Inquest into the death of Phillip Ibrahim

39y · Male·Hypoxic/Ischaemic Encephalopathy due to Cerebral Arterial Gas Embolism

Phillip Ibrahim, a 39-year-old man recovering well from community-acquired pneumonia in ICU, suffered a fatal cerebral air embolism on 28 October 2014. A CVAD removal order was given at midday but the device remained in …