Mother weeps at her baby’s inquest

A month-old baby boy died at a Sydney hospital after a catheter inserted into his neck perforated a vein, allowing fluid to leak into an area around his heart and lungs.

Joshua Elliott was born on August 9, 2009, with gastroschisis, a birth defect affecting his intestines.

Doctors successfully treated the condition at Kareena Private Hospital, in Sydney’s south, when Joshua was just days old.

But he struggled to gain weight and was transferred to Sydney Children’s Hospital for further care.

He died in an intensive care ward on September 9, 2009, about 10 hours after the insertion of a central venous catheter (CVC) designed to pump nutritional fluid into his body.

“We believe that the system has let Joshua down. We just really want to make sure it doesn’t happen to any other kids,” Joshua’s father, Nathan, told reporters on the first day of an inquest into his son’s death.

Counsel assisting the inquest, George Lolis, said questions would be raised about the size and type of catheter used and the post-operative care Joshua received.

The baby’s mum, Rebecca, wept as she explained to Deputy State Coroner Scott Mitchell that she had had concerns about the catheter procedure.

Ms Elliott said she had been particularly worried about an original plan to insert the catheter tube in an area near Joshua’s heart.

“I kept saying I was worried about something going wrong there,” she told the inquest, holding an area around her own heart.

“It was so close to his heart.

“I was told there were other options and that it didn’t have to go there.”

In the end doctors chose to use an entry spot near Joshua’s neck, with the catheter correctly terminating near his heart.

But Mr Lolis said it somehow perforated a vein.

“Fluid leaked into the chest cavity and around the heart,” he told the inquest.

A framed picture of Joshua, newly born, sleepy and wrapped in a striped blanket, was displayed near the witness box throughout Monday’s hearing.

One of the family’s lawyers, Anna Walsh, told reporters, “Joshua Elliott’s death was a tragedy. It was awful.

“The purpose of the inquest is for the Elliott family to get some answers as to why it happened so it may not happen again.”

The inquest is continuing.

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