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Doctor 'hastened babies' deaths' | Doctor 'hastened babies' deaths' |
(about 2 hours later) | |
A doctor's administration of drugs hastened the deaths of two terminally ill babies and was "tantamount to euthanasia", an inquiry has heard. | A doctor's administration of drugs hastened the deaths of two terminally ill babies and was "tantamount to euthanasia", an inquiry has heard. |
Consultant neonatologist Michael Munro, 41, gave 23 times the normal dose of a muscle relaxant at Aberdeen Maternity Hospital, medical watchdogs were told. | Consultant neonatologist Michael Munro, 41, gave 23 times the normal dose of a muscle relaxant at Aberdeen Maternity Hospital, medical watchdogs were told. |
The General Medical Council (GMC) fitness to practise panel heard the doctor failed to record his actions. | The General Medical Council (GMC) fitness to practise panel heard the doctor failed to record his actions. |
Dr Munro denies his conduct was below standard, dishonest or inappropriate. | Dr Munro denies his conduct was below standard, dishonest or inappropriate. |
Dr Munro was working in the neonatal unit of Aberdeen Maternity Hospital on 5 December, 2005, when a child - known only as Baby X - was born more than three months premature. | Dr Munro was working in the neonatal unit of Aberdeen Maternity Hospital on 5 December, 2005, when a child - known only as Baby X - was born more than three months premature. |
The panel heard that the child suffered a brain haemorrhage and the decision was taken to withdraw treatment after its condition worsened. | The panel heard that the child suffered a brain haemorrhage and the decision was taken to withdraw treatment after its condition worsened. |
Dr Munro does not accept it was inappropriate, contrary to guidelines or below the standard expected of a medical practitioner Andrew LongGMC counsel | Dr Munro does not accept it was inappropriate, contrary to guidelines or below the standard expected of a medical practitioner Andrew LongGMC counsel |
On 20 December, the baby's breathing tube was removed and doctors began a course of morphine to ease the child's suffering. | On 20 December, the baby's breathing tube was removed and doctors began a course of morphine to ease the child's suffering. |
As Baby X became weak it began to struggle to breathe. A normal consequence of treatment withdrawal, the condition is known as agonal gasping. | As Baby X became weak it began to struggle to breathe. A normal consequence of treatment withdrawal, the condition is known as agonal gasping. |
Dr Munro told Baby X's parents he could give the child a drug but "it was on the verge of what society finds acceptable", the hearing was told. | Dr Munro told Baby X's parents he could give the child a drug but "it was on the verge of what society finds acceptable", the hearing was told. |
He then injected the child with 2,000mg of the drug which, he admits, hastened the death of Baby X. | He then injected the child with 2,000mg of the drug which, he admits, hastened the death of Baby X. |
'Death inevitable' | 'Death inevitable' |
Colleagues raised doubts about the treatment and an investigation was launched into the doctor's actions. | Colleagues raised doubts about the treatment and an investigation was launched into the doctor's actions. |
Despite telling investigators he had never before administered Pancuronium, the inquiry discovered he had injected a second child with the muscle relaxant six months earlier. | Despite telling investigators he had never before administered Pancuronium, the inquiry discovered he had injected a second child with the muscle relaxant six months earlier. |
The babies died at Aberdeen Maternity Hospital in 2005 | The babies died at Aberdeen Maternity Hospital in 2005 |
Outlining the case for the GMC, Andrew Long said: "Dr Munro administered a muscle relaxant drug called Pancuronium to both babies which stopped them breathing and hastened their death. | Outlining the case for the GMC, Andrew Long said: "Dr Munro administered a muscle relaxant drug called Pancuronium to both babies which stopped them breathing and hastened their death. |
"These primary facts are admitted and indeed Dr Munro admits his conduct was outside accepted professional practice. | "These primary facts are admitted and indeed Dr Munro admits his conduct was outside accepted professional practice. |
"But Dr Munro does not accept it was inappropriate, contrary to guidelines or below the standard expected of a medical practitioner. | "But Dr Munro does not accept it was inappropriate, contrary to guidelines or below the standard expected of a medical practitioner. |
"The GMC assert it was all of these things and tantamount to a form of euthanasia even though death was inevitable." | "The GMC assert it was all of these things and tantamount to a form of euthanasia even though death was inevitable." |
Survival possible | |
However, the hearing heard both sets of parents "fully supported the doctor's actions and were grateful to him". | |
In written testimony, one colleague, Dr Phil Booth, said Dr Munro was wrong to stop Baby X's care. | |
He said: "If withdrawal of care is being discussed it merited discussion with a senior colleague. I wouldn't have agreed with withdrawal or care at the time, it's possible the baby could have survived." | |
Prof Ian Marlow, a neonatal specialist from the University of Nottingham and Grampian NHS Trust, said the doctor acted from the "highest personal motives" but the use of the drug could not be justified. | |
The hearing in Manchester, which began on Thursday, continues. | The hearing in Manchester, which began on Thursday, continues. |