83 results for “general anaesthesia and intubation”
62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…
…orbidities (cirrhosis, cardiomegaly, thrombocytopenia, chronic kidney disease, COPD) died from hypovolaemic and cardiogenic shock during elective total laparoscopic hysterectomy for an endometrial polyp. Intraoperative …
25y · Female·Airway obstruction complicating laryngeal dilation for the treatment of subglott…
Ms Sobb, a 25-year-old woman with spondylo-epi-metaphyseal dysplasia causing severe airway abnormalities and subglottic stenosis, died from airway obstruction following laryngeal dilation. She was admitted to ICU wit…
75y · Female·Abdominal infection following surgery (repair of recurrent umbilical hernia) - s…
Wilma Ray Jones, 75, died of abdominal infection and sepsis following uncomplicated umbilical hernia repair. Post-mortem revealed ischaemic bowel with infarctio…
16y · Female·intra-abdominal haemorrhage due to ruptured spleen
… by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital, following standard rural ambulance protocol. At Renmark, she received high-quality emergency care but lacked adequate blood…
72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…
… haemorrhage following Spigelian hernia repair. Post-operatively he presented with hypotension, bradycardia and sweating. ECG changes were misinterpreted as ST-elevation myocardial infarction, leading to inappropriate d…
70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…
… complex surgery was complicated by iatrogenic small bowel perforations. Post-operatively, wound dehiscence and bowel obstruction developed, requiring return to theatre on 12 April for repair, though perforations were n…
71y · Male·Complications following a right hepatic artery injury following an open cholecys…
A 71-year-old man with myelofibrosis and prior abdominal surgery died from complications of a right hepatic artery injury during open cholecystectom…
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
…roscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense adhesions and obesity. Post-operatively, he developed progressive hypoxia and signs of acute renal failure within hours. …
82y · Female·peritonitis due to a perforated viscus (proximal jejunum) resulting from motor v…
…tive deterioration—decreased urine output, persistent pain beyond 24 hours, fever—should trigger escalation and senior review; (3) Critical vital sign changes including acidosis, hypoxia, and tachycardia in the early mo…
17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…
…etation error on original scans; (2) absence of neurosurgical team consultation despite head trauma concern and GCS drop. Enhanced trauma protocols, quality-controlled radiological services, and lower thresholds for spe…
79y · Female·aspiration pneumonia caused by aspiration of emesis secondary to small bowel obs…
…mall bowel obstruction post-hysterectomy surgery. The obstruction resulted from both pre-existing adhesions and a post-operative haematoma at the surgical site. Critical clinical lessons: (1) repeated vomiting unrespons…
44y · Male·gunshot wound to abdomen
… sustained during a police response to a domestic violence incident. He became aggressive, wielded a knife, and lunged at police after Taser and pepper spray failed. The officer shot him in self-defence. Medical treatme…
27y · Female·Aspiration of gastric contents associated with persistent vomiting following gas…
A 27-year-old woman died from aspiration of gastric contents following a vertical-banded gastroplasty performed for morbid obesity. The surgeon created a stoma (opening) of 4-5mm diameter using …
47y · Male·Aspiration pneumonia due to or as a consequence of coronary atherosclerosis
…aesthetist assumed airway obstruction rather than considering aspiration. This was not communicated during handover to the ward. Subsequent ward nursing care was grossly deficient: unexamined oxygen requirements necessi…
44y · Male·cardiac arrhythmia in a man with liver failure due to cirrhosis and focal corona…
Michael John Herrick, a 44-year-old prisoner with end-stage liver cirrhosis secondary to hepatitis C and alcohol abuse, died from cardiac arrhythmia at Sir Charles Gairdner Hospital. He had been receiving aggress…
0y · Male·complications of intrauterine hypoxia
…tion. Emergency caesarean followed, but Baby Jacob was born severely hypoxic (Apgar 2 at 1 min, 0 at 5 min) and died despite resuscitation. Key preventability factors included poor communication between junior registrar…
31y · Male·Complications in association with intestinal volvulus
31-year-old Morgan Edwards with Smith-Magenis Syndrome, cerebral palsy and Crohn's disease was discharged from Fiona Stanley Hospital ED on 14 August 2018 without definitive diagnosi…
1y · Female·Gastrointestinal haemorrhage due to aorto-oesophageal fistula caused by lodged b…
…abella Rees, aged 14 months, presented to Sunshine Hospital ED four times over 19 days with fever, vomiting and later haematochezia. A button battery lodged in her oesophagus caused progressive caustic injury leading to…
76y · Female·multi-organ failure and sepsis due to complications of cholecystectomy
A 76-year-old woman died from multi-organ failure and sepsis following a laparoscopic cholecystectomy at a rural hospital. During surgery, the surgeon became mis…
80y · Male·aspiration pneumonia
…ric contents before or during the procedure. Despite ICU support, he deteriorated from aspiration pneumonia and died 29 days later. Key clinical lessons: (1) The omission of his regular proton pump inhibitor (Pariet) fr…
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