[tri-med] Re: CHLORAL HYDRATE EXPERIENCES/knowledge? important

 
Barb,
 
i am so sorry for your loss of annie. i think you have a lawsuit on your  
hands.
 
i am glad that word is getting out on how bad CH is for Trisomy children. i  
had absolutely no idea and could haver had a nightmare this past Wednesday at  
the MRI/hearing test. Thanks everyone for sharing your experiences with  it.
 
Sharon, mom to Jason T17Mosaic, and Lauren
 
 
 
 
 
In a message dated 1/25/2008 11:57:55 A.M. Eastern Standard Time,  
b_farlow@xxxxxxxxxxx writes:
I was  wondering if anyone had any chloral hydrate experiences, or knowledge 
to  share.
This is our experience with chloral hydrate;

Annie had an MRI  at 1 week and an incident report was written because she 
stopped breathing  when she was give nitrous oxide.

The anesthetist told us  "make  sure that your daughter never has nurse-given 
sedatives". I had no idea what  this was but I immediately wrote it in the 
journal that I kept at the  hospital. 

Three days before Annie died, the local pediatrician ordered  an echo and 
prescribed chloral hydrate. I asked, "Is this a nurse-given  sedative?" and she 
said it was. I told her we would hold Annie's hands and  keep her calm to forgo 
the chloral hydrate, given the warning we had received.  The records show the 
chloral was ordered, but not administered.

16  hours before Annie died, when we entered the PICU,  I heard the  
intensivist order chloral hydrate. I asked, "Is this a nurse-given sedative?"  
and he 
said it was. I told him that Annie was not to have medication like that  
because Dr. XXX said that it could cause her to stop breathing. He was very  
annoyed and asked, in a sarcastic tone, "Who is Dr. XXX". I responded that he  
was 
the anesthetist in the MRI at the same hospital as we were in.

The  records show that chloral hydrate was ordered, q8, 150mg. (annie was 5.3 
kg).  A full dose was given to Annie 4 hours before she stopped breathing. 
Another  full dose was given TWO hours later. There is no doctor's order for 
the 
 supplemental dose. We were told that a fellow (resident) gave a voice order  
and the nurse forgot to record it. The director of the department told us 
that  she confirmed this story with the fellow. My husband asked, "what is the 
name  of the fellow?" There was a long silence and then, "I will get back to 
you 
on  that".  A year later, the Coroner said "I do not need to tell you the  
name of the fellow according to the privacy laws". 

The medication  record for the final nursing shift, which commenced 
immediately after the  chloral hydrate was given is missing. That nurse has 
left  
Canada.

Please....... if anyone could supply me with the details of an  experience 
with this medication, including doctor's/hospitals names (OFF LIST  OF COURSE) 
it would be extremely helpful. 

No specific cause of death  could be determined for Annie. (no toxicology) 
The coroner determined that it  was due to "complications of trisomy 13".

We are appealing for a  Coroner's inquest, so this information is very 
important. 

Thanks so  much.

Barb (mom to Annie)








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