236 results for “orthopaedic surgery”
51y · Male·cerebral fat embolism due to surgery for multiple traumatic injuries sustained i…
… because Mr Georgiou had a patent foramen ovale (PFO), allowing fat emboli from long bone fractures and orthopaedic fixation to enter the cerebral circulation. The coroner found no issues with medical care and noted tha…
81y · Female·hypovolemic shock due to haemorrhage during orthopaedic repair of a femur fractu…
…ney, an 81-year-old woman with vascular dementia, died from hypovolemic shock due to haemorrhage during orthopaedic surgery for a femoral fracture sustained in a fall at her nursing home. She had been subject to guardia…
34y · Female·Complications of fall with fractured ankle and subsequent deep venous thrombosis…
…venous thrombosis (DVT) with pulmonary embolism and paradoxical stroke following elective fracture repair surgery. She had multiple known DVT risk factors: immobility from leg casting, recent long-haul flight, oral cont…
51y · Male·pulmonary thromboembolus secondary to left deep vein thrombosis
…l policy; (2) pharmacological VTE prophylaxis was not provided despite high-risk status (obesity, major orthopaedic surgery); (3) aspirin monotherapy is inadequate for VTE prevention in knee replacement; (4) post-discha…
100y · Female·frailty and fracture of the right neck of femur
…ined an unwitnessed fall from her armchair on 25 June 2022, fracturing her right neck of femur. Despite orthopaedic surgery, her condition declined post-operatively and she died on 30 June 2022 from frailty and the hip …
41y · Male·Multiple injuries to head, trunk and limb sustained in motorised bicycle collisi…
…the rear of a parked Freightliner trailer, sustaining severe head, trunk and limb injuries requiring neurosurgery, laparotomy and orthopaedic surgery. The coroner found the death was entirely attributable to Mr Hardie's…
34y · Male·Air embolism and severe haemorrhage due to perforation of the right subclavian v…
Darryl Smith, aged 34, died following emergency surgery for a fractured clavicle at Sunnybank Private Hospital. During the final drilling of the sixth screw hole…
Female·retroperitoneal blood loss in a setting of anticoagulation therapy following hip…
Valerie Kolts died from retroperitoneal blood loss following hip replacement surgery while on anticoagulation therapy. The coroner found no lack of care contributed to her death. Although so…
63y · Male·massive pulmonary embolism due to immobilised left leg from torn Achilles tendon
…diagnosed with ruptured Achilles tendon via ultrasound, and discharged with aspirin and a back slab. At orthopaedic review, he refused both surgical repair and above-knee cast, accepting only a moon boot. Two days after…
42y · Male·Hypoxic ischaemic brain injury secondary to cardiac arrest caused by massive pul…
…xaparin 40mg daily and TED stockings. The PE occurred intraoperatively during planned definitive fixation surgery 11 days post-injury. The coroner found the medical care provided at both Royal Melbourne Hospital and Bru…
86y · Male·hospital acquired pneumonia
…e identified. The coroner accepted that operative fixation was necessary for pain relief and that without surgery there was no chance of survival.
74y · Male·Acute myocardial infarction complicated by multiple organ failure
…lessons: (1) Despite inadvertent withholding of dual antiplatelet therapy (aspirin and ticagrelor) before surgery on 6 November 2023, the subsequent NSTEMI was not caused by thrombotic occlusion but by supply-demand mis…
59y · Male·pulmonary thromboemboli due to deep vein thrombosis following right hip replacem…
A 59-year-old man died from pulmonary thromboembolism following right hip replacement surgery. He had mild polycythaemia and elevated BMI (33.26), both risk factors for deep vein thrombosis. Pre-oper…
54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…
…esenteric artery and coeliac artery stents post-operatively. He had undergone left total knee replacement surgery at Fairfield Hospital on 28 September 2018. A vascular surgeon consultation had been explicitly requested…
84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …
…ambulating with a frame in the low-stimulus area despite being assessed as high falls risk. She underwent surgery on 27 August but her acute mania, severe agitation, and challenging behaviour made post-operative managem…
90y · Female·Renal failure secondary to gentamicin therapy for urinary tract infection (sepsi…
…inosa urinary tract infection. A single 240mg IV dose was prescribed by a second-year resident in plastic surgery covering orthopaedics after-hours, based on an estimated weight of 45kg. The appropriate dose should have…
79y · Female·Pulmonary thromboembolism in the setting of right elective total hip replacement
…on alone for hip arthroplasty. The key clinical lesson relates to outdated national guidelines: current orthopaedic literature suggests multimodal prophylaxis without routine potent anticoagulants is safer and at least …
36y · Male·pulmonary embolism due to right deep vein thrombosis following repair of rupture…
Aaron Frith, a 36-year-old man with obesity and hypertension, sustained a ruptured right Achilles tendon on 28 August 2018. He underwent surgical repair on 15 September 2018 and was discharged on aspirin prophylaxis. He …
57y · Female·acute pulmonary embolism
…ufficient physical mobilisation to justify withholding prophylaxis; (3) lack of formal handover between orthopaedic teams when consultant Robin Cripps was unexpectedly absent; (4) failure to follow existing RDH thromboe…
84y · Female·left lower lung bronchopneumonia in conjunction with small distal pulmonary embo…
…via private car to aged care without written documentation, oxygen saturation monitoring parameters, or orthopaedic review. The coroner found this decision inappropriate and ill-considered. She developed bronchopneumoni…
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