453 results for “anaesthesia”
83y · Male·aspiration pneumonia and delirium complicating surgery for left total knee repla…
…n with dementia and ischaemic heart disease underwent elective left total knee replacement under spinal anaesthesia to avoid general anaesthesia, as advised by geriatrician. Despite optimal anaesthetic technique, he dev…
42y · Female·Global cerebral ischaemia in a setting of anaesthesia
A 42-year-old woman died from global cerebral ischaemia following cardiac arrest during anaesthesia for a late-term termination of pregnancy. The anaesthetist, Dr McAllister, failed to obtain or ensure a…
0y · Male·hypoxic ischaemic encephalopathy
…anagement: no theatre staff were on duty; the junior anaesthetic registrar could not administer general anaesthesia unsupervised; and the consultant anaesthetist, 30 minutes away, was not adequately informed of the clin…
15y · Male·pneumonia in the setting of cerebral palsy and epilepsy
…60), treated successfully, but subsequently developed aspiration pneumonia. During an MRI under general anaesthesia on 9 March, his respiratory status deteriorated. He required intubation on 15 March but continued to de…
83y · Male·pulmonary fat embolism complicating interstitial lung disease
…tal and underwent emergency surgery for the fracture with neurovascular compromise. During induction of anaesthesia, his blood pressure dropped and he suffered cardiac arrest from which he could not be resuscitated. Con…
1y · Female·unrecognised oesophageal intubation
A 19-month-old girl died from unrecognised oesophageal intubation during anaesthesia for finger laceration repair. The anaesthetic team failed to recognise multiple clinical indicators of …
49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …
…ities (diabetes, COPD, chronic kidney disease, ischaemic heart disease) died following complications of anaesthesia during incision and drainage of a buttock abscess. Critical failures included: inadequate reversal of n…
32y · Female·Hypoxic brain injury due to a combination of factors arising from subdural haema…
A 32-year-old fit and healthy woman died from hypoxic brain injury following complications of spinal anaesthesia for caesarean section. She developed a subdural haematoma (rare complication) and persistent post-dural…
36y · Male·Cardiorespiratory arrest complicating propofol administration for endodontic pro…
Michael Anderson, a 36-year-old obese man (BMI 38.5), suffered cardiorespiratory arrest during a root canal procedure under conscious sedation with propofol administered by Dr S. in a dental office setting. He had undiag…
37y · Female·Hypoxic brain injury complicating cardiorespiratory arrest during manual removal…
…aginal delivery and delayed placental separation, manual removal of placenta was performed under spinal anaesthesia. The patient suffered sudden cardiorespiratory arrest with profound ST changes and ventricular fibrilla…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
…rillation, ischaemic heart disease and hypertension underwent left inguinal hernia repair under general anaesthesia at a regional hospital. He experienced a small acute myocardial infarction during or immediately after …
20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…
…allowed examination glove. She died postoperatively from cardiac dysrhythmia. Critical lapses included: anaesthesia delivered by registrar without senior consultant present despite extreme anaesthetic risk; failure to p…
56y · Male·Pulmonary embolism with deep vein thrombosis an antecedent cause; coronary arter…
Peter Robin, a 56-year-old man with a medical history of hypercholesterolaemia, hypertension, obesity, and depression, underwent elective dental surgery on 28 October 2015 to remove four wisdom teeth and resect a cyst. H…
0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…
…waiting for blood results and fasting confirmation, and a junior doctor was permitted to attempt spinal anaesthesia during an obstetric emergency. Escalation failures and inadequate senior involvement contributed to man…
89y · Female·Aspiration pneumonia complicating electroconvulsive therapy for treatment of psy…
Hilda Berg, 89-year-old woman with depression, psychosis, atrial fibrillation, chronic kidney disease and type 2 diabetes, deteriorated in hospital with refusal to eat or drink due to psychotic beliefs. After initial con…
31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…
…. Despite his pre-operative assessment noting potential difficult intubation, he proceeded with general anaesthesia and paralysis. Subsequent attempts by multiple senior anaesthetists and the surgeon to establish an air…
30y · Female·respiratory failure related to bronchopneumonia following cerebral anoxia due to…
A 30-year-old woman with a previous caesarean section attempted a trial of vaginal delivery. She received Syntocinon augmentation at 6:45 AM without prior cervical assessment and epidural analgesia at 7:35 AM. No vaginal…
45y · Male·Mixed drug toxicity
Dr JR, a 45-year-old anaesthetist, died from mixed drug toxicity after self-administering intravenous propofol and alfentanil at home. He had access to anaesthetic agents through his workplace. The coroner found this was…
47y · Male·cardiomyopathy in a 47 year old man with Down syndrome
Greg Norman Mackrell, a 47-year-old man with Down syndrome and known cardiomyopathy with pacemaker, was admitted for elective colonoscopy. The anaesthetist reviewed him preoperatively and the procedure was completed quic…
86y · Female·Bradycardic arrest secondary to relative hypoperfusion while undergoing surgery …
…se a probable squamous cell carcinoma from her left hand with split-thickness skin grafting under local anaesthesia with intravenous sedation. She suffered an unexpected cardiac arrest intraoperatively secondary to brad…
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