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19 Nov 2020 · Coroner Anna Crawford · Surrey

The coroner's concerns

  1. 1. mal-positioned UVC

    “The court heard evidence that following several deaths due to central venous catheter extravasation the British Association of Perinatal Medicine (BAPM) issued guidance entitled the 'Use of Central Venous Catheters in Neonates - A Framework for Practice' in December 2015 and updated in August 2018. The guidance sets out a number of risk factors for mal-positioned UVCs.”

Responses

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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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