11 results for “drain tube insertion”
68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…
A 68-year-old man with dysphagia and bipolar disorder died from airway obstruction and aspiration pneumonia after choking on a sandwich brought by his wife during a supervised hospital meal. He had been admitted with wor…
45y · Male·Sudden death of unascertained cause, occurring eight days after laparoscopic cho…
A 45-year-old man died unexpectedly 8 days after an uncomplicated laparoscopic cholecystectomy. Post-mortem examination found approximately 1 litre of blood in the peritoneal cavity. Pathologists could not determine when…
20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…
…e collision, underwent emergency tracheostomy placement. On 22 August 2020, 13 days later, his tracheostomy tube became dislodged. Clinical staff performed unnecessary bronchoscopy, misinterpreting findings as a partial …
43y · Male·Multi-organ failure with coagulopathy secondary to acute exacerbation of chronic…
A 43-year-old man with a colloid cyst of the third ventricle presenting with progressive headache was admitted for planned endoscopic surgery. Surgery was delayed from Friday to Monday due to unavailability of specialist…
37y · Female·sepsis secondary to rectosigmoid perforation on a background of metastatic squam…
Carmen Jayne Clancy, aged 37, died on 27 September 2022 from sepsis secondary to rectosigmoid perforation caused by metastatic cervical cancer. Incarcerated on home detention following a cancer diagnosis in 2021, she und…
82y · Male·sepsis due to faecal peritonitis due to suture failure of bowel anastomosis foll…
…ia and advanced age likely compromised wound healing. CT scan eventually revealed contained leak with gas; drainage was attempted but laparotomy showed extensive anastomotic breakdown requiring washout. Despite ICU supp…
32y · Male·Pulmonary embolism originating from deep vein thrombosis in right calf
A 32-year-old man died from pulmonary embolism six days after emergency appendectomy for perforated appendicitis. VTE prophylaxis was appropriately prescribed. However, the clinical team failed to investigate persistent …
69y · Female·Septic shock due to biliary peritonitis as a consequence of laparoscopic cholecy…
A 69-year-old woman died of septic shock following bile leak complications after laparoscopic cholecystectomy. Critical failures included: (1) inappropriate transfer to low-dependency unit on post-op day 1 despite consul…
49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…
… On 13 June 2018, she suffered cardiorespiratory arrest due to airway occlusion from sputum plugging and/or tube dislodgment while a tracheostomy cap (not the planned speaking valve) was in place. The cap was applied wit…
46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…
Helen Ashburn, a 46-year-old woman with history of alcohol use, coagulopathy and seizures, died from prolonged effects of a severe head injury sustained on 25 October 2011. She presented to Kempsey Hospital with extensiv…
17y · Male·intra-abdominal haemorrhage complicating partial pancreatectomy for traumatic pa…
Andrew Gilmore, a 17-year-old fit and well boy, suffered traumatic pancreatic rupture from a football injury on 9 May 2009. Distal pancreatectomy was performed at Alfred Hospital on 11 May. He was discharged to Hospital …
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