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2023: Sentence - 1.5 years restriction for death of child after installation of subclavian catheter

On March 31, 2023, the Krasnoselsky District Court of St. Petersburg sentenced the doctor of the Children's City Hospital No. 1 Maria Markina to a restriction of freedom for a period of 1.5 years, and also forbade her to engage in medical activities related to the provision of medical care for two years. The anesthesiologist-resuscitator was found guilty of causing the death of a 7-year-old girl by negligence due to improper performance of her professional duties (part 2 of article 109 of the Criminal Code of the Russian Federation).

According to the joint press service of the courts of St. Petersburg, during the surgical intervention, Maria Markina made defects in the provision of medical care (medical manipulations), introducing the catheter deeper than permissible into the vein, first from the left and then from the right side, causing serious harm to the patient's health.

Children's City Hospital No. 1, St. Petersburg

The press service clarified that the doctor "did not take into account and did not adequately assess the results of the X-ray of the girl's chest organs, made after the first puncture, where a perforation of the left subclavian vein was recorded. Moreover, she did not seek help to assess the results of the X-ray after the first puncture, starting to install a catheter on the right into the subclavian vein, also re-disrupting the technique of introducing the catheter. "

The procedure lasted from 14:00 to almost 16:00. After erroneous actions of the doctor, the girl died from bleeding and air from damaged subclavian veins into both pleural cavities and compression of mediastinal organs with air and blood, which was due to defects in the provision of medical care.

Markina pleaded guilty in part, admitted a puncture of the subclavian vein on the left side, while denying a puncture of the subclavian vein on the right side, explaining that it could have occurred as a result of resuscitation measures, namely indirect heart massage.[1]

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