Annex A > Chapter 13 - Pre-operative Care > Pre-operative management of care > Under which specialty children were managed pre-operatively at the BRHSC
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Under which specialty children were managed pre-operatively at the BRHSC
7 Mr Wisheart told the Inquiry that those children who were waiting for closed-heart operations at the BRHSC `... were admitted to and managed in the BRHSC by the cardiologists and the surgeons jointly'. [8]
8 Dr Joffe told the Inquiry that BRHSC patients for elective surgery `... were admitted under the paediatric cardiac surgeons'; and children who were acutely ill `... were managed pre-operatively in the Children's Hospital under the paediatric cardiology department. Those who required closed-heart surgery at BCH remained under the paediatric cardiologists until the day of the operation, although the cardiac surgeons liaised with us regarding treatment and the timing of surgery.' [9]
`Although sometime earlier it was traditional for all patients at the Children's Hospital to be admitted formally under a paediatrician, during the period in question the cardiac patients were admitted under the care of a cardiologist. The clerking and immediate care was by paediatric SHO [senior house officer], of which two or three had duties with one of the cardiologists. We also used the consultants and senior registrars in paediatrics to help with any non-cardiological problems.' [10]
10 Mr Wisheart told the Inquiry that emergency or urgent patients were generally admitted to and cared for pre-operatively at the Children's Hospital: `... their pre-operative management was by the cardiologists but became joint care once the referral to surgery had been made'. [11]
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Footnotes
[8] WIT 0120 0126 Mr Wisheart
[9] WIT 0097 0296 Dr Joffe
[10] WIT 0099 0039 - 0040 Dr Jordan
[11] WIT 0120 0126 Mr Wisheart