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Irish Daily Mirror
4 days ago
- Health
- Irish Daily Mirror
Girl, 9, dies after falling asleep in car on way home from dentist
A nine year old lass tragically passed away just hours after falling asleep in the car on her way home from the dentist. Silvanna Moreno first complained of toothache in October last year, according to the post-mortem report, and was eventually referred for surgery. Following a consultation, the operation was scheduled for March this year. On the morning of March 17, the day before the procedure, Silvanna had a fever of 101 degrees, as per the postmortem report. She took Children's Tylenol and her symptoms seemed to subside. The following morning, she "complained of a headache" but did not seem distressed - and around 10am local time, she was put under anaesthesia for the procedure, which lasted about three hours. The Dreamtime Dentistry in Vista, California confirmed that the procedure was carried out under general anaesthesia due to her young age and acute situational anxiety. After the procedure, she was taken to a room to recover, during which time she was described as being "out of it" and "incomprehensibly mumbling," according to the postmortem report, reports the Mirror. Silvanna left the office in a wheelchair but was reportedly able to stand up and be helped into the backseat of a car. On the drive home she fell asleep and when they got home, she stayed asleep for about an hour and a half before her snoring began "quieting and slowing." Moreno's family were checking on her regularly, but when she became "unresponsive," they dialled 999 at 4:46pm. They performed CPR until the emergency services arrived and took her to hospital. Despite efforts by Rady Children's Hospital staff, Silvanna could not be saved and was declared deceased at 5:44pm local time. Her death was attributed to methemoglobinemia following recent nitrous oxide use, according to the San Diego County Medical Examiner's Office (SDCME) postmortem report. On Friday, May 30, a representative for Dreamtime Dentistry stated, that they were "not aware of a fever nor any illness" and that Silvanna had a normal temperature on the day of the dental work. "Dreamtime Dentistry's records show that the patient's mother completed and signed a pre-operative check-in form indicating 'NO' when asked if the patient was sick. Dr. Watkins follows standard protocol. Had he been informed of any recent fever or illness, especially within 24 hours of the procedure, it would have been rescheduled until the patient was healthy." Dr. Ryan Watkins himself previously said that Silvanna was a "healthy nine-year-old with a history of regular medical checkups" and had undergone a "thorough review of her medical and dental history" prior to the treatment. Watkins also noted that "all medications were administered according to manufacturer guidelines based on Silvanna's age and weight." Watkins explained that Silvanna "never exhibited" any signs of methemoglobinemia during or after the procedure. Watkins noted that Silvanna was under observation "until she was awake with stable vital signs" and upon being released to her mother's care, the child was reportedly "awake, alert, and with all protective reflexes intact," having been checked for a range of assessments including "oxygenation, respiratory stability, consciousness, post operative pain, nausea and vomiting, and gait." The report from the medical examiner also listed several contributing factors to her demise, notably the "administration of dexamethasone, glycopyrrolate, hydromorphone, isoflurane, ketorolac, midazolam, ondansetron, propofol, and sevoflurane." Dreamtime Dentistry defended the use of these medications, asserting they are "standard anesthesia drugs commonly used in pediatric dental sedation procedures" and maintained that "any interactions or negative side effects were not due to dosage but instead due to her rare but undiagnosed/undetected medical condition." Watkins said, "While the Medical Examiner has ruled this an accident, we take this outcome with the utmost seriousness. We are conducting a thorough internal review of this case and are consulting with leading experts in dental anesthesia to ensure we continue to provide the safest possible care for our patients." He stated that "While the Medical Examiner has ruled this an accident, we take this outcome with the utmost seriousness. We are conducting a thorough internal review of this case and are consulting with leading experts in dental anesthesia to ensure we continue to provide the safest possible care for our patients,". Furthermore, Watkins said, "we extend our deepest condolences to Silvanna's family and ask for continued respect for their privacy during this time of grief." The family of young Silvanna Moreno has created a GoFundMe page to gather funds for the funeral of their 'bright and joyful' daughter, sharing touching memories in their plea for support. The fundraiser's description highlighted her vibrant spirit: "Silvanna was a bright and loving third grader at Sherman Elementary School in San Diego. She was the sunshine in every room she entered, always greeting staff and classmates with a big smile and an even bigger hug. Her friends describe her as kind, caring, and always happy, a true friend to everyone she met. She was also an amazing big sister to Roberto, showing love and devotion every day."
Daily Mirror
4 days ago
- Health
- Daily Mirror
'Healthy' girl, 9, falls asleep after dentist appointment but dies hours later
At around 10am Silvanna Moreno, 9, was placed under anesthesia for the dental procedure, which lasted about three hours - but by 5:44pm that evening she was dead A nine-year-old girl who fell asleep in the car on the way home from the dentist tragically died just hours later. Silvanna Moreno first complained of tooth pain in October last year, according to the autopsy report, and was eventually referred for surgery and after a consultation, the surgery was booked for March this year. On March 17, the morning before the procedure, Silvanna had a 101-degree fever, according to the autopsy report. She took Children's Tylenol and her symptoms appeared to resolve. The next morning, she "complained of a headache" but did not appear distressed — and around 10am local time, she was placed under anesthesia for the procedure, which lasted about three hours. The Dreamtime Dentistry in Vista, California confirmed the procedure was peformed under general anesthesia due to her young age and acute situational anxiety. After the procedure, she was taken to a room to recover during which time she was described as being "out of it" and "incomprehensibly mumbling," according to the autopsy report. Silvanna left the office in a wheelchair but was reportedly able to stand up and be helped into the backseat of a car. On the drive home she fell asleep and when they got home, she stayed asleep for about an hour and a half before her snoring began "quieting and slowing." Moreno's family checked on her rergularly but when she became "unresponsive," they called 911 at 4:46pm. They conducted CPR until first responders arrived and rushed her to hospital. Staff at Rady Children's Hospital tried to save her but were unsucessful and she was pronounced dead at 5:44pm local time. Her cause of death was listed as methemoglobinemia in the setting of recent nitrous oxide administration, according to a San Diego County Medical Examiner's Office (SDCME) autopsy report. In a statement on Friday, May 30, a spokesperson for Dreamtime Dentistry claimed they were "not aware of a fever nor any illness" and that Silvanna had a normal temperature the day of the procedure, reports PEOPLE. "Dreamtime Dentistry's records show that the patient's mother completed and signed a pre-operative check-in form indicating 'NO' when asked if the patient was sick. Dr. Watkins follows standard protocol. Had he been informed of any recent fever or illness, especially within 24 hours of the procedure, it would have been rescheduled until the patient was healthy." In his own statement, Dr. Ryan Watkins previously described Silvanna as a "healthy nine-year-old with a history of regular medical checkups" and said that she underwent a "thorough review of her medical and dental history" before the procedure. Watkins also said that "all medications were administered according to manufacturer guidelines based on Silvanna's age and weight." Watkins said Silvanna 'never exhibited' warning signs of methemoglobinemia throughout either the procedure or her recovery. According to Watkins, Silvanna remained under observation "until she was awake with stable vital signs" — and before being released into her mother's care "awake, alert, and with all protective reflexes intact," the child was checked for "oxygenation, respiratory stability, consciousness, post operative pain, nausea and vomiting, and gait." In addition to her cause of death, the medical examiner listed contributing factors as the "administration of dexamethasone, glycopyrrolate, hydromorphone, isoflurane, ketorolac, midazolam, ondansetron, propofol, and sevoflurane." According to Dreamtime Dentistry, all of those medications are "standard anesthesia drugs commonly used in pediatric dental sedation procedures" and they claim that "any interactions or negative side effects were not due to dosage but instead due to her rare but undiagnosed/undetected medical condition." 'While the Medical Examiner has ruled this an accident, we take this outcome with the utmost seriousness. We are conducting a thorough internal review of this case and are consulting with leading experts in dental anesthesia to ensure we continue to provide the safest possible care for our patients," Watkins said. Added Watkins, "we extend our deepest condolences to Silvanna's family and ask for continued respect for their privacy during this time of grief." Moreno's family has set up a GoFundMe page to raise money to cover the funeral cost of their 'bright and joyful' daughter. The fundraiser said: "Silvanna was a bright and loving third grader at Sherman Elementary School in San Diego. She was the sunshine in every room she entered, always greeting staff and classmates with a big smile and an even bigger hug. Her friends describe her as kind, caring, and always happy, a true friend to everyone she met. She was also an amazing big sister to Roberto, showing love and devotion every day."
Yahoo
4 days ago
- General
- Yahoo
9-Year-Old Fell Asleep While Coming Home from Dental Procedure and Never Woke Up. Inside Her Final Moments
Silvanna Moreno, a 9-year-old California girl, died on March 18, hours after undergoing a three-hour dental procedure An autopsy report revealed her cause of death was methemoglobinemia in the setting of recent nitrous oxide administration Additionally, the autopsy shed new light on her final momentsNew details offer insight into the final moments of a 9-year-old girl who was put under anesthesia for a dental procedure one morning — then was dead hours later. Silvanna Moreno died on March 18 hours after undergoing surgery at Dreamtime Dentistry in Vista, Calif., according to a San Diego County Medical Examiner's Office (SDCME) autopsy report obtained by PEOPLE. Her cause of death was listed as methemoglobinemia in the setting of recent nitrous oxide administration. Silvanna first complained of tooth pain in October, according to the autopsy report, and was eventually referred for surgery at Dreamtime Dentistry in Vista. After a consultation, the surgery was booked for March. "The patient was referred to our office for dental treatment under general anesthesia due to her young age and acute situational anxiety," Dreamtime Dentistry's Dr. Ryan Watkins said in a statement obtained by PEOPLE. The morning before the procedure, the Southern California third grader had a 101-degree fever, according to the autopsy report. She took Children's Tylenol and her symptoms appeared to resolve. The next morning, she "complained of a headache" but did not appear distressed — and around 10 a.m. local time, she was placed under anesthesia for the procedure, which lasted about three hours. In his own statement, Watkins described Silvanna as a "healthy nine-year-old with a history of regular medical checkups" and said that she underwent a "thorough review of her medical and dental history" before the procedure. Additionally, Watkins insisted that "all medications were administered according to manufacturer guidelines based on Silvanna's age and weight." Watkins said Silvanna 'never exhibited' warning signs of methemoglobinemia, an "extremely rare condition that can occur with nitrous oxide administration," throughout either the procedure or her recovery. "In patients experiencing this condition, there is typically a refractory hypoxemia, which means that even when breathing 100% oxygen with no airway obstruction, pulse oximetry readings will show abnormally low levels in the 80s instead of the normal high 90s," explained Watkins, who said he continuously monitored Silvanna throughout the procedure. After the procedure, she went to a recovery room. During that time, she was described as being "out of it" and "incomprehensibly mumbling," according to the autopsy report. According to Watkins, Silvanna remained under observation "until she was awake with stable vital signs" — and before being released into her mother's care "awake, alert, and with all protective reflexes intact," the child was checked for "oxygenation, respiratory stability, consciousness, post operative pain, nausea and vomiting, and gait." The girl left the office in a wheelchair, according to the autopsy report, but was reportedly able to stand up and be helped into the backseat of a car. Never miss a story — sign up for to stay up-to-date on the best of what PEOPLE has to offer, from celebrity news to compelling human interest stories. On the drive home, she fell asleep and began snoring loudly, according to the autopsy report. When they got home, she remained asleep and was carried inside and put into bed on her side, where she was monitored. She stayed asleep for about an hour and a half before her snoring began "quieting and slowing." Moreno's family used her grandma's blood pressure cuff to check her vitals — and as she remained "unresponsive," they called 911 at 4:46 p.m. A dispatcher instructed her family to move her from the bed to the floor and start chest compressions until first responders arrived. First responders transported Silvanna to Rady Children's Hospital in an ambulance and emergency personnel continued chest compressions, supplemental oxygen and other lifesaving measures on the way. She was suffering from asystole, also known as 'flat-lining.' At the hospital, she was "provided additional medications, ongoing chest compressions, and was intubated but her condition did not improve,' per the medical examiner's report. Resuscitative efforts ended when heart testing at her bedside showed no cardiac activity. A doctor pronounced her dead at 5:44 p.m. local time. In addition to her cause of death, the medical examiner listed contributing factors as the "administration of dexamethasone, glycopyrrolate, hydromorphone, isoflurane, ketorolac, midazolam, ondansetron, propofol, and sevoflurane." According to Watkins, those are all anesthetic medications. 'While the Medical Examiner has ruled this an accident, we take this outcome with the utmost seriousness. We are conducting a thorough internal review of this case and are consulting with leading experts in dental anesthesia to ensure we continue to provide the safest possible care for our patients," Watkins said. Added Watkins, "we extend our deepest condolences to Silvanna's family and ask for continued respect for their privacy during this time of grief." Read the original article on People
