Coronial

51 results for surgical resection

VIChospital2020-09-29

Finding into death of Nicola Deleo

91y · Male·Complications following cardiac arrest in the setting of anaesthetic induction d…

A 91-year-old man with COPD, asthma, and previous cardiac arrest from suxamethonium died from complications following anaphylaxis to rocuronium during anaesthetic induction for emergency small bowel obstruction surgery. …

anaesthesiageneral surgerycommunicationsystemrocuronium
VIChospital2025-10-15

Finding into death of Gary William Bruce

71y · Male·Complications following a right hepatic artery injury following an open cholecys…

…2 hours after initial hypotension at 11 pm). This delay prevented timely senior clinician involvement and surgical re-exploration. An arterial line requested for 24 hours post-op was inexplicably removed. Earlier MET act…

general surgeryanaesthesiacommunicationsystem
TAShospital2021-08-26

Coroner's Finding: PY

0y · Unknown·sepsis leading to multiple organ failure syndrome

…congenital heart condition may have distracted clinicians from recognising the acute bacterial infection. Surgical intervention occurred too late. The child died of sepsis and multiple organ failure. Earlier recognition,…

paediatricsemergency medicinediagnosticdelayparacetamol
SAhospital2013-09-30

Coroner's Finding: GIANNINI Pasquale

68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…

A 68-year-old man with extensive systemic vascular disease presented with 10 days of nonspecific abdominal pain. Initial presentations at local hospital and GP were attributed to possible gallstones or gastritis based on…

general practiceemergency medicinediagnosticdelayaugmentin duo
QLDhospital2017-10-06

Parsons, Ann

59y · Female·Global cerebral oedema due to hypoxic cerebral ischaemia following cardiac arres…

59-year-old woman admitted with newly diagnosed grade 4 glioblastoma underwent surgery 16 days later after delays during consultant's planned leave. Post-operative complications included ischaemic stroke confirmed on ima…

neurosurgeryintensive carediagnosticcommunicationdexamethasone
ACThospital2018-11-26

AN INQUEST INTO THE DEATH OFADRIAN CHARLES WILFRED VAN DIE

50y · Male·Multi-organ failure caused by low flow ischaemia of coeliac artery and superior …

… vigilance for early ischaemic injury signs is warranted despite diagnostic difficulty in complex cardiac surgical patients.

cardiothoracic surgeryintensive caresystem
QLDhospital2007-10-29

Cvitic, Nardia Annett

30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…

Ms Cvitic, a 30-year-old woman with cervical cancer, underwent radical hysterectomy on 11 February 2002. She collapsed on 14 February with signs of hypovolaemic shock (haemoglobin 5.3 g/dL). Dr W. performed emergency lap…

oncologygeneral surgerydiagnosticmedicationheparin
QLD2010-08-27

Clumpoint, Thomas Andrew

40y · Male·Laryngeal stenosis caused by laryngeal oedema due to squamous cell carcinoma of …

Thomas Andrew Clumpoint, 40-year-old Aboriginal man, died from laryngeal stenosis caused by squamous cell carcinoma of the head and neck while imprisoned. He had undergone surgery and chemo-radiation for tonsillar cancer…

ENT surgeryradiation oncologycommunicationsystemmorphine
VIChospital2014-11-28

Finding into death of June Olive Pegg

80y · Female·peritonitis due to sigmoid resection margin leak following extended right hemico…

…en junior doctors contributed. A CT scan on day 2 would likely have identified the leak, enabling earlier surgical intervention, which offered the only chance of survival.

colorectal surgerygeneral surgerydiagnosticdelayfurosemide
NSWhospital2022-03-25

Inquest into the death of Anthony Barrett

54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…

… likely have advised continuing clopidogrel and potentially avoiding tranexamic acid, or reconsidered the surgical approach. The coroner found that appropriate pre-operative management would have likely prevented stent o…

orthopaedic surgeryvascular surgerycommunicationdiagnosticclopidogrel
VIChospital2012-09-11

Finding into death of Robert Anderson

50y · Male·Complications of right buttock necrotising fasciitis secondary to chronic right …

50-year-old male with chronic pain from jockey injuries became dependent on morphine. General practitioner prescribed intramuscular (IM) morphine for self-administration at home from 2005–2007 at doses of 120–240mg daily…

general practicepsychiatrydiagnosticmedicationmorphine sulphate

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