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University Hospitals Bristol NHS Foundation Trust says it offers "**sincere condolences" to Rohan Rhodes’ family.
The trust says it has put in place 'clear requirements' for blood gas measurements in babies on respiratory support and has implemented a system of safety checking for medical and nursing staff looking after individual babies.
The Coroner in the inquest of baby Rohan Rhodes, who died at St Michael's Hospital, says there were "lost opportunities" in his care.
Rohan, who was born 15 weeks premature in Wales, died after being removed from a ventilator after being transferred to St Michael's in Bristol.
Flax Bourton Coroner's Court heard the medical team's plan was to keep Rohan on the ventilator ahead of upcoming heart surgery.
But advanced neonatal nurse Amanda Dallorzo took the "autonomous" decision to remove the machine and put a breathing mask on Rohan instead.
His condition deteriorated and he developed NEC, a gastrointestinal disease, which required surgery.
He never became stable for the operation and he died, aged just 36 days.
Avon Coroner Maria Voisin recorded a narrative verdict following a three day inquest into Rohan's death.
Latest ITV News reports
The coroner says there were "lost opportunities" in the care of a premature baby who died after being removed from a ventilator.
A nurse at the inquest into the death of premature baby Rohan Rhodes at St Michael's Hospital in Bristol hospital has given evidence.