236 results for “orthopaedic surgery”
74y · Male·small intestinal ischaemia caused by aortic atherosclerosis
…ically ill with septic shock and multiple organ failure. By then, his entire small intestine was dead and surgery could not save him. Key failures included: not investigating the cause of hypotension, normalising low bl…
83y · Male·aspiration pneumonia and delirium complicating surgery for left total knee repla…
…inpatient treatment order. He subsequently developed aspiration pneumonia and died. The coroner found the surgery was appropriate and reasonable on balance, with proper risk-benefit analysis and optimal anaesthetic tech…
63y · Male·Complications of Metastatic Non Small Cell Lung Cancer
…the Peter McCallum Cancer Centre. He received multiple chemotherapy and radiotherapy cycles, hip fracture surgery in October 2013, and was transitioned to palliative care in January 2014. His death occurred following th…
80y · Female·Pulmonary Thromboembolism in a woman with Left Femur Fracture
…l for urgent surgical repair. Her operation was scheduled for 5 July but deferred due to theatre overrun. Surgery was rescheduled for 6 July and commenced at 1:00 pm. Shortly after induction, she suffered a massive pulm…
77y · Female·general inanition on a background of dementia, chronic subdural haematoma and ri…
…ting factors. She sustained an unwitnessed fall at her aged care facility in December 2021, underwent hip surgery, and subsequently deteriorated post-discharge. The coroner found the care provided at both the aged care …
79y · Female·cardiogenic shock following repair of fractured right femur on a background of a…
…ment in elderly patients with significant cardiac disease, early recognition of myocardial ischaemia post-surgery, and timely escalation to ICU. The case highlights the importance of advance care planning discussions in…
47y · Female·pulmonary thromboembolus
A 47-year-old nurse suffered a workplace fall resulting in a left ankle fracture requiring below-knee immobilisation. She was managed conservatively with a temporary cast for one week, then a permanent plaster cast appli…
67y · Female·pulmonary thromboembolus due to deep vein thrombosis
…l delay and longstanding mental health issues, died from pulmonary thromboembolism following hip fracture surgery. Post-operatively, she refused prophylactic anticoagulation (clexane) despite repeated discussions of the…
79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…
…-old man with ischaemic heart disease and dementia fell at home, sustaining a left hip fracture requiring surgery. Post-operatively, he developed hospital-acquired pneumonia, upper gastrointestinal bleeding from a duode…
77y · Male·multisystem organ failure
Anthony Mansbridge, 77 years old, was an involuntary mental health patient at Peter James Centre who fell from a chair while attempting to stand. He sustained a hip fracture requiring operative repair. Post-operatively, …
89y · Male·fractured cervical spine (C5 inferior articular process fracture) due to unwitne…
…al fusion but deteriorated with post-operative pneumonia and was managed palliatively, dying 10 days post-surgery. Key clinical lesson: MRI is superior to CT for detecting ligamentous cervical spine injuries, particular…
35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…
…d on a specialized heparin anticoagulation protocol designed to prevent blood clots after pelvic fracture surgery. An intern doctor, Dr H., failed to correctly administer the protocol on multiple days, prescribing 500 u…
83y · Male·pulmonary fat embolism complicating interstitial lung disease
… failed to brake, colliding with an Armco barrier. He was transported to hospital and underwent emergency surgery for the fracture with neurovascular compromise. During induction of anaesthesia, his blood pressure dropp…
40y · Male·Complications following fracture of the pelvis
…ture of the left acetabulum and iliac crest, requiring transfer to Royal Perth Hospital. While awaiting orthopaedic surgery, he developed deep vein thrombosis, leading to pulmonary embolism and cardiac arrest. Despite e…
89y · Male·peri-prosthetic fracture of right femur
89-year-old man resident in aged care suffered an unwitnessed fall in his bathroom, sustaining a peri-prosthetic right distal femur fracture. He was assessed as high falls risk. Post-operatively his condition deteriorate…
51y · Male·metastatic small round cell malignancy (Ewing's Sarcoma)
…ted with urinary retention and lower limb weakness in January 2018, underwent urgent spinal decompression surgery, and was subsequently diagnosed with advanced metastatic cancer. Palliative care was provided until his d…
70y · Male·Metastatic tumour in the setting of known renal and bowel cancer
…ffered a fall in February 2017, sustained a hip fracture, and was admitted to St Vincent's Hospital where surgery was deemed inappropriate given his advanced cancer and comorbidities. He deteriorated rapidly and was tra…
97y · Male·respiratory failure attributed to aspiration pneumonia on a background of advanc…
…atment orders, and sustained two falls during his hospital stay, including the hip fracture that required surgery on 12 October 2019. His physical decline was marked by poor oral intake, increasing oxygen requirements, …
84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …
…e fell while sitting on a bed during blood pressure monitoring, sustaining a left neck of femur fracture. Surgery occurred 72 hours after anticoagulation ceased. Post-operatively he declined despite physiotherapy attemp…
69y · Male·Septic arthritis of the knee
…ement due to respiratory compromise risking permanent ventilator dependence and tracheostomy. He declined surgery, preferring medical management with antibiotics, vasopressors, and comfort care. Despite optimal medical …
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