Patricia Mellor

1. 1. cardiac arrest risk in patients with LQTS

   “All 12 lead ECG devices were programmed to print a "Long QTc" warning when detected”

2. 2. inhalational anaesthetic agents may cause cardiac arrest in LQTS patients

   “The product information for inhalational anaesthetic agents should contain a warning on the potential risks of cardiac arrest when administered to patients with LQTS”

3. 3. 5HT anti-emetics may cause cardiac arrest in LQTS patients

   “The product information for other drugs such as 5HT anti-emetics should 3 contain a warning on the potential risks of cardiac arrest when administered to patients with LQTS during inhalational anaesthesia”

4. 4. antidepressant agents may cause cardiac arrest in LQTS patients

   “The particular issues with antidepressant agents and LQTS should be highlighted in the regular bulletins from the Agency”

5. 5. lack of pre-operative LQTS screening and monitoring

   “recommendations be sent to NICE updating guideline CG3 to; · Instruct anaesthetists to consider drug-induced LQTS in their pre-operative assessment before following the recommendation not to perform a 12 lead ECG · Instruct anaesthetists to specifically examine the QTc interval in all pre- operative ECGs performed for any indication · To require a 12 lead ECG to be recorded and the QTC to be specifically examined in all patients receiving agents deemed to be of "high" and "intermediate" risk of inducing”

6. 6. inadequate response to safety recommendations

   “no action has been taken by these agencies”

No published response was found on judiciary.uk.