Deceased
John Larchin
Demographics
87y, male
Date of death
2019-07-20
Finding date
2022-08-15
Cause of death
infective exacerbation of chronic obstructive lung disease
AI-generated summary
An 87-year-old man with a long smoking history and no prior diagnosis of lung disease suffered a hip fracture requiring surgery. Postoperatively, he developed delirium and hypoxia. Two Inpatient Treatment Orders were appropriately made to enable medical treatment including oxygen therapy and monitoring. Chest imaging subsequently revealed emphysema and signs of infection. He deteriorated despite antibiotics and non-invasive ventilation, ultimately dying from infective exacerbation of chronic obstructive pulmonary disease. The coroner found the ITOs were necessary, lawful, and appropriate. Key learning: elderly patients with significant smoking histories may have undiagnosed lung disease presenting acutely postoperatively; early recognition of hypoxia and appropriate escalation to ICU was undertaken correctly.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Drugs involved
Clinical conditions
Procedures
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Mrs Beulah Kennedy, aged 95, died from end-stage dementia and inanition complicated by a fractured neck of femur. She was admitted to Royal Adelaide Hospital on 10 September 2021 with agitation and falls. An inpatient tr…
78y · Male·multi-organ failure complicating neck of femur fracture (operated) on a backgrou…
A 78-year-old man with multiple comorbidities (heart failure, renal disease, COPD) suffered a neck of femur fracture from an unwitnessed fall at an aged care facility. Post-operatively he deteriorated with acute renal fa…
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