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Prospective national audit of perioperative anaesthetic management of patients with Long QT Syndrome
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1. Demographics

Please include anonymised demographic and background information to this case.
*
Question 1.

Basic Demographics:

- Required.
This question requires an answer
Age (years)
Gender (M/F)
Weight (kg)
Question 2.

Has this patient had any previous complications under General Anaesthesia?

This is required
Question 3.

Was this Patient seen in an Anaesthetic Pre-Operative Assessment clinic?

This is required