The city worker had successfully come through the op to repair a broken valve in his heart but died days later after suffering significant brain damage 
  
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 A TOP city banker died when the humidifier on his ventilator was switched off for 19 hours after undergoing major heart surgery, an inquest heard. 
  
 Robert Entenman, 57, died after having an op to repair a broken valve in his heart at London Bridge Hospital, one the country’s largest private hospitals. 
  
 SWNS:South West News Service 2 Robert Entenman, 57, with wife Athina and children Alexander and Chloe. An inquest heard he died when the humidifier on his ventilator was switched off for 19 hours after undergoing major heart surgery 
  
 American born Mr Entenman, who had lived in Britain for more than 30 years, had successfully come through the op on May 15 last year. 
  
 He was global head of e-commerce for Uni-Credit Bank in the City, but suffered from mitral valve disease, type 2 diabetes, arthritis in the hip and back and had a BMI of 42. 
  
 Southwark Corners Court heard his recovery was progressing normally in the hospital’s intensive care unit. 
  
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 But eight days after his operation he went into respiratory cardiac arrest after one of the ventilator pipes became blocked by a “dark brown solid mucus plug”, the inquest was told. 
  
 The humidifier on the ventilator, which helps prevent the build up of mucus in the lungs, had been turned off for 19 hours, the inquest heard. 
  
 After his cardiac arrest doctors believed there wasn’t any brain damage as the issue had been picked up quickly and he had been stabilised. 
  
 But two days later, on May 26, doctors carried out CT scan and found there had been significant brain injury and he eventually died on May 30. 
  
 Dr Duncan Wyncoll, intensive care specialist who treated Mr Entenman after his surgery told the inquest the patient had “elements of organ failure” with issues with his kidneys, liver and lungs. 
  
 He said: “He was not going to get better quickly, it was going to be a significant period of time and so we would hope to be able to get him through it, but he was by no means out of the woods yet.” 
  
 Mr Entenman had been intubated and was breathing with the help of a ventilator almost the entire time since his surgery. 
  
 On the morning of May 23, Dr Wyncoll was told Mr Entenman had gone into cardiac respiratory arrest and there was “a rapid deterioration”. 
  
 Dr Wyncoll, who rushed to the hospital, said: “I got there just as they took out the old tube out and just get it (the new one) back in. 
  
 “At the end of the tube was a thick mucous plug right at the tip of the endotracheal tube (ETT). That told me that was the most likely cause of the arrest.” 
  
 Dr Wyncoll said: “I feel the absence of the humidifier for a prolonged period of time had made them (secretions) sticky leading to the tube blocking.” 
  
 Consultant cardiothoracic surgeon, Mr Inderpaul Birdi, told the inquest the surgery was successful and Mr Entenman was starting to make a recovery. 
  
 After seeing him on the May 22, Mr Birdi said: “I was so pleased by what I saw. He was moving his arms and trying to speak to me. He shook my hand. 
  
 “I said to him all was going to be fine and I left.” 
  
 Central News 2 Mr Entenman had the operation at London Bridge Hospital, one the country’s largest private hospitals 
  
 At 6am of the next day he was at his home in Canary Wharf when he was told Mr Entenman had gone into respiratory arrest. 
  
 He said: “I was completely dismayed and shocked to hear this and I didn’t understand how it could be. 
  
 “I was told an ET tube bad become blocked by something.” 
  
 At the hospital he asked how long Mr Entenman’s had gone without oxygen and the risk of brain injury and was told it was a limited period of time and resuscitation had been swift. 
  
 Mr Birdi said: “I felt reassured at the time the resuscitation team had done a good job. 
  
 “I have never seen any one in my entire career die from a blocked ETT tube which led to a brain injury. That is why I remained optimistic.” 
  
 However on May 26 he received a message from Mrs Entenman’s wife, who was “extremely worried about him”. 
  
 Mr Birdi said another CT scan was performed because of fears there may have been more significant brain injury. 
  
 After being shown the results of the scan he said: “This indicated to me there was significant brain injury from which he was unlikely to make a recovery.” 
  
 Pathologist Dr Simi George gave the cause of death as “1A hypoxic ischaemic brain injury”. 
  
 Dr Andreas Marnerides, who presented the report, said Mr Entenman died “because there was not enough oxygen to the brain. The reason for that was he blockage of the ET tube.” 
  
 The inquest continues. 
  
 We pay for your stories! Do you have a story for The Sun Online news team? Email us at tips@the-sun.co.uk or call 0207 782 4368 ||||| A City banker died as a result of neglect following a heart operation at a leading private hospital, an inquest ruled. 
  
 Robert Entenman, 57, died when the humidifier was turned off for 18 hours at London Bridge Hospital by a nurse who believed it would help cool him down, the hearing was told. 
  
 The humidifier was switched off by nurse Priyan Bastian after Mr Entenman complained about the heat in his room at the hospital because the air conditioning had broken. 
  
 Southwark Coroner's Court heard the piece of equipment, which prevents the build up of mucus in the ventilator pipe, was switched off for 18 hours. 
  
 Coroner Henrietta Hill QC concluded at the end of the five-day hearing that the failure to provide Mr Entenman with the humidifier amounted to neglect. 
  
 She also found delays by medical staff in identifying the tube had been blocked played a causative role in his death. 
  
 American-born Mr Entenman, who had lived in Britain for more than 30 years, had successfully come through the operation on May 15 last year. 
  
 He was global head of e-commerce for Uni-Credit Bank in the City, but suffered from mitral valve disease, type 2 diabetes, arthritis in the hip and back and had a BMI of 42. 
  
 The inquest heard his recovery was making progress in the private hospital's intensive care unit, and was on a ventilator for almost the entire time. 
  
 But eight days after his operation he went into respiratory cardiac arrest after one of the ventilator pipes, the endotracheal tube (ET tube), became blocked by a "dark brown solid mucus plug" preventing oxygen from getting to the lungs. ||||| A banker who underwent heart surgery at one of London’s top private hospitals died after a key piece of machinery was apparently turned off, an inquest heard 
  
 Robert Entenman, a 57-year-old American with children aged eight and 10, went into cardiac arrest at London Bridge hospital a week after a “99 per cent safe” operation to repair a heart valve. 
  
 His life support machine was turned off on May 30 last year after tests showed that oxygen starvation during the 15-minute arrest had left him with a “very significant brain injury”. 
  
 Southwark coroner’s court was told yesterday that Mr Entenman, a New York-born department head at UniCredit bank in London, had been placed on a ventilator in intensive care following the heart operation on May 15. 
  
 The operation had lasted 10 hours after surgeon Interpaul Birdi was forced to abandon plans to carry out the procedure by keyhole surgery and moved to “plan B” - opening the chest in the “traditional way” - after encountering a series of “hurdles”. 
  
 An intensive care doctor looking after Mr Entenman said he believed the pipe to his airway became blocked with “sticky” mucus because a humidifier designed to prevent secretions building up had been switched off. 
  
 Dr Duncan Wyncoll, a consultant intensivist, told the court that he saw a 5cm blockage in the endotracheal (ET) airway tube when it was replaced during the bid to save his life. 
  
 “There was a thick mucus plug at the tip of the ET tube,” he said. “I think it was most likely that that, in retrospect, was the cause of the arrest.” 
  
 He added: “I feel the absence of the humidifier for a prolonged period of time had made them (secretions) sticky leading to the tube blocking.” 
  
 Pathologist Dr Simi George gave the primary cause of death as “hypoxic ischaemic brain injury”. 
  
 Mr Entenman, who lived near Chislehurst, had type-2 diabetes and weighed 22st with a BMI above 40, making him technically obese. 
  
 Medical records read in court suggested he drank 18 pints a week, though higher and lower figures were also mentioned. He wanted the heart repair to enable him to go on to have a hip replacement operation. 
  
 Coroner Henrietta Hill QC said letters his wife Athina sent after his death to Mr Birdi and the hospital, run by private healthcare firm HCA, raised a “range of concerns” about her husband’s treatment. 
  
 Mr Birdi told the court that the probability of repairing the heart valve was “in excess of 95 per cent”. 
  
 He added: “I quoted it as 98 per cent, though I updated it as 99 per cent. There was a very high likelihood we would be able to repair his valve.” 
  
 After the operation, Mr Entenman was placed on a heart and lung ventilator. Recalling a visit to his patient on May 22, Mr Birdi said he had been well enough to shake his hand. 
  
 “I was so pleased to see Mr Entenman,” Mr Birdi said. “His eyes were open. He was attempting to speak to me round the tube in his windpipe. 
  
 "I thought it was only a matter of time before Mr Entenman would be off the ventilator. I reassured him that all was going to be fine. 
  
 “Mrs Entenman had some concerns about the room. The temperature in the room was very high.” 
  
 The court heard that a humidifier was being used to moisten the gases supplied via the ventilator. If the air is too dry, this can cause secretions to block the tube. 
  
 The coroner said: “We may hear evidence to suggest there was a 19-hour period of time when the humidifier was offline.” 
  
 Around 6am on May 23, Mr Entenman went into cardiac arrest. 
  
 Dr Andreas Marnerides, who presented the report, said Mr Entenman died “because there was not enough oxygen to the brain. 
  
 “The reason for that was the blockage of the ET tube.” 
  
 Dr Wyncoll said Mr Entenman had suffered “complications” after the heart surgery. He was agitated, suffering a “significant inflammatory response” and his kidneys were failing. 
  
 Dr Wyncoll said: “Six to seven days after his operation, he still needed intensive care. Though I would hope we would be able to get him through, he was by no means out of the woods.” 
  
 Mrs entenman’s lawyer, Paul McNeil, of Fieldfisher, is investigating whether to bring a High Court negligence claim at the conclusion of the hearing. 
  
 The inquest resumes today and is expected to last until the end of the week. |||||

Write a summary.
– An inquest has blamed the death of an American banker who underwent a routine heart valve operation in Britain on a nurse's mistaken move, reports the Telegraph. Robert Entenman died in 2015 at age 57 at one of Britain's biggest private hospitals, London Bridge. The American, who left the US in the early '80s and worked at major investment banks throughout Europe, had mitral valve disease, type 2 diabetes, and a high BMI of 42, but he had been expected to recover from the procedure. Having been on a ventilator for a week following surgery, Entenman went into cardiac arrest and suffered from a lack of oxygen to his brain after his endotracheal tube became clogged with mucus. Last week, an inquest found that his death was the result of the hospital's neglect, reports the Sun. The surgeon told the court he'd put the probability of successful heart valve repair at 99%, and that days after the operation his patient had recovered enough to shake hands, reports the Standard. But after Entenman complained about being too hot due to broken air conditioning, a nurse turned off the ventilator's humidifier, thinking it would help, the inquest was told. Unfortunately, the device helps prevent secretions from building up and has nothing to do with body temperature. It was off for 18 hours, at which point Entenman went into cardiac arrest. Hospital staff found a "dark brown solid mucus plug" depriving him of oxygen in the endotracheal tube. A CT scan revealed significant brain damage, and the father of two died days later. (Expect to get at least one serious diagnostic error in your life.)
Stadsarbetaren hade framgångsrikt kommit igenom operationen för att reparera en trasig ventil i sitt hjärta men dog flera dagar senare efter att ha drabbats av betydande hjärnskador Klicka för att dela på WhatsApp (Öppnas i nytt fönster) Klicka för att maila detta till en vän (Öppnas i nytt fönster) Klicka för att dela på Facebook (Öppnas i nytt fönster) Klicka för att dela på Twitter (Öppnas i nytt fönster) En TOP-bankir dog när luftfuktaren på hans respirator stängdes av i 19 timmar efter att ha genomgått en större hjärtoperation, en förfrågan hördes. Robert Entenman, 57 år, avled efter att ha haft en operation för att reparera en trasig klaff i sitt hjärta på London Bridge Hospital, ett av landets största privata sjukhus. SWNS:South West News Service 2 Robert Entenman, 57, med fru Athina och barn Alexander och Chloe. En undersökning hörde att han dog när luftfuktaren på hans respirator stängdes av i 19 timmar efter att ha genomgått en större hjärtoperation amerikanskfödde Mr Entenman, som hade bott i Storbritannien i mer än 30 år, hade framgångsrikt kommit igenom operationen den 15 maj förra året. Han var global chef för e-handel för Uni-Credit Bank i staden, men led av mitralklaffssjukdom, typ 2-diabetes, artrit i höften och ryggen och hade ett BMI på 42. Southwark Corners Court hörde att hans tillfrisknande gick normalt framåt på sjukhusets intensivvårdsavdelning. relaterade berättelser Hughes Inquest Family of Phil Hughes går ut ur rätten som advokat kritiserar spelare för att misslyckas med att svara på frågor hån storm Doug Bollinger anklagas för "I'll kill you" släde av nya vittne vid förfrågan in i Phillip Hughes död rodnande Tragedy Syster tog livet av sig på tredje försöket efter att ha blivit alltför stressad på jobbet, frågar finner "HOW KAN DU BÖRJA PÅ LYING?" Sorgande farbror anklagar sin syster för att ha dödat sin lilla flicka i dramatiska scener på förfrågan "THEY DODN’T VET INTE VAD DU SKA GÖRA" Mamma dog efter att läkare missat tre chanser att behandla tillstånd som dödade henne, förfrågan berättade Men åtta dagar efter hans operation gick han i andningsstillestånd hjärtstillestånd efter en av respiratorrören blockerades av en "mörk brun solid slempropp", förhöret berättades. Luftfuktaren på respiratorn, som hjälper till att förhindra slembildning i lungorna, hade stängts av i 19 timmar, förhöret hördes. Efter hans hjärtstillestånd läkare trodde att det inte fanns några hjärnskador eftersom frågan hade plockats upp snabbt och han hade stabiliserats. Men två dagar senare, den 26 maj, utförde läkare datortomografi och fann att det hade uppstått betydande hjärnskador och han avled så småningom den 30 maj. Dr Duncan Wyncoll, intensivvårdsspecialist som behandlade Mr Entenman efter hans operation berättade undersökningen patienten hade “element av organfel” med problem med njurar, lever och lungor. Han sade: “Han skulle inte bli bättre snabbt, det skulle bli en betydande tidsperiod och så vi skulle hoppas att kunna få honom igenom det, men han var ingalunda ur skogen ännu.” Mr Entenman hade intuberats och andades med hjälp av en respirator nästan hela tiden sedan hans operation. På morgonen den 23 maj fick dr Wyncoll veta att Entenman hade fått andningsstillestånd i hjärtat och att ”en snabb försämring” inträffade. Doktor Wyncoll, som rusade till sjukhuset, sade: ” Jag kom dit precis när de tog ut den gamla tuben och bara fick in den (den nya) igen. – I slutet av röret fanns en tjock slempropp precis vid toppen av endotrakealtuben (ETT). Det berättade mig att var den mest sannolika orsaken till gripandet. "Dr Wyncoll sade: "Jag känner frånvaron av fuktaren under en längre tid hade gjort dem (sekretioner) klibbiga leder till tubblockering." Konsult kardiothoracic kirurg, Mr Inderpaul Birdi, berättade undersökningen operationen var framgångsrik och Mr Entenman började göra en återhämtning. Efter att ha sett honom den 22 maj sade Birdi: ” Jag blev så glad över det jag såg. Han rörde på armarna och försökte prata med mig. Han skakade hand med mig. — Jag sade till honom att allt skulle bli bra och jag gick därifrån. Central News 2 Mr Entenman hade operationen på London Bridge Hospital, ett av landets största privata sjukhus Klockan 6 på morgonen nästa dag var han hemma i Canary Wharf, då han fick veta att Mr Entenman hade gått i andningsstillestånd. Han sade: ” Jag blev helt bestört och chockad över att höra detta, och jag förstod inte hur det kunde vara. ”Jag fick höra att en ET-tube dålig blir blockerad av något.” På sjukhuset frågade han hur länge Mr Entenmans hade gått utan syre och risken för hjärnskada och fick veta att det var en begränsad tid och återupplivning hade varit snabb. Birdi sade: ” Jag kände mig lugnad när återupplivningsteamet hade gjort ett bra arbete. – Jag har aldrig sett någon i hela min karriär dö av en blockerad ETT-tube som ledde till en hjärnskada. Det var därför jag förblev optimistisk.” Men den 26 maj fick han ett meddelande från fru Entenman, som var “synnerligen orolig för honom”. Mr Birdi sa att en annan datortomografi utfördes på grund av rädsla för att det kan ha varit mer betydande hjärnskada. Efter att ha visat resultaten av skannern sade han: “Detta indikerade för mig att det fanns betydande hjärnskada som han var osannolikt att göra en återhämtning.” Patologen Dr Simi George gav dödsorsaken som “1A hypoxisk ischemisk hjärnskada”. Doktor Andreas Marnerides, som presenterade rapporten, sade att Entenman dog ” eftersom hjärnan inte hade tillräckligt med syre. Orsaken till det var att han blockerade ET-tuben.” Utredningen fortsätter. Vi betalar för era historier! Har du en story för Sun Onlines nyhetsteam? Maila oss på tips@the-sun.co.uk eller ring 0207 782 4368 <unk> A City bankir dog till följd av försummelse efter en hjärtoperation på ett ledande privat sjukhus, en förfrågan regerade. Robert Entenman, 57 år, dog när luftfuktaren stängdes av i 18 timmar på London Bridge Hospital av en sjuksköterska som trodde att det skulle hjälpa till att kyla ner honom, sades det till förhöret. Luftfuktaren stängdes av av sjuksköterskan Priyan Bastian efter att Mr Entenman klagat över värmen i hans rum på sjukhuset eftersom luftkonditioneringen hade gått sönder. Southwark Coroner's Court hörde att utrustningen, som förhindrar uppbyggnaden av slem i respiratorröret, stängdes av i 18 timmar. Rättsläkaren Henrietta Hill QC drog i slutet av den fem dagar långa utfrågningen slutsatsen att underlåtenheten att förse Mr Entenman med luftfuktaren innebar försummelse. Hon fann också förseningar av medicinsk personal i att identifiera röret hade blockerats spelade en orsakande roll i hans död. Den amerikanskfödde Entenman, som hade bott i Storbritannien i mer än 30 år, hade framgångsrikt klarat operationen den 15 maj förra året. Han var global chef för e-handel för Uni-Credit Bank i staden, men led av mitralklaffssjukdom, typ 2-diabetes, artrit i höften och ryggen och hade ett BMI på 42. Utredningen hörde att hans tillfrisknande gjorde framsteg på det privata sjukhusets intensivvårdsavdelning, och satt på en respirator nästan hela tiden. Men åtta dagar efter sin operation gick han in i andningsstillestånd i hjärtat efter att ett av respiratorrören, endotrakealröret (ET-röret), blivit blockerat av en "mörkbrun fast slempropp" som hindrade syret från att komma till lungorna. En bankir som genomgick en hjärtoperation på ett av Londons främsta privata sjukhus dog efter att en nyckelmaskin tydligen hade stängts av, en förfrågan hörde Robert Entenman, en 57-årig amerikan med barn i åldern åtta och 10 år, gå i hjärtstillestånd på London Bridge sjukhus en vecka efter en ”99 procent säker” operation för att reparera en hjärtklaff. Hans livsuppehållande maskin stängdes av den 30 maj förra året efter tester som visade att syresvält under 15-minuters gripandet hade lämnat honom med en “mycket betydande hjärnskada”. Southwark coroner's domstol fick i går veta att Entenman, en New York-född avdelningschef vid UniCredit bank i London, hade placerats på en ventilator på intensivvård efter hjärtoperationen den 15 maj. Operationen hade varat i 10 timmar efter att kirurgen Interpaul Birdi tvingats överge planerna på att genomföra ingreppet genom nyckelhålskirurgi och flyttat till ”plan B” - att öppna bröstet på det ”traditionella sättet” - efter att ha stött på en rad ”hurdar”. En intensivvårdsläkare som såg efter Mr Entenman sade att han trodde att röret till hans luftvägar blev blockerat med ”klibbigt” slem eftersom en luftfuktare avsedd att förhindra att sekret byggs upp hade stängts av. Dr Duncan Wyncoll, en konsult intensivist, berättade för domstolen att han såg en 5cm blockering i endotrakeal (ET) luftvägsrör när det ersattes under budet att rädda hans liv. — Det var en tjock slempropp vid spetsen av ET-röret, sade han. ”Jag tror att det var mest troligt att det i efterhand var orsaken till gripandet.” Han tillade: ”Jag känner att frånvaron av luftfuktaren under en längre tid hade gjort dem (sekretioner) klibbiga vilket ledde till att röret blockerades.” Patologen Dr Simi George gav den primära dödsorsaken som ”hypoxisk ischemisk hjärnskada”. Entenman, som bodde nära Chislehurst, hade typ 2-diabetes och vägde 22:a med ett BMI över 40, vilket gjorde honom tekniskt överviktig. Medicinska journaler som lästes i rätten tydde på att han drack 18 pints i veckan, även om högre och lägre siffror också nämndes. Han ville att hjärtat skulle repareras så att han kunde fortsätta med en höftledsoperation. Rättsläkaren Henrietta Hill QC sade brev hans fru Athina skickade efter sin död till Mr Birdi och sjukhuset, drivs av privata hälso-och sjukvårdsföretaget HCA, tog upp en “intervall av oro” om hennes makes behandling. Birdi sade till domstolen att sannolikheten för att hjärtklaffen skulle repareras var ”över 95 procent”. Han tillade: ” Jag citerade den som 98 procent, men jag uppdaterade den som 99 procent. Det fanns en mycket hög sannolikhet att vi skulle kunna reparera hans ventil. "Efter operationen, Mr Entenman placerades på ett hjärta och lungventilator. Birdi påminde om ett besök hos sin patient den 22 maj och sade att han hade varit frisk nog att skaka hand. — Jag var så glad att se herr Entenman, sade herr Birdi. — Hans ögon voro öppna. Han försökte prata med mig runt röret i luftstrupen. »Jag trodde, att det bara var en tidsfråga, innan herr Entenman skulle vara utanför respiratorn. Jag försäkrade honom att allt skulle bli bra. — Fru Entenman hyste en del betänkligheter mot rummet. Temperaturen i rummet var mycket hög.” Rätten hörde att en luftfuktare användes för att fukta gaserna som tillförs via respiratorn. Om luften är för torr kan detta få sekret att blockera röret. Rättsläkaren sade: “Vi kan höra bevis för att det fanns en 19-timmars period när luftfuktaren var offline.” Runt 6 på 23 maj, Mr Entenman gick i hjärtstillestånd. Doktor Andreas Marnerides, som presenterade rapporten, sade att Entenman dog ” eftersom hjärnan inte hade tillräckligt med syre. “Orsaken till det var blockeringen av ET-tuben.” Dr Wyncoll sade att Mr Entenman hade drabbats av “komplikationer” efter hjärtkirurgin. Han var upprörd, led av ett ”signifikant inflammatoriskt svar” och hans njurar sviktade. Doktor Wyncoll sade: ” Sex till sju dagar efter operationen behövde han fortfarande intensivvård. Även om jag skulle hoppas att vi skulle kunna få honom igenom, var han ingalunda ur skogen. " Mrs entenmans advokat, Paul McNeil, av Fieldfisher, undersöker om att väcka en hög domstol vårdslöshet anspråk vid slutet av förhandlingen. Utredningen återupptas idag och förväntas pågå till slutet av veckan. Skriv en sammanfattning.
The city worker had successfully come through the operation to repair a broken valve in his heart but died several days later after suffering significant brain damage Click to share on WhatsApp (Opens in new window) Click to email this to a friend (Opens in new window) Click to share on Facebook (Opens in new window) Click to share on Twitter (Opens in new window) A TOP banker died when the air moisturizer on his ventilator was shut down for 19 hours after undergoing major heart surgery, a request was heard. Robert Entenman, aged 57, died after having an operation to repair a broken valve in his heart at London Bridge Hospital, one of the country's largest private hospitals. SWNS:South West News Service 2 Robert Entenman, 57, with Mrs. Athina and children Alexander and Chloe. A survey heard that he died when the humidifier on his ventilator shut down for 19 hours after undergoing a major heart operation American-born Mr. Entenman, who had lived in Britain for more than 30 years, had successfully come through the operation on May 15 last year. He was the global head of e-commerce for Uni-Credit Bank in the city, but suffered from mitral valve disease, type 2 diabetes, arthritis in the hip and back and had a BMI of 42. Southwark Corners Court heard that his recovery normally progressed in the hospital's intensive care unit. related stories Hughes Inquest Family of Phil Hughes walks out of court as a lawyer criticizing players for failing to answer questions mock storm Doug Bollinger is accused of "I'll kill you" sledging by new witness upon request into Phillip Hughes' death blushing Tragedy Sister killed herself on third attempt after being too stressed at work, asking find "HOW CAN YOU BEGINN ON LYING?" Grieving uncle accuses her sister of killing her little girl in dramatic scenes on request "THEY DODN’T DO NOT KNOW WHAT TO DO" Mom died after doctors missed three chances of treating permission that killed her, the request told But eight days after his surgery he went into respiratory arrest after one of the ventilator tubes was blocked by a "dark brown solid mucus plug", the interrogation was told. The humidifier on the ventilator, which helps prevent mucus formation in the lungs, had been shut down for 19 hours, the interrogation was heard. After his cardiac arrest doctor believed there were no brain damage because the issue had been picked up quickly and he had stabilized. But two days later, on May 26, doctors performed CT scans and found that significant brain damage had occurred and he eventually died on May 30. Dr. Duncan Wyncoll, intensive care specialist who treated Mr. Entenman after his surgery told the examination the patient had “elements of organ failure” with problems with the kidneys, liver and lungs. He said: “He wouldn’t get better quickly, it would be a significant period of time and so we would hope to get him through it, but he was by no means out of the woods yet.” Mr. Entenman had been intubated and breathed using a ventilator almost all the time since his operation. On the morning of May 23, Dr. Wyncoll learned that Entenman had had a respiratory arrest in his heart and that “a rapid deterioration” occurred. Dr. Wyncoll, who rushed to the hospital, said: “I got there just as they took out the old tube and just got it (the new one) back in. – At the end of the tube was a thick mucus plug right at the top of the endotracheal tube (ETT). It told me that was the most likely cause of the arrest. "Dr. Wyncoll said: "I feel the absence of the moisturizer for a long time had made them (secretions) sticky leading to tube blocking." Consultant cardiothoracic surgeon, Mr. Inderpaul Birdi, told the investigation operation was successful and Mr. Entenman began to make a recovery. After seeing him on May 22, Birdi said: “I was so happy with what I saw. He moved his arms and tried to talk to me. He shook my hand. “I told him that everything would be fine and I left. Central News 2 Mr. Entenman had the operation at London Bridge Hospital, one of the country’s largest private hospitals at 6 a.m. the next day he was home in Canary Wharf, when he learned that Mr. Entenman had gone into respiratory arrest. He said: “I was quite appalled and shocked to hear this, and I did not understand how it could be. “I was told that an ET tube is being blocked by something.” In the hospital he asked how long Mr. Entenmans had gone without oxygen and the risk of brain damage and learned that it was a limited time and resuscitation had been rapid. Birdi said: “I felt reassured when the resuscitation team had done a good job. “I’ve never seen anyone in my entire career die from a blocked ETT tube that led to a brain injury. That is why I remained optimistic.” But on 26 May he received a message from Mrs Entenman, who was “extremely worried about him”. Mr. Birdi said another CT scan was performed due to fears that there may have been more significant brain damage. After showing the results of the scanner, he said: “This indicated to me that there was significant brain damage as he was unlikely to make a recovery.” Pathologist Dr. Simi George gave the cause of death as “1A hypoxic ischemic brain injury”. Andreas Marnerides, who presented the report, said that Entenman died ” because the brain did not have enough oxygen. The reason for this was that he blocked the ET tube.’ The investigation continues. We're paying for your stories! Do you have a story for Sun Online's news team? E-mail us at tip@the-sun.co.uk or call 0207 782 4368 <unk> A City banker died as a result of neglect following a heart operation at a leading private hospital, a request ruled. Robert Entenman, aged 57, died when the humidifier was shut down for 18 hours at London Bridge Hospital by a nurse who thought it would help cool him down, it was said to the interrogation. The humidifier was shut down by nurse Priyan Bastian after Mr. Entenman complained about the heat in his room at the hospital because the air conditioning had broken. Southwark Coroner's Court heard that the equipment, which prevents the construction of mucus in the ventilator tube, was shut down for 18 hours. The coroner Henrietta Hill QC concluded at the end of the five-day hearing that the failure to provide Mr. Entenman with the humidifier meant neglect. She also found delays by medical personnel in identifying the tube had been blocked played a causative role in his death. The American-born Entenman, who had lived in Britain for more than 30 years, had successfully passed the operation on May 15 last year. He was the global head of e-commerce for Uni-Credit Bank in the city, but suffered from mitral valve disease, type 2 diabetes, arthritis in the hip and back and had a BMI of 42. The investigation heard that his recovery progressed in the private hospital's intensive care unit, and sat on a ventilator almost all the time. But eight days after his operation, he entered respiratory arrest in the heart after one of the ventilator tubes, the endotracheal tube (ET tube), was blocked by a "dark brown solid mucus plug" that prevented oxygen from getting to the lungs. A banker who underwent heart surgery at one of London's top private hospitals died after a key machine had apparently been shut down, a request heard Robert Entenman, a 57-year-old American with children aged eight and 10, go into cardiac arrest at London Bridge hospital one week after a '99 percent safe' operation to repair a heart valve. His life support machine was shut down on May 30 last year after tests showing that oxygen starvation during the 15-minute arrest had left him with a “very significant brain damage”. The Southwark coroner's court learned yesterday that Entenman, a New York-born department head at UniCredit bank in London, had been placed on a ventilator on intensive care after the cardiac operation on May 15. The operation had lasted 10 hours after surgeon Interpaul Birdi had been forced to abandon plans to perform the procedure through keyhole surgery and moved to ‘Plan B’ - opening his chest in the ‘traditional way’ - after encountering a series of ‘hurdars’. An intensive care doctor who looked after Mr. Entenman said he believed the tube to his airways was blocked with “sticky” slime because an air humidifier designed to prevent the build-up of secretions had been shut down. Dr. Duncan Wyncoll, a consultant intensiveist, told the court that he saw a 5cm blockage in endotracheal (ET) airway tube when it was replaced during the bid to save his life. “There was a thick mucus plug at the tip of the ET tube,” he said. “I think it was most likely that it was the reason for the arrest afterwards.” He added: “I feel that the absence of the humidifier had for a long time made them (secretions) sticky which led to the pipe being blocked.” Pathologist Dr Simi George gave the primary cause of death as ‘hypoxic ischaemic brain damage’. Entenman, who lived near Chislehurst, had type 2 diabetes and weighed 22nd with a BMI over 40, making him technically overweight. Medical records read in court indicated that he drank 18 pints a week, although higher and lower figures were also mentioned. He wanted the heart to be repaired so that he could continue with hip surgery. The coroner Henrietta Hill QC said letter his wife Athina sent after her death to Mr Birdi and the hospital, run by private health care company HCA, addressed a “range of concerns” about her husband’s treatment. Birdi told the court that the probability of the heart valve being repaired was ‘over 95 percent'. He added: “I quoted it as 98 percent, but I updated it as 99 percent. There was a very high probability that we would be able to repair his valve."After the operation, Mr. Entenman was placed on a heart and lung ventilator. Recalling a visit to his patient on May 22, Birdi said that he had been well enough to shake hands. Mr Birdi said I was so happy to see Mr Entenman. — His eyes were open. He tried to talk to me around the tube in the trachea. "I thought it was only a matter of time, before Mr. Entenman would be outside the ventilator. I assured him that everything would be fine. — Mrs Entenman had some reservations about the room. The temperature in the room was very high.” The court heard that a humidifier was used to moisten the gases supplied via the ventilator. If the air is too dry, this can cause secretions to block the tube. The coroner said: “We can hear evidence that there was a 19-hour period when the humidifier was offline.” Around 6 on May 23, Mr. Entenman went into cardiac arrest. Andreas Marnerides, who presented the report, said that Entenman died ” because the brain did not have enough oxygen. “The reason for that was the blockage of the ET tube.” Dr. Wyncoll said that Mr. Entenman had suffered “complications” after heart surgery. He was upset, suffered from a “significant inflammatory response” and his kidneys failed. Dr. Wyncoll said: “Six to seven days after surgery, he still needed intensive care. Although I would hope we could get him through, he was by no means out of the woods." Mrs. Entenman's lawyer, Paul McNeil, of Fieldfisher, investigates about bringing a high court carelessness claim at the end of the hearing. The investigation will resume today and is expected to last until the end of the week. Write a summary.
– En förfrågan har skyllt på en amerikansk bankirs död som genomgick en rutinmässig hjärtklaffsoperation i Storbritannien på en sjuksköterskas misstag, uppger Telegraph. Robert Entenman avled 2015 vid 57 års ålder på ett av Storbritanniens största privatsjukhus, London Bridge. Amerikanen, som lämnade USA i början av 80-talet och arbetade på stora investmentbanker i hela Europa, hade mitralklaffsjukdom, typ 2-diabetes, och ett högt BMI på 42, men han hade förväntats återhämta sig från proceduren. Efter att ha varit på en respirator i en vecka efter operationen gick Entenman i hjärtstillestånd och led av syrebrist till hjärnan efter att hans endotrakealrör blivit igentäppt med slem. Förra veckan upptäckte en undersökning att hans död var resultatet av sjukhusets försummelse, uppger Solen. Kirurgen sa till domstolen att han skulle sätta sannolikheten för en lyckad hjärtklaffsreparation på 99%, och att dagar efter operationen hade hans patient återhämtat sig tillräckligt för att skaka hand, rapporterar Standarden. Men efter att Entenman klagat över att vara för varm på grund av trasig luftkonditionering, stängde en sjuksköterska av respiratorns luftfuktare, och trodde att det skulle hjälpa, berättades undersökningen. Dessvärre hjälper apparaten till att förhindra att sekreten byggs upp och har inget att göra med kroppstemperatur. Den var avstängd i 18 timmar, då Entenman fick hjärtstillestånd. Sjukhuspersonalen hittade en mörk brun slempropp som berövade honom syre i endotrakealröret. En datortomografi avslöjade betydande hjärnskador, och tvåbarnspappan dog några dagar senare. (Förvänta dig att få minst ett allvarligt diagnostiskt fel i ditt liv.)
“A request has blamed the death of an American banker who underwent routine heart valve surgery in the UK on a nurse’s mistake,” reports Telegraph. Robert Entenman died in 2015 at the age of 57 at one of Britain's largest private hospitals, London Bridge. The American, who left the United States in the early 80s and worked at large investment banks throughout Europe, had mitral valve disease, type 2 diabetes, and a high BMI of 42, but he had been expected to recover from the procedure. After being on a ventilator for a week after surgery, Entenman went into cardiac arrest and suffered from oxygen deficiency to the brain after his endotracheal tube became clogged with mucus. Last week, a study discovered that his death was the result of the hospital's neglect, states the Sun. The surgeon told the court that he would put the probability of a successful heart valve repair of 99%, and that days after surgery his patient had recovered enough to shake hands, the Standard reports. But after Entenman complained about being too hot due to broken air conditioning, a nurse shut down the ventilator's humidifier, and thought it would help, the survey was told. Unfortunately, the device helps prevent the buildup of secretions and has nothing to do with body temperature. It was turned off for 18 hours, when Entenman suffered cardiac arrest. The hospital staff found a dark brown mucus clot that stripped him of oxygen in the endotracheal tube. A CT scan revealed significant brain damage, and the father of two died a few days later. (Expect to have at least one serious diagnostic error in your life.)