Ismail Mohamed Abdulwahab, 13, died without his family at his bedside, his inquest heard.
Hours before Ismail's death, an endotracheal tube used to help patients breathe was found to be in the wrong position and a decision was made to leave it and monitor him.Image caption,Dr Tushar Vince, a consultant in paediatric intensive care, treated Ismail on 29 March after he had been intubated, the inquest heard.
Giving evidence via video-link, Dr Vince said the fact that the breathing tube was in the wrong position could have contributed to the teenager's death. Asked by the coroner if it would be reasonable to put the positioning of the ET on the death certificate as one of the causes, Dr Vince said: "I think it would be reasonable to consider it, yes."Another paediatric doctor, Anuj Khatri, had pointed out to Dr Vince that the tube was too high but she decided not to reposition it, the court heard.
Dr Vince told the coroner that she had had to consider the consequences of intervening when Ismail was in a prone position - on his front - and concluded that it was the "safer option" to leave him and monitor him rather than flip him on to his back to move the tube.
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