A Western Australian dentist has been banned from practicing after giving a young boy a dose of sedative so large he could have stopped breathing and died.
Ananda Krishnan has been disqualified from practicing medicine for four years by order of the State Administrative Court (SAT) for shocking misconduct committed three years ago while practicing at a dental clinic in South Hedland.
He was also ordered to pay $6,000 in costs to the Dental Board of Australia.
The tribunal’s ruling found that Mr Krishnan, 66, had given the 5-year-old boy 10mg of midazolam as an oral tranquilizer when he came to the clinic with his mother for treatment in December 2019.
The boy’s mother had informed Mr. Krishnan of her child’s weight before the dose was administered.
The tribunal noted that the dose before anesthesia was considered “greater than what would achieve a state of conscious sedation” for a child.
“Among the risks of (Mr. Krishnan) administering a 10 mg dose of midazolam … was that the child could stop breathing, with potentially fatal consequences,” the tribunal’s ruling said.
After the dental procedure, the child’s parents noticed that he was only semi-conscious and was still affected by the sedation a day later.
The tribunal said the dose should only have been administered in a hospital with appropriate resuscitation equipment while on a monitor with sufficient emergency personnel present to respond.
Through his behavior, Mr. Krishnan failed to provide his patient with “appropriate clinical care” while endangering the boy’s health and safety.
“Alternative and safer treatment options were available to manage the boy’s anxiety,” the court noted.
“The interviewee administered oral midazolam to a patient at a dose that would achieve a state of conscious sedation without proper qualification and validation.”
The court also found that Mr. Krishnan had failed to conduct an adequate clinical examination of the five-year-old by failing to provide him with a detailed medical history or his exact weight prior to treatment.
The dentist also left the child in the care of a general dental therapist after administering the drug, a person who was not “sufficiently trained or qualified to deal with any serious medical emergency” that could have arisen from the midazolam.
Since the incident, Mr. Krishnan had expressed remorse for his behavior and admitted his wrongdoing.
In 2020 he gave up his license as a dentist.
Originally released as Dentist Ban after giving 5-year-old boy so much sedative he could have stopped breathing