Coronial

32 results for post-operative acute kidney injury

QLDhospital2007-08-10

Tang, Shannon Sheng Wen

21y · Male·multi-organ failure due to septicaemia of mixed respiratory (bronchopneumonia) a…

…ep apnoea, underwent elective laparoscopic gastric bypass surgery performed by Dr F.. He died on day 7 post-operatively from multi-organ failure due to sepsis of mixed respiratory and intra-abdominal origin. Critical iss…

bariatric surgerygeneral surgerycommunicationdiagnosticvancomycin
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…

…fering understandings were not identified before surgery or during the timeout procedure. When massive post-operative bleeding occurred, the patient ultimately refused transfusion and died. Clinicians should ensure all t…

gynaecologyanaesthesiacommunicationsystem
TAShospital2017-06-19

Coroner's Finding: Nancarrow, Maurice Cecil

76y · Male·multiple organ failure due to large volume aspiration of gastric contents during…

…opy on 15 August 2015. He had undergone colorectal surgery on 30 July with complications including splenic injury. Post-operatively, he developed progressive renal failure, which was misdiagnosed as fluid overload and la…

general surgeryurologydiagnosticcommunicationdiuretics
VIChospital2014-05-29

Finding into death of Lilian Olive Blanche McClurkin

61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…

…te for her failed previous lap band surgeries. The peritoneal leak was likely contained for three days post-operatively before bursting on day three, causing sudden cardiac arrest and fatal hypoxic brain injury. Clinical…

bariatric surgerygeneral surgerycommunicationsystemtramadol
QLDhospital2017-10-17

SWK - Non inquest findings

78y · Female·multi-organ failure due to haemorrhage into the abdomen, pelvis and retroperiton…

…ardic during the posterior approach but surgery continued without re-exploration of the anterior site. Post-operative imaging failed to identify the bleeding source, though autopsy revealed significant haemorrhage. Exper…

spinal surgeryorthopaedic surgeryproceduraldiagnosticaramine
VIChospital2025-04-03

Finding into death of Alan John Trevor Deem

67y · Male·Intracranial haemorrhage complicating coronary artery bypass graft surgery follo…

A 67-year-old man died from intracranial haemorrhage following coronary artery bypass graft surgery. He had suffered a right coronary artery dissection during percutaneous coronary intervention at Sunshine Hospital and w…

cardiologycardiothoracic surgerycommunicationsystemdual anti-platelet agents
TAShospital2018-03-26

Coroner's Finding: Russell; Patricia Joy

74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…

Mrs Russell, a 74-year-old woman with diabetes, obesity, COPD and coronary disease, underwent elective hernia repair in November 2016 at a regional hospital. An unexpected colon tumour was removed during surgery. She sub…

surgeryanaesthesiadiagnosticdelay
QLDhospital2007-12-07

Burgen, Deborah Denise

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

…t definitive diagnosis or treatment. Critical failures included: failure to adequately triage and admit an acutely unwell patient; delay in operating until bowel perforation occurred; inadequate post-operative monitorin…

emergency medicinesurgerydiagnosticdelayparacetamol/codeine
NSW2018-10-26

Inquest into the death of Mahmoud Houri

27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…

Mahmoud Houri died aged 27 in custody from multiple organ failure, a consequence of gunshot wounds sustained in 2002. The inquest examined whether appropriate care was provided on 21 August 2008 when he presented with vo…

general surgerygastroenterologymetoclopramide
VIChospital2018-11-19

Finding into death of Robert Humphreys

71y · Male·Aspiration in setting of paralytic ileus in patient in convalescent phase of abd…

…gularly with imaging when signs persist; involve senior review and multidisciplinary input for complex post-operative cases; document clinical observations thoroughly.

vascular surgeryintensive carediagnosticdelayatropine
WAhospitalAugust 2023

Inquest into the Death of Justin DOBSON

46y · Male·sepsis following haemorrhoidectomy

…tory clues of early sepsis—raised creatinine and urea, elevated heart rate and low blood pressure in a post-operative patient—were present by 1:35 pm. By 3:00 pm, when he met MET call criteria, appropriate escalation to …

general surgerycolorectal surgerydiagnosticcommunicationmetronidazole
VICcommunity2015-04-05

Finding into death of James Michael Hoctor

93y · Male·Complications following colectomy for Clostridium difficile pancolitis in the se…

…ifficile infection was not considered or investigated during several days of progressive symptoms. When he acutely deteriorated with sepsis, he was transferred back to the tertiary hospital where C. difficile pancolitis…

general practiceinfectious diseasesdiagnosticpenicillin

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