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Wednesday, September 15, 1999 Published at 18:22 GMT 19:22 UK

UK: Scotland

Anaesthetist sacked over drug mistake

Dr Evans-Appiah has been giving evidence about Darren's death

The fatal accident inquiry into the death of a 10-year-old boy after visiting a dentist has heard that the anaesthetist was sacked from a previous job for giving the wrong drug.

In 1993, Dr John Evans-Appiah lost his job at Falkirk Royal Infirmary, one of 42 medical posts he has held.

BBC Scotland's David Nisbet reports on the day's proceedings
Darren Denholm never regained consciousness after being given a general anaesthetic at the Peffermill Clinic in Edinburgh in October 1998.

The third day of the inquiry heard that Dr Evans-Appiah lost his job in Falkirk after the wrong drug was given to a woman who gave birth by Caesarian section.

The woman later suffered problems and sued the anaesthetist.

[ image: Darren never regained consciousness]
Darren never regained consciousness
Earlier, Dr Evans-Appiah said he did not know that the dentist had given Darren a local anaesthetic containing adrenaline.

Dr Evans-Appiah said he was using a gas called halothane which sensitised the body to adrenaline. He added that he preferred to use servoflurane for general anaesthesia.

Asked if a local anaesthetic had to contain adrenaline, he said it did not, but he did not know if the Peffermill clinic in Edinburgh had any injections without adrenaline.

Dr Evans-Appiah continued to deny that he had told the dentist to give the local anaesthetic.

He added that he had "entreated" the dentist to tell him when he was going to give an injection. It was, he said, the dentist's decision on what local anaesthetic to give.

Prop, pack absent

Maria Maquire, advocate, appearing for Dr Evans-Appiah. asked him if during an extraction anything was put into a patient's mouth.

He said a prop and pack were used. The prop to keep the mouth open and the pack to prevent debris going down the throat. Neither had been put in Darren's mouth.

[ image: Dr Evans-Appiah:
Dr Evans-Appiah: "Entreated" dentist
Dr Evans-Appiah also told the inquiry that when Darren had difficulty breathing, he immediately asked for the hospital to be contacted.

An ambulance arrived, he said, and the ambulance men gave Darren two electric shocks to see if they could revive him.

Dr Evans-Appiah said he told them not to give any more shocks as he thought it was affecting the pulse rhythm.

He added that before the shock treatment was given, the rhythm had been normal.

He had demanded doctors attend and five or 10 minutes after the ambulance, a male and female doctor arrived.

They also gave Darren electric shocks.

On Tuesday, Dr Evans-Appiah told the inquiry that early statements he made to police were wrong because he had been in a state of shock.

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