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Luke Jenkins died of brain damage after op at Bristol Children's Hospital Luke Jenkins died of brain damage after op at Bristol Children's Hospital
(about 2 hours later)
A boy who died after a heart operation at Bristol Children's Hospital suffered brain damage caused by a heart attack, an inquest has heard. A boy who died after a heart operation at Bristol Children's Hospital suffered brain damage caused by cardiac arrest, an inquest has heard.
Luke Jenkins, seven, from Cardiff, was born with a congenital heart defect and had been expected to make a full recovery after surgery in March 2012.Luke Jenkins, seven, from Cardiff, was born with a congenital heart defect and had been expected to make a full recovery after surgery in March 2012.
He was moved from intensive care after 24 hours due to demand for beds.He was moved from intensive care after 24 hours due to demand for beds.
Avon coroner Maria Voisin recorded a narrative verdict and said there was "no evidence of gross failure".Avon coroner Maria Voisin recorded a narrative verdict and said there was "no evidence of gross failure".
The coroner said Luke died as a result of brain damage caused by a heart attack following a catastrophic bleed in his chest a week after heart surgery on 30 March 2012.The coroner said Luke died as a result of brain damage caused by a heart attack following a catastrophic bleed in his chest a week after heart surgery on 30 March 2012.
She said she was happy with the steps the hospital had taken following the incident and she had no further recommendations to make.She said she was happy with the steps the hospital had taken following the incident and she had no further recommendations to make.
'Panic and disorganisation''Panic and disorganisation'
A health trust report released in September said the boy died partly due to staff shortages.A health trust report released in September said the boy died partly due to staff shortages.
Luke's father, Stephen Jenkins, had described a situation of "panic and disorganisation" among hospital staff on Ward 32 when his son suffered a cardiac arrest.Luke's father, Stephen Jenkins, had described a situation of "panic and disorganisation" among hospital staff on Ward 32 when his son suffered a cardiac arrest.
He told the inquest in a written statement that while his son was on that ward, he and his partner had concerns that Luke was not receiving the appropriate level of care.He told the inquest in a written statement that while his son was on that ward, he and his partner had concerns that Luke was not receiving the appropriate level of care.
He said they requested that he return to the paediatric intensive care unit but "our request was denied and Luke remained on Ward 32".He said they requested that he return to the paediatric intensive care unit but "our request was denied and Luke remained on Ward 32".
The boy's parents also had concerns that the ward "seemed short-staffed" and that "throughout those first two days, there were sporadic observation checks".The boy's parents also had concerns that the ward "seemed short-staffed" and that "throughout those first two days, there were sporadic observation checks".
Mr Jenkins said his son complained of pain in his abdomen on 2 April and the next day seemed very "withdrawn and quiet".Mr Jenkins said his son complained of pain in his abdomen on 2 April and the next day seemed very "withdrawn and quiet".
The court heard that on 6 April Luke began complaining of severe chest pains.The court heard that on 6 April Luke began complaining of severe chest pains.
Before the cause could be investigated, he suffered a cardiac arrest.Before the cause could be investigated, he suffered a cardiac arrest.
He was moved to intensive care but his parents took the decision on 9 April to switch off their son's life support machine.He was moved to intensive care but his parents took the decision on 9 April to switch off their son's life support machine.
A report by an investigative team at University Hospitals Bristol NHS Foundation Trust said "the workload and patient dependency is recognised as being significant" in Luke's death.A report by an investigative team at University Hospitals Bristol NHS Foundation Trust said "the workload and patient dependency is recognised as being significant" in Luke's death.