Coronial
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Coroner's Finding: MARSHALL Daryl Grant

Deceased

Daryl Grant Marshall

Demographics

61y, male

Date of death

2017-08-23

Finding date

2020-11-03

Cause of death

hospital acquired pneumonia complicating aorto-femoral bypass surgery for peripheral vascular disease

AI-generated summary

A 61-year-old man with peripheral vascular disease, alcohol dependence, and heavy smoking history underwent aorto-femoral bypass surgery. Post-operatively he developed hospital-acquired pneumonia, delirium from alcohol withdrawal, and hepatic alcoholic psychopathy. He required hand restraints due to altered consciousness and aggression. After initial ICU management, he was transferred to the vascular ward on 21 August 2017 and deteriorated rapidly, dying on 23 August 2017. The coroner found his care appropriate and the death an expected complication of surgery in a high-risk patient. The family believed earlier surgical intervention and continued oxygen support might have changed the outcome, but medical evidence supported the pre-operative delay to allow smoking cessation and the surgical timing decision based on risk-benefit analysis.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

vascular surgeryintensive careanaesthesiapsychiatry

Clinical conditions

peripheral vascular diseasebilateral occluded femoral arterieshospital-acquired pneumoniaalcohol dependencedeliriumhepatic alcoholic psychopathydiscoid lupus erythematosuschronic back pain

Procedures

aorto-femoral bypass surgeryendarterectomyepidural analgesia

Contributing factors

  • alcohol withdrawal and delirium
  • hepatic alcoholic psychopathy
  • impaired ability to follow commands and cooperate with treatment
  • transfer from ICU to general vascular ward
Full text

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