Coronial

222 results for general anaesthesia

TAShospital2021-08-13

Coroner's Finding: Mrs M

Female·multi-organ failure

Mrs M died from multi-organ failure following recurrent intra-abdominal sepsis and surgical complications after endoscopic duodenal perforation in June 2019. During resection of a duodenal adenoma, perforation occurred r…

gastroenterologygeneral surgerydiagnostic
VIChospital2024-09-10

Finding into death of Christine Anne Flanagan

62y · Female·Complications arising from elective laparoscopic Hartmann's procedure for recurr…

Christine Flanagan, a 62-year-old woman with severe disabilities and gastroparesis, died from complications following an elective laparoscopic Hartmann's procedure for recurrent sigmoid volvulus and ileus. Post-operative…

general surgeryintensive care
SAhospital2020-10-12

Coroner's Finding: USHER Peter Michael

56y · Male·hypoxic ischaemic encephalopathy following insulin and benzodiazepine overdose

… concerns with his care or custody. Clinical lessons include the importance of mental health screening in general practice, the risks of benzodiazepine accumulation, and recognition that depression may be concealed from…

anaesthesiapsychiatrytemazepam
VICcommunity2010-08-06

Finding into death of Lauren Katherine James

26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…

Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asymmetrical swelling of her left th…

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpethidine
VIChospital2018-12-03

Finding into death of Anna Agnieszka Bowditch

34y · Female·Complications of fall with fractured ankle and subsequent deep venous thrombosis…

Anna Bowditch, aged 34, died from complications of deep venous thrombosis (DVT) with pulmonary embolism and paradoxical stroke following elective fracture repair surgery. She had multiple known DVT risk factors: immobili…

orthopaedic surgeryanaesthesiaproceduraldiagnosticclonazepam
VIChospital2012-06-25

Finding into death of Angela Murray

52y · Female·Aspiration pneumonia in a female who had undergone a laparoscopic cholecystectom…

Angela Murray, a 52-year-old woman with intellectual disability, cerebral palsy, and epilepsy, died from aspiration pneumonia following laparoscopic cholecystectomy for cholangitis and cholelithiasis complicated by pancr…

surgerygeneral practice
QLDhospital2006-03-13

Matschoss, Wayne Barry

60y · Male·bronchopneumonia as a result of or secondary to cerebral haemorrhage; contributi…

Wayne Barry Matschoss, a 60-year-old man with significant medical comorbidities including cardiac disease, epilepsy, chronic bronchitis and bronchiectasis, died in custody at Rockhampton Base Hospital from bronchopneumon…

intensive carerespiratory medicine
NSWhospital2020-10-02

Inquest into the death of Madeline Newcombe

63y · Female·Pulmonary thromboembolism

A 63-year-old woman died from pulmonary thromboembolism within 24 hours of bilateral total knee arthroplasty despite aspirin and sequential compression devices. The surgeon assessed her as standard risk and did not presc…

orthopaedic surgeryanaesthesiacommunicationdiagnosticaspirin
NSWhospital2019

Inquest in to the death of Jodie Pearson - Findings - 01 March 2019.docx Final version

47y · Female·hypoxic encephalopathy and aspiration pneumonia following aspiration of gastric …

Jodie Ann Pearson, aged 47, died from hypoxic encephalopathy and aspiration pneumonia following aspiration of gastric contents during a gastroscopy at Belmont Hospital on 15 February 2016. Critical pre-procedure informat…

general surgeryanaesthesiacommunicationsystem
QLDhospital2014-01-31

George, Lynda Margaret - Non-inquest findings

60y · Female·Peritonitis due to anastomotic leak following subtotal colectomy for treatment o…

60-year-old woman died from septic shock due to anastomotic leak following subtotal colectomy for synchronous bowel cancers. Early postoperative bronchospasm complicated clinical assessment, leading focus on respiratory …

general surgerycolorectal surgerydiagnosticcommunication
NSWhospital2018-03-29

Inquest into the death of Paul Lau

54y · Male·aspiration pneumonia caused by multiple drug toxicity

Paul Lau, aged 54, died from aspiration pneumonia caused by opioid toxicity following ACL reconstruction surgery. The death resulted from a prescribing error where anaesthetist Dr K. inadvertently prescribed a 100mcg/hou…

anaesthesiaorthopaedic surgerydiagnosticmedicationfentanyl
WAhospital2007-05

Inquest into the Death of frith

80y · Female·Pulmonary Thromboembolism in a woman with Left Femur Fracture

Sheila Margaret Frith, 80, sustained a left femur fracture after falling at the top of an escalator at an immigration office on 4 July 2005. She was admitted to Sir Charles Gairdner Hospital for urgent surgical repair. H…

orthopaedic surgeryanaesthesiacommunicationsystemsolprin
TAShospital2024-11-07

Coroner's Finding: Flynn, Christine Joy

68y · Female·haemopericardium resulting from perforation of the pericardial sac during laparo…

Mrs Christine Flynn, aged 68, died from haemopericardium and pericardial tamponade following laparoscopic hiatus hernia repair. A 2mm perforation of the pericardial sac occurred during surgery, likely from mesh tacks pla…

general surgerycardiothoracic surgeryprocedural
QLDhospital2013-09-05

Sparreboom, Sophie Claire - Non-inquest findings

0y · Female·Cerebral hypoxia due to placental abruption

Sophie Sparreboom died from cerebral hypoxia secondary to placental abruption following emergency caesarean section. Gestational diabetes indicated planned induction at term. At 2050 hours, antepartum haemorrhage and pat…

obstetricsmidwiferysystemcommunicationoxytocin
SAhospital2020-11-03

Coroner's Finding: MARSHALL Daryl Grant

61y · Male·hospital acquired pneumonia complicating aorto-femoral bypass surgery for periph…

A 61-year-old man with peripheral vascular disease, alcohol dependence, and heavy smoking history underwent aorto-femoral bypass surgery. Post-operatively he developed hospital-acquired pneumonia, delirium from alcohol w…

vascular surgeryintensive care
VIChospital2020-07-16

Finding into death of Lydia Maxfield

85y · Female·Multisystem failure complicating ischaemic heart disease and ischaemic bowel in …

…med of clinical deterioration over the weekend. (3) Medical reviews by multiple clinicians (anaesthetist, general physician) were not documented in the medical record. (4) Post-operative anti-emetics were continued desp…

orthopaedic surgeryanaesthesiacommunicationsystemondansetron
VIChospital2011

Finding into death of ALYSSA TZE SIM CHAN

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

Alyssa, a 9-week-old infant, died from hemorrhage following a liver biopsy at Monash Medical Centre. She had persistent jaundice, and biopsy was undertaken to investigate potential biliary atresia. Post-operatively, nurs…

gastroenterologyanaesthesiadiagnosticproceduralphytomenadione
TAShospital2021-05-24

Coroner's Finding: Wade, Neville Ernest

80y · Male·acute myocardial ischaemia due to coronary atherosclerosis

Mr Wade, aged 80, died from acute myocardial infarction following knee surgery. On postoperative day 3, he developed chest symptoms, elevated troponin, and hypoxia. An ECG was performed showing acute anterior myocardial …

cardiologygeneral surgerydiagnosticcommunication
VIChospital2021-11-17

Finding into death of H J

76y · Female·Undetermined (natural causes)

HJ, a 76-year-old woman with chronic psychotic disorder and paranoid delusions, presented with abdominal pain, vomiting, and small bowel obstruction. Imaging revealed bilateral adnexal masses. Due to her lack of insight …

general surgerypsychiatryaugmentin df
QLDhome2012-06-29

Baby M

2y · Male·Hypoxic-ischaemic encephalopathy

…omen of reproductive age presenting with abdominal pain, despite reported periods or recent surgery under general anaesthesia. Early recognition and appropriate emergency response to perinatal events are critical.

neonatologyparamedicinediagnosticdelay

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