Patricia Yvonne Donovan · Prevention of Future Deaths report

On 25 January 2017 I agreed to conduct an investigation into the death of Patricia Yvonne Donovan. The investigation concluded at the end of the inquest on the 22 March 2017. The conclusion of the inquest was a narrative conclusion as follows:

Patricia Yvonne Donovan was given a general anaesthetic in preparation for total hip replacement surgery. She suffered an unforeseen adverse drug reaction that led to acute cardiac failure.

Patricia Yvonne Donovan was admitted to the Royal Gwent Hospital on 12 January 2016 following a fall in which she sustained a fractured neck of femur. It was decided to treat her by total hip replacement. On 19 January 2016 Mrs Donovan was given a general anaesthetic in preparation for surgery. Shortly after anaesthesia was induced she suffered an adverse reaction to the anaesthetic agent that caused cardiac failure and her death.

A review of the procedures in respect of the provision of emergency surgery for trauma patients where specialist skills are needed. The review should consider rescheduling elective cases and redeploying specialist staff if necessary.