Coronial

57 results for post-operative bleeding

QLDhospital2017-06-22

Mead, Gwendoline

73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…

…ar-old woman died 12 days after elective colorectal surgery for synchronous caecal and rectal tumours. Post-operatively, she developed persistent low urine output and intermittent hypotension managed with repeated fluid …

colorectal surgerygeneral surgerydiagnosticdelay5-fluorouracil
SAhospital2004-11-18

Coroner's Finding: PEDDEY Ross Dudley

63y · Male·pneumonia complicating anoxic brain injury, due to post-operative haemorrhage as…

A 63-year-old man died from pneumonia complicating anoxic brain injury following a post-operative haemorrhage from the inferior epigastric artery during ileostomy closure surgery. The critical failure…

colorectal surgerygeneral surgerydiagnosticdelaywarfarin
QLDhospital2018-10-24

Statis, Joshua Ryan

12y · Male·Cardiac haemorrhage due to or as a consequence of congenital aortic stenosis (su…

…ement when a CardioCel patch to the right ventricular outflow tract (RVOT) ruptured, causing catastrophic bleeding. He developed a sternotomy wound infection 9 days post-operatively, returned to theatre for debridement w…

cardiothoracic surgerycardiologycommunicationdiagnosticwarfarin
VIChospital2019-01-24

Finding into death of Bryan Lindsay Cleeman

86y · Male·Complications post laparoscopic cholecystectomy

…ystitis underwent laparoscopic cholecystectomy on 2 October 2015, forty-two hours after admission. Severe bleeding from hepatic arterial branches required conversion to open surgery, CPR, and massive transfusion. Myocard…

general surgeryanaesthesiadelayasasantin
QLDhospital2009-03-20

Woolgar, Shealah Ann

83y · Female·Haemorrhage due to mitral valve disease (surgically repaired); specifically haem…

…bypass was discontinued. Dr T.'s attempts to repair the perforation were unsuccessful, resulting in fatal bleeding. The coroner found the perforation was caused by insertion of the bevelled-end tubing too far into the ve…

cardiothoracic surgeryanaesthesiaproceduralwarfarin
NSW2016-07-15

Inquest into the death of Sheila Drysdale

75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …

…75-year-old woman with advanced frontal lobe dementia died from hypovolaemic shock following uncontrolled bleeding after an unproven stem-cell liposuction procedure. Critical failures included: failure to cease anticoagu…

plastic and reconstructive surgerygeriatric medicinemedicationproceduralaspirin
SAcommunity2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

…h that the protocol breach caused the death, as thrombi may have formed during the unavoidable 48-hour post-operative window when anticoagulation could not be given. However, the coroner found the death was possibly prev…

orthopaedic surgeryemergency medicinemedicationsystemheparin
VIChome2021-12-21

Finding into death of Geoffrey Alan Locks

50y · Male·Tracheostomy site haemorrhage in a man with laryngeal squamous cell carcinoma (t…

…l cancer. He lived alone post-discharge with a MePACS personal alarm system and home nursing visits. When bleeding occurred at 21:49 on 3 January, he texted his wife rather than activating his alarm immediately. The alar…

ENT surgeryoncologysystemcommunicationmethadone
SAhospital2001-11-08

Coroner's Finding: STEWART Margaret May

77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…

A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surgery. While Fragmin anticoagulation was …

surgeryvascular surgerycommunicationsystemdalteparin
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
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
SAaged care2020-07-09

Coroner's Finding: HANSLOW Walter Robert

75y · Male·bilateral subdural haematoma due to fall

…servation and early recognition of deterioration post-fall in elderly patients on anticoagulation or with bleeding risk, and the need for low thresholds for neuroimaging when subdural haematoma is suspected.

geriatric medicineemergency medicinedelay
VIChome2020-05-29

Finding into death of Ronald John Wood

68y · Male·Pulmonary thromboembolus secondary to deep vein thrombosis

…cancer requiring chemotherapy and major surgery. Warfarin anticoagulation was appropriately ceased due to bleeding risk from the cancer and instability during chemotherapy. After surgery, he received appropriate short-te…

colorectal surgerygastroenterologycommunicationsystemwarfarin
WAhospital2012

Inquest into the Death of Keogh

38y · Female·Pulmonary Thromboembolism

Kellie Anne Keogh, 38, died from pulmonary thromboembolism on 10 November 2008 after complex pancreatic surgery. She had nephrotic syndrome with decreased anti-thrombin III levels, initially presenting with suspected DVT…

general surgeryintensive carecommunicationdelaywarfarin
VIChospital2021-02-05

Finding into death of Carl David Waldon

64y · Male·Left-sided intracerebral haemorrhage associated with deep brain stimulator wire …

A 64-year-old man died from intracerebral haemorrhage along a deep brain stimulator wire tract four days after elective neurosurgery for essential tremor. He was readmitted on day 4 with suspected stroke and started on t…

neurosurgeryneurologymedicationsystemenoxaparin
SAhospital2005-10-13

Coroner's Finding: MURRAY John Matthew

35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…

…ycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic surgery. Post-operatively, he was prescribed a specialized heparin anti-thrombotic regime designed to prevent thromboembolic d…

orthopaedic surgerytrauma surgerymedicationsupervisionheparin
VIChospital2023-08-01

Finding into death of Michele Valentino

81y · Male·Head injury sustained in a fall

…ablish with certainty that earlier intervention would have changed the outcome given the severe nature of bleeding and his post-operative complications including recurrent drain blockages. Key clinical lessons include: e…

emergency medicineradiologydiagnosticcommunicationaspirin

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