222 results for “general anaesthesia”
0y · Male·hypoxic ischaemic encephalopathy
…esthetic management: 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 o…
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…
15y · Male·pneumonia in the setting of cerebral palsy and epilepsy
… sodium (160), 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 conti…
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…
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 …
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…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
…atrial fibrillation, 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 immediat…
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…
31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…
…c protocol. 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 establ…
38y · Female·Unascertained
Nilofer Nezami, a 38-year-old Victorian resident, died on 7 January 2019 following cosmetic surgery in Iran. She underwent multiple procedures including eye, breast, arm and abdominal surgery. Post-operatively, she devel…
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…
45y · Female·COVID pneumonia complicated by severe electrolyte abnormalities
…ity to monitor and replace electrolytes. The team appropriately decided against invasive procedures under general anaesthesia given her frailty and complex disability. She transitioned to palliative care when oral intak…
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…
28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…
A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe res…
83y · Female·decompensated right heart failure (cor pulmonale) immediately following mitral v…
An 83-year-old woman died from decompensated right heart failure (cor pulmonale) immediately following mitral valve replacement surgery. She had chronic pulmonary hypertension secondary to severe mitral regurgitation fro…
39y · Female·aspiration pneumonia in the setting of general anaesthesia and colonoscopy for i…
A 39-year-old woman with cerebral palsy, dysphagia, and sleep apnoea died from aspiration pneumonia following a colonoscopy performed under sedation for investigation of rectal bleeding. She had known increased aspiratio…
63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…
…for PEG tube insertion. She had a congenital polymicrogyria, a significant neurological risk factor for anaesthesia. Following a dental injury in March 2018, she developed aspiration pneumonia and severe mouth ulcers li…
56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…
…quate pre-operative assessment, unaware of the defibrillator despite it being documented. Inappropriate anaesthesia (laryngeal mask with total intravenous propofol) was used for this high-risk patient. During surgery, t…
66y · Female·Hypoxic-ischaemic encephalopathy
…requent rousing, she was discharged from PACU with modified oxygen saturation criteria and relocated to a general ward with minimal nursing observation. A morphine PCA was prescribed without adequate consideration of he…
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