September 22, 2011 at 11:19 am
in today’s YORK PRESS
Dislodged tube led to death of historian Ian Robinson
A FORMER York airman and wartime historian died after the tube used to feed him following a stroke became dislodged and ended up in his lung.
An inquest into the death of Ian Robinson, 85, of Skelton, heard how a severe stroke had left him unable to eat solid food and he required feeding via a tube at York Hospital.
It is believed the tube may have become dislodged and worked its way out of his stomach to his right lung. However, after listening to evidence, York coroner Donald Coverdale said the “moment of dislodgement remains something of a mystery”.
The inquest heard Mr Robinson was admitted to York Hospital in September last year, after a severe stroke, affecting his ability to talk and eat. It was decided he should be fed directly to his stomach through a tube, although this was known to cause him distress and he had previously pulled the tube out in the days before his death.
Care worker Lucy Bridge told how she and a colleague had carried out a bed bath on the morning of Mr Robinson’s death on October 12, and found the tube to be securely taped at his nose as it should have been.
She said: “We washed him and changed the sheets on his bed, which involves rolling over on to both sides.”
When asked by Mr Coverdale how long after the bed bath Mr Robinson had shown signs of distress, Miss Bridge said: “Not long after that I was asked to accompany him downstairs for a CT scan because he had become unwell. He was very agitated at that stage.”
She said the tube remained secure throughout.
The scan revealed the tube was in the wrong place internally however and had leaked feeding fluid into his lung, resulting later that day in his death, the inquest heard.
Mr Robinson also suffered from a number of medical complaints before the stroke, and was observed to have a cough when admitted to the hospital, where he was also treated for pneumonia.
Mr Coverdale recorded a verdict of accidental death, but said hospital staff had acted properly. He said: “An accident has occurred, even though I can’t point when it happened – it was an accident.”
Mr Robinson’s widow, Mary, said any changes resulting from her husband’s death would be a “good, good thing.”
Mr Robinson was passionate about the Halifax bomber and led the restoration of one for the Yorkshire Air Museum, which he joined in the 1980s .
By: Bruce - 22nd September 2011 at 18:49
I’m not sure this thread has a place as such on these forums, despite Mr Robinsons good work for the Yorkshire Air Museum. Its a difficult call, but I’m closing the thread on that basis. If anyone would like to discuss the decision, please drop me a PM.
Bruce
By: Arabella-Cox - 22nd September 2011 at 17:57
… my main reason for posting was to highlight Ian’s Halifax book
Thanx for the reminder. Just ordered a copy.
.
By: Arabella-Cox - 22nd September 2011 at 16:00
Hospitals can certainly kill you!
My 92 year old mother was discharged sooner than might have been the case because “otherwise she might get a fatal infection.”
When discharged she came home with an alarming quantity of medication, including epilepsy tablets which the hospital said she had! Well…that was news to us, but her care home administered them and she became very poorly very quickly. Turned out that on the same ward there had been a lady called Irene Saunders…my mother was Eileen Saunders and she came home with Irene’s meds.
I wonder what happened to Irene?
Sadly, the nurses could barely speak English let alone read it.
All that aside, my main reason for posting was to highlight Ian’s Halifax book, here:
http://www.amazon.co.uk/Home-Halifax-Extraordinary-Re-building-Yorkshire/dp/1906502773
By: PanzerJohn - 22nd September 2011 at 15:23
Seems if you are elderly hospitals can kill you, at least the truth has come out this time, unlike in my fathers case.
By: WB556 - 22nd September 2011 at 14:55
A similar thing happened to my mother in Southampton generals intensive care unit. Luckily she survived but in her case it turned out a less that ideally qualified member of agency staff had reinserted her feeding tube but just put it straight into her lung. Luckily it was found during a scan but only after 4 hours. It could have been much worse if she had been older, weaker or it had remained undiscovered for much longer. My sympathy to everyone affected in this case.
One thing you unfortunately learn if you spend much time in hospitals is that unless there is an independent witness to an incident you very seldom get the full truth.