222 results for “general anaesthesia”
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
… apnoea) but surgery proceeded with appropriate anaesthetic management. Post-operative care occurred on a general orthopaedic ward rather than ICU. Key shortcomings included inconsistent supplemental oxygen delivery des…
85y · Male·Advanced atherosclerotic coronary artery and peripheral vascular disease complic…
An 85-year-old man with ischaemic heart disease, COPD, and diabetes underwent endovascular repair of a recurrent abdominal aortic aneurysm with endoleak using a novel chimney technique with Nellix endobags. The procedure…
77y · Male·Cerebral infarction (stroke) complicating elective hernia repair
A 77-year-old man with atrial fibrillation on warfarin underwent elective hernia repair. Warfarin was appropriately ceased five days pre-operatively. Post-operatively, warfarin was recommenced on day 1 post-op at 5pm. He…
54y · Female·Opioid toxicity (predominantly fentanyl)
54-year-old woman with diabetes, obesity, and multiple opioid allergies underwent groin surgery at a private hospital. Anaesthetist Dr Y. prescribed a 75mcg/hr fentanyl patch post-operatively for chronic pain management …
91y · Male·Complications following cardiac arrest in the setting of anaesthetic induction d…
A 91-year-old man with COPD, asthma, and previous cardiac arrest from suxamethonium died from complications following anaphylaxis to rocuronium during anaesthetic induction for emergency small bowel obstruction surgery. …
0y · Unknown·focal ventricular myocarditis and myonecrosis resulting from migration of a Peri…
…is caused by migration of a PICC line into his right ventricle. The line was inserted appropriately under general anaesthetic for IV antibiotics treating periorbital cellulitis. Initial placement in the right atrium was…
49y · Female·Fatal Cardiac Arrhythmia
Melissa Stokes, 49, died from a fatal cardiac arrhythmia one day after successful abdominal hysterectomy and sling surgery. The coroner found the cause was not opioid-induced respiratory depression despite post-operative…
2y · Male·Cardiorespiratory arrest in a young child with opioid (morphine) toxicity
…as a healthy 2-year-8-month-old boy who died after circumcision under sedation with morphine at a private general practice clinic on 7 December 2021. Critical failures included: no fasting instructions despite using an …
42y · Male·Pulmonary thromboembolism
Peter Sullivan, a 42-year-old carpenter, died from pulmonary embolism on 6 July 1998, three days after surgery at Box Hill Hospital to remove a nail from his left thigh sustained in a work-related nail gun injury. He dev…
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 some clinical signs were retrosp…
34y · Female·Combined drug toxicity (propofol, sevoflurane and others)
A 34-year-old anaesthetist at Royal Melbourne Hospital died from combined drug toxicity involving propofol and sevoflurane—anaesthetic agents she accessed from unlocked theatre trolleys and administered to herself at hom…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
Henry Edwin Kerr, 86, died of acute myocardial ischaemia following left inguinal hernia surgery at Esperance District Hospital. He had significant cardiac history including valvular disease, ischaemic heart disease, and …
0y · Female·Perinatal asphyxia
Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic failure: the mother was not diagnosed with gestational diabetes dur…
29y · Male·Bronchopneumonia complicating neck injuries sustained in a fall, with Coffin-Low…
A 29-year-old man with Coffin-Lowry Syndrome suffered a severe cervical spinal cord injury from a fall at a respite facility. Disability workers found him on the floor but initially interpreted his presentation as non-co…
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…
28y · Male·Brain death resulting from exsanguination and hypovolaemic arrest due to severed…
…ce response, emergency surgery with multiple blood transfusions, and intensive care support at Launceston General Hospital, the extent of blood loss proved irreversible. He was formally declared dead on 21 March 2014. T…
56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…
… 8-9 November were attempted but unsuccessful due to patient intolerance; further biopsy under sedation/anaesthesia was planned for Monday 12 November. Over the weekend, Mr Miller's cognitive function deteriorated, prec…
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 …
62y · Female·Multi-organ failure due to lacerated abdominal aorta complicating laparoscopic b…
A 62-year-old woman died from multi-organ failure caused by a lacerated abdominal aorta sustained during elective laparoscopic gastric band surgery in 2006. The aorta was cut by a Visiport trocar blade at the start of th…
63y · Male·pulmonary thrombo-emboli following coronary artery bypass grafting
Michael Nalder, 63, died from pulmonary thromboembolism on postoperative day 9 following elective coronary artery bypass grafting for severe coronary artery disease. He had multiple significant comorbidities including Ty…
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