Coronial

20 results for post-operative anaemia

QLDhospital2016-03-18

McGuane, Shirley Fay - Non-inquest findings

84y · Female·Myocardial infarction

Shirley McGuane, 84, died from myocardial infarction following elective proctocolectomy. Post-operative care was deficient: chest pain on day 2 post-op with ECG showing atrial fibrillation and new right bun…

surgerycardiologydiagnosticcommunicationwarfarin
VICaged care2019-10-15

Finding into death of Patricia O'Connor

84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …

…e underwent surgery on 27 August but her acute mania, severe agitation, and challenging behaviour made post-operative management extremely difficult. Staff could not administer necessary blood transfusion due to inabilit…

psychiatrygeriatric medicinesystempaliperidone
SAhospital2016-09-01

Coroner's Finding: CALLAGHAN Brian Francis

79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…

…h ischaemic heart disease and dementia fell at home, sustaining a left hip fracture requiring surgery. Post-operatively, he developed hospital-acquired pneumonia, upper gastrointestinal bleeding from a duodenal ulcer, ac…

general surgeryorthopaedic surgery
WAhospital2005-03

Inquest into the Death of Bert Sharpe

58y · Male·Gastrointestinal haemorrhage due to erosive gastritis

… In April 2004, he was admitted to hospital with a chest wall haematoma requiring surgical evacuation. Post-operatively, he developed vomiting of coffee-ground material, aspiration, and acute gastrointestinal bleeding. R…

psychiatrygeneral surgery
TAShospital2015-11-27

Coroner's Finding: McManus, Pamela

75y · Female·large volume aspiration following right hemicolectomy for adenocarcinoma of the …

A 75-year-old woman with a 20-month history of iron deficiency anaemia was not investigated for its cause by her general practitioner despite clear clinical signs of deteriorat…

general practicegeneral surgerydiagnosticcommunication
VIChospital2018-10-18

Finding into death of Maxwell Norman Campbell

68y · Male·pulmonary thromboembolism in the setting of recent surgery

…died from pulmonary thromboembolism following revisional gastric bypass surgery. He developed multiple post-operative complications including fever, elevated inflammatory markers, and a possible bowel perforation requiri…

bariatric surgerygeneral surgeryheparin
NSWhospital2025-02-28

Inquest into the death of Heather Winchester

75y · Female·multiple organ failure due to severe anaemia secondary to blood loss post electi…

A 75-year-old woman died from multiple organ failure due to severe anaemia after elective hysterectomy surgery. Critical failures occurred: the surgical and anaesthetic teams held …

gynaecologyanaesthesiacommunicationsystem
SAaged care2022-04-14

Coroner's Finding: Lauder, Ian Ross

80y · Male·general inanition and pneumonia on a background of advanced vascular dementia, c…

…ur fracture requiring surgery. During hospitalisation, he experienced a posterior cerebral artery stroke, anaemia requiring blood transfusions, gastrointestinal bleeding, and worsening delirium. Upon discharge, he conti…

geriatric medicineorthopaedic surgeryproton pump inhibitors
VIChospital2014-11-28

Finding into death of June Olive Pegg

80y · Female·peritonitis due to sigmoid resection margin leak following extended right hemico…

…rrange colonoscopy, leaving this to GP Dr C. who did not follow up. Diagnosis was delayed five months. Post-operatively, paralytic ileus on day 2 should have prompted CT imaging to exclude anastomotic leak, but this was …

colorectal surgerygeneral surgerydiagnosticdelayfurosemide
SAhospital2023-12-22

Coroner's Finding: FORREST, John Michael

68y · Male·Multi-organ failure due to gram-negative sepsis on a background of recent myocar…

…bid obesity) presented with acute myocardial infarction and underwent coronary artery bypass grafting. Post-operatively, he developed hospital-acquired pneumonia progressing to gram-negative sepsis and multi-organ failur…

cardiothoracic surgerycardiologyglyceryl trinitrate
VIChospital2026-04-28

Finding into death of Ronald William Beaumont

74y · Male·Acute myocardial infarction complicated by multiple organ failure

…ation about anticoagulation management created confusion between orthopaedic and cardiology teams; (3) Post-operative wound complications required escalation and washout but earlier intervention unlikely to change outcom…

cardiologyorthopaedic surgerymedicationcommunicationaspirin
SAhospital2003-03-12

Coroner's Finding: STOLL Ruth Sophie

71y · Female·massive acute haemolysis leading to severe anaemia and multi-system failure as a…

…edure Manual requiring patients to spell their names—a safeguard that would have prevented the mix-up. Post-operative clinicians could not have detected this error even if casenotes were available. Key lessons: strict ad…

cardiothoracic surgeryanaesthesiadiagnosticprocedural
VICaged care2020-07-06

Finding into death of Irene Florence Curran

79y · Female·Ischaemic bowel in the setting of cardiomegaly, pneumonia and chronic renal fail…

…matory markers, wound infection with MRSA) were present but the underlying condition developed rapidly post-operatively in the setting of pre-existing cardiac disease.

gynaecologygeneral practicecommunicationsystemoxycodone
TAShospital2022-11-30

Coroner's Finding: Hughes, Ellis Newton

83y · Male·aspiration pneumonia

… 2020. He underwent open reduction and internal fixation on 10 February 2020 at Royal Hobart Hospital. Post-operatively he developed aspiration pneumonia, presenting with vomiting on 12 February and acute deterioration w…

orthopaedic surgeryemergency medicine
VICaged care2022-11-30

Finding into death of Ian Dunlop

74y · Male·Pericarditis post aortic valve surgery with large pericardial effusion leading t…

…rditis with large pericardial effusion and tamponade four days after aortic valve replacement surgery. Post-operative imaging showed a small pericardial effusion, considered routine. He was transferred to rehabilitation …

cardiothoracic surgerycardiologycommunicationsystemapixaban
VIChospital2023-03-16

Finding into death of Reginald William Griggs

84y · Male·Respiratory failure complicating hospital acquired pneumonia following surgical …

An 84-year-old man died from respiratory failure due to hospital-acquired pneumonia following surgery for recurrent mandibular squamous cell carcinoma. Key clinical lessons: (1) Advanced Care Plans (ACPs) must be activel…

oncologyENT surgerycommunicationsystemhydromorphone
VICaged care2024-03-28

Finding into death of Shirley Hill Jones

85y · Female·Complications of a left ankle fracture (operated)

An 85-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, hypertension, prior stroke) sustained a left ankle fracture requiring surgical repair. A significant delay occurred in removing her pla…

geriatric medicineorthopaedic surgerycommunicationdelayoxycodone
QLDhospital2007-12-07

Burgen, Deborah Denise

49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…

…e and admit an acutely unwell patient; delay in operating until bowel perforation occurred; inadequate post-operative monitoring and failure to recognise and treat internal bleeding despite clear clinical signs; and poor…

emergency medicinesurgerydiagnosticdelayparacetamol/codeine
VIChome2020-05-29

Finding into death of Ronald John Wood

68y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis

Ronald Wood, a 68-year-old with complex medical history including prior pulmonary emboli, was treated for rectal cancer requiring chemotherapy and major surgery. Warfarin anticoagulation was appropriately ceased due to b…

colorectal surgerygastroenterologycommunicationsystemwarfarin
NSWhospital2015-08-17

Inquest into the death of Manjit SINGH

33y · Male·hypoxic respiratory failure following right pneumonectomy for treatment of sever…

Manjit Singh, a 33-year-old Indian 457 visa worker, died from hypoxic respiratory failure following a pneumonectomy for treatment of severe pulmonary tuberculosis. He had latent TB identified pre-arrival in India. Critic…

respiratory medicinecardiothoracic surgerydiagnosticcommunicationtuberculosis medications

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