask CPAP should be used for 30 seconds.

    To me, it's both the fact that they used bag-mask ventilation on this kid PLUS the fact that it was the wrong gas. Two mistakes, and I don't blame them for contacting a lawyer.
    I don't blame them either, and I hope the public doesn't look at the parents as though they're looking for the opportunity to turn a fast buck over this senseless tragedy. The cost of this child's care is likely to far surpass whatever settlement they are able to secure against the federal government, which is likely to claim immunity against the suit in the first place.
  11. by   FranEMTnurse
    :angryfire I hope those parents sue that hospital up the ying yang! What a horrible thing to happen to a tiny new life that the parents waited so long for. It's tragic.
  12. by   Spidey's mom
    Quote from kmchugh
    Exactly. CO2 is used in the OR to insufflate the abdomen for laparoscopic surgery. It is used because it does not promote combustion, the way O2 or room air would. However, it comes in a gray cannister, and supposedly O2 tank fittings cannot be attached to CO2 because of the pin index system. Either someone bypassed the pin index system and ignored tank color, or an O2 tank was filled with CO2. Either way, someone went out of their way to put CO2 in absolutely the wrong place.

    Kevin McHugh
    Our OR is used for all our surgeries, including cesareans. We do lots of laps.

    I don't work in any of the other surgeries though. .. I'm going to specifically look for that CO2 tank . . . .

    We still have the question of O2 by mask on a screaming baby. . . . I too will be interested in the details.

    steph
  13. by   imenid37
    The whole thing is awful. We have green o2 tanks on the back of our warmer. We use them in the OR or to transport the baby. We can also plug into the wall suplly of O2 through the green outlet in the OR. Very weird and very sad for the family.

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