Emma Currell, 32, went into cardiac arrest following the error at hospital, an inquest hears.
A mother-of-one died after a breathing tube was put into her food pipe, despite staff raising concerns it was inserted incorrectly, an inquest heard.
An anaesthetic team was called to sedate her as her tongue had swelled and she was bleeding from the mouth.Trainee anaesthetist Sabu Syed and technician Nicholas Healey both raised concerns about the tube, the inquest heard Technician Nicholas Healey said he flagged his concerns when there was no carbon dioxide reading on the ventilator, which was not faulty."A couple of doctors listened to her chest and they were confident there was a reaction."Image source,Dr Prasun Mukherjee told Hatfield Coroners' Court he "probably did not have enough time to ask for external help"
The court heard the hospital had drawn up a guideline checklist for trachea procedures since Ms Currell's death and staff were due to have "no trace=wrong place" training on the warning signs of incorrect insertion.In his narrative conclusion, Mr Danbury said the carbon dioxide readings were not acted on for a "considerable" period of time.
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