HEART FAILURE CAUSES DEATH AFTER OPERATION
Evidence was given by several members of the staff of the Cook Hospital when the adjourned inquest on Donald Carl Bulst, aged 10, Matawai, who died at the hospital on May 13, was reopened before the coroner, Mr. E. L. Walton, S.M., in Gisborne yesterday.
After hearing their evidence and that of Dr. C. W. Isaac, who performed a post-mortem examination, the coroner returned a verdict that death was due to sudden cardiac arrest following an anaesthetic on a patient with the condition of status thymo-lymphaticus.
A sister in the hospital, Tui Harris Homer, and an acting staff nurse. Margaret Vivian Hansen, gave evidence that the boy was normal when prepared for an operation for the removal of his tonsils and adenoids on the morning of May 13. On his return to the ward he was rather pale and oxygen was administered. An hour later he coughed and stopped breathing. A doctor was called and artificial respiration was continued without success for about 40 minutes.
No Unusual Reactions
Dr. Alan Derek Fair, who administered the anaesthetic, said that the boy showed no unusual reactions and his condition at the end of the operation, which took about 20 minutes was satisfactory.
The deceased was in a satisfactory condition at the end of the operation, said Dr. Lindsay John McFarlane Black. Later he was called to the ward and applied artificial respiration, continuous oxygen, cardiac massage and the injection of stimulants in an unsuccessful effort to revive the boy.
Dr. Isaac stated that following the post-mortem examination he was of the opinion that Bulst died from acute cardiac arrest, a condition which was quite likely to occur during or after the administration of an anaesthetic in a subject which was quite healthy but which showed an enlargement of the thymus gland at a post-mortem.
"This condition is quite impossible to diagnose during life, but it is a well known fact that sudden death is likely in this type of subject, making them a poor risk for the administration of anaesthetics." concluded Dr. Isaac.
Source: Gisborne Herald, 10 June 1948, Page 6.