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Rachel Gibson

30 Aug 2024 · Coroner Philip Barlow · Cambridgeshire and Peterborough
Check this reportOriginal

The coroner's concerns

  1. 1. unclear responsibility for checking and administering local anaesthetic

    “The responsibility for checking and administering the local anaesthetic is unclear”

  2. 2. inconsistent prescription units of local anaesthetic

    “inconsistency in the way the local anaesthetic was prescribed”

  3. 3. lack of standardized labeling and countersigning of local anaesthetic

    “question has now introduced a system for labelling and countersigning the drug that is being given during the operation. However”

Responses

2024-0476-Response-from-The-Royal-College-of-Anaesthetists.pdf ↗· Royal College of Anaesthetists

Stated action

“We recommend that local anaesthetic prescriptions are recorded as 'the volume in ml of a solution containing a specified number of mg/ml of a named local anaesthetic' to simplify any calculations of the total dose of local anesthetic received.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Rachel Gibson · Recurance