Paul Ashton
14 Apr 2014 · Coroner Alan Walsh · Manchester (West)
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. absence of protocols and guidelines for heart transplanted patients undergoing non-cardiac surgery
“During the inquest evidence was heard that The Salford Royal Hospital did not have a protocol or a guideline on the perioperative management of heart transplanted patients undergoing non-cardiac surgery”
2. unavailability of Isoprenaline for resuscitation of heart transplanted patients
“Isoprenaline is not available in the United Kingdom and the source of the supply and the importance of the use of Isoprenaline in the resuscitation of heart transplanted patients should be brought to the attention of all hospitals and health professionals in the United Kingdom.”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“Isoprenaline is not available in the United Kingdom and the source of the supply and the importance of the use of Isoprenaline in the resuscitation of heart transplanted patients should be brought to the attention of all hospitals and health professionals in the United Kingdom.”
Later report
“This patient was being kept alive by the use of Isoprenaline. It transpires that there were severe shortages of this drug in the hospital but also nationally.”
Responses
2014-0170-Response-by-Department-of-Health.pdf ↗· Department of Health and Social Care
Stated action · 14 May
“the Trust is now developing such guidelines (available 14" May)”
Stated action · immediately
“England will also ensure, immediately, through Area Medical Directors, that all hospitals are made aware of the ISHLT guidelines for heart transplant patients”
Stated action · immediately
“NHS England will also ensure, immediately, through Area Medical Directors, that all hospitals are made aware of the ISHLT guidelines for heart transplant patients”