Coronial

57 results for post-operative bleeding

NSWhospital2011-08-12

Godden,george 2011 08 31 14 50 44 877

Unknown·Lignocaine toxicity following dental surgery with atherosclerotic and valvular h…

…pital on 22 February 2007 from lignocaine toxicity following dental surgery. His post-extraction gingival bleeding was treated with gauze soaked in co-phenylcaine spray, a medication indicated for nasal and pharyngeal us…

dentistrygeneral medicinemedicationprocedurallidocaine
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
QLDhospital2026-03-31

Inquest into the death of Robyn Ann Beale

78y · Female·Hypoxic ischaemic encephalopathy as a result of obstruction of airway caused by …

…y following an acute post-surgical arterial bleed that obstructed her airway after hemithyroidectomy. The bleeding complication occurred when she coughed after taking oral pain medication (Endone) on the ward in the earl…

general surgeryanaesthesiadiagnosticcommunicationoxycodone
VIChospital2022-02-28

Finding into death of H YR

77y · Female·Haemoperitoneum following cholecystectomy

A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epigastric arter…

general surgeryintensive carediagnosticdelaywarfarin
VIChospital2022-06-06

Finding into death of Paul Turner

73y · Male·Haemorrhagic stroke in the setting of recent inguinal hernia surgery and change …

… he ceased it six days before surgery (timing unclear). Critically, rivaroxaban was not charted in the post-operative period despite the surgeon's verbal instructions to nursing staff alone. A post-operative review two d…

cardiologysurgerymedicationcommunicationrivaroxaban
QLDhospital2017-07-31

Mrs NSM - Non-inquest findings

81y · Female·left haemothorax and mediastinal haemorrhage from the insertion site of the perm…

…lay in obtaining chest X-ray despite clinical indicators; (3) inadequate senior medical involvement in post-operative management; (4) delayed blood transfusion (not started until 2:50 am despite evidence of bleeding from…

cardiologyintensive carediagnosticcommunicationglyceryl trinitrate
TAShospital2022-10-07

Coroner's Finding: Willetts, Ernest Charles

80y · Male·aspiration pneumonia

…lowing an appendectomy. On hospital day 3, he developed coffee-ground vomitus indicating gastrointestinal bleeding. A gastroscopy was performed that afternoon to identify the bleeding source, but he aspirated gastric con…

surgerygastroenterologycommunicationsystempariet
VIChospital2024-08-08

Finding into death of Alan Edward Stewart

70y · Male·haemoperitoneum and ruptured spleen following colonoscopy

…e critical failures were in post-procedure management. The discharge information was vague about internal bleeding symptoms and failed to clearly distinguish when to call emergency services versus a GP. When Mr Stewart's…

gastroenterologyemergency medicinediagnosticcommunication
WAhospital- 27 May 2014

Inquest into the Death of Julissa Teresa GILBERT

57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …

…Surgery was performed by an unsupervised surgeon operating on friable tissues with limited visibility. Post-operatively, mesenteric tears caused intra-abdominal haemorrhage (1600mls), but this was misdiagnosed as septic …

anaesthesiasurgerydiagnosticcommunicationaramine
VIChospital2021-07-20

Finding into death of Barry Brown

56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy

Barry Brown, a 56-year-old man, died from internal bleeding after laparoscopic cholecystectomy due to critical systemic failures in post-operative care and diagnosis…

general surgeryintensive carediagnosticcommunicationnoradrenaline
SAaged care2022-04-14

Coroner's Finding: Lauder, Ian Ross

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

…he experienced a posterior cerebral artery stroke, anaemia requiring blood transfusions, gastrointestinal bleeding, and worsening delirium. Upon discharge, he continued to refuse food and medication, with further falls. …

geriatric medicineorthopaedic surgeryproton pump inhibitors
VIChospital2011

Finding into death of ALYSSA TZE SIM CHAN

Female·Combination of liver failure, blood loss and shock following needle biopsy

…ntre. She had persistent jaundice, and biopsy was undertaken to investigate potential biliary atresia. Post-operatively, nursing staff could not obtain blood pressure readings (attributed to technical difficulty). When A…

gastroenterologyanaesthesiadiagnosticproceduralphytomenadione
VIChospital2023-06-23

Finding into death of Edis Vytas Brenner

78y · Male·Multiorgan failure consequent upon pulmonary lacerations and haemorrhage sustain…

…rred, likely from pleural space manipulation or chest drain placement. This resulted in severe unexpected bleeding requiring return to theatre and massive transfusion. The subsequent vasoplegia and multiorgan dysfunction…

cardiothoracic surgeryintensive caresystem
QLDhospital2007-04-05

Smith, Arthur Lawrence

75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)

…is recent cardiac surgery, the triage assessment directed him to RBWH based primarily on gastrointestinal bleeding symptoms, as TPCH lacked gastroenterology services. At RBWH, severe mitral valve regurgitation (4/4) was …

cardiothoracic surgeryemergency medicinecommunicationdiagnosticadrenaline
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
VIChospital2016-11-10

Finding into death of Beverley Joy Leggett

79y · Female·Pulmonary thromboembolism in the setting of right elective total hip replacement

…laxis including aspirin, early mobilisation, mechanical foot compression, and hypotensive anaesthesia. Post-operatively, she had delirium and confusion, which may have contributed to reduced mobility despite physiotherap…

orthopaedic surgeryanaesthesiasystemaspirin
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
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

…d diabetes. During pleural tap procedures performed 7 February 2003, trauma to intercostal vessels led to bleeding into the pleural cavity. Critical period was early morning 8 February when hypotension and deteriorating …

cardiologycardiothoracic surgerydiagnosticproceduralramipril
NSWhospital2023-03-20

Inquest into the death of Heather Winchester - Decision

Female·Not definitively stated in judgment; death followed complications from initial s…

This judgment concerns a pre-inquest motion by the Christian Congregation of Jehovah's Witnesses challenging the scope of a coronial inquiry into Heather Winchester's death. Mrs Winchester died following emergency surger…

general surgerygynaecologycommunicationsystem
VIChospital2026-01-23

Finding into death of Dorothy Anne Simm

74y · Female·Non traumatic intracerebral haemorrhage with further deterioration post medical …

Dorothy Simm, a 74-year-old woman, died from intracerebral haemorrhage with post-operative deterioration following participation in the EVACUATE trial at Monash Medical Centre. She presented wi…

neurosurgeryneurology

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