Coronial

14 results for intraoperative haemorrhage

TASaged care2020-02-14

Coroner's Finding: Whitney, Margaret Ann

81y · Female·hypovolemic shock due to haemorrhage during orthopaedic repair of a femur fractu…

Margaret Ann Whitney, an 81-year-old woman with vascular dementia, died from hypovolemic shock due to haemorrhage during orthopaedic surgery for a femoral fracture sustained in a fall at her nursing home. She had been…

geriatric medicineorthopaedic surgeryapixaban
QLDhospital2026-02-18

Non-inquest findings into the death of Mr C

62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…

A 62-year-old man died from intraoperative haemorrhage during surgery for a renal tumour initially diagnosed as benign anastomosing haemangioma o…

urologygeneral surgerydiagnosticcommunicationmetaraminol
TAShospital2015-06-16

Coroner's Finding: Sansom, Ann Margaret

62y · Female·acute subarachnoid haemorrhage following perforation of the anterior communicati…

Ann Margaret Sansom, a 62-year-old woman with Type 2 diabetes and cirrhosis, died from subarachnoid haemorrhage following perforation of the anterior communicating artery during an endovascular coiling procedure for…

radiologyneurosurgeryheparin
VIChospital2010-04-16

Finding into death of Kum Yeo Bae

60y · Female·Penetrating injury of the descending thoracic aorta complicating spinal stabiliz…

A 60-year-old woman died from a penetrating injury to the descending thoracic aorta sustained during spinal stabilisation surgery for a T12 burst fracture. During pedicle cannulation, the surgical awl fractured the left …

neurosurgeryanaesthesiacommunicationdelay
QLDhospital2017-10-17

SWK - Non inquest findings

78y · Female·multi-organ failure due to haemorrhage into the abdomen, pelvis and retroperiton…

…ar-old Jehovah's Witness died from multi-organ failure secondary to intra-abdominal and retroperitoneal haemorrhage following extensive anterior and posterior lumbar spinal fusion surgery. The patient had multiple comor…

spinal surgeryorthopaedic surgeryproceduraldiagnosticaramine
VIChospital2011-12-16

Finding into death of Lorraine Valerie McDonald

75y · Female·hypovolaemic shock from excessive blood loss

Lorraine McDonald, age 75, died from hypovolaemic shock due to massive intraoperative bleeding during an anterior resection for rectosigmoid adenocarcinoma. Critical deficiencies included:…

general surgerycolorectal surgerydiagnosticprocedural
VIChospital2023-06-23

Finding into death of Edis Vytas Brenner

78y · Male·Multiorgan failure consequent upon pulmonary lacerations and haemorrhage sustain…

A 78-year-old man died from multiorgan failure following complications during planned mitral and tricuspid valve surgery. During the initial surgery, a small superficial laceration to the right lower lobe lung occurred, …

cardiothoracic surgeryintensive caresystem
VIChospital2024-10-29

Finding into death of Shane Hughes

40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…

…sity, COPD, diabetes and hypertension died from acute hepatic and renal failure following postoperative haemorrhage after left radical nephrectomy for a 10cm renal cell carcinoma. The surgeon applied a vascular stapler …

urologysurgeryproceduraldiagnosticmetaraminol
VIChospital2015-04-02

Finding into death of Linda Elizabeth Parker

39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…

Linda Parker, aged 39, died from hypoxic brain injury following catastrophic postpartum haemorrhage from placenta increta during caesarean delivery. Critical lessons: (1) Placenta increta risk was not de…

obstetricsanaesthesiadiagnosticdelay
QLDhospital2014-09-01

SG - Non-inquest findings

68y · Female·Haemorrhage secondary to right subclavian artery lacerations sustained during ce…

A 68-year-old woman died from massive blood loss following inadvertent puncture of the right subclavian artery during central venous line insertion. The anaesthetist used anatomical landmarks without ultrasound after an …

anaesthesiageneral surgeryheparin
VIChospital2022-08-19

Finding into death of Ruth Ann McKenna

62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…

…laemic and cardiogenic shock during elective total laparoscopic hysterectomy for an endometrial polyp. Intraoperative blood loss was 2000-2500mls (far exceeding typical 150-200mls). Critical gaps included: surgery commen…

gynaecologyanaesthesiadiagnosticsystemmetaraminol
QLDhospital2011-11-04

Smith, Darryl Robert

34y · Male·Air embolism and severe haemorrhage due to perforation of the right subclavian v…

… sixth screw hole, the surgeon's drill penetrated the underlying right subclavian vein, causing massive haemorrhage. Despite aggressive resuscitation including blood products, intubation, and CPR, the patient deteriorat…

orthopaedic surgeryanaesthesiaproceduraldelayadrenaline
VIChome2025-02-26

Finding into death of Jonathan Alan Uphill

84y · Male·Ischaemic heart disease and coronary artery atherosclerosis in the setting of ty…

… atherosclerosis. He underwent total dental clearance (extraction of 15 teeth) on 1 March 2022 without intraoperative complications. The following day he developed vomiting, fever, back pain and deteriorated rapidly into…

oral and maxillofacial surgeryanaesthesiadelaycodeine
SAhospital2011-08-05

Coroner's Finding: LEONARD Emily Ruth and HILLMAN Glenys Anne

Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…

…copic surgery on 30 October 2008; a colon perforation from diathermy-induced injury was not recognized intraoperatively and only became apparent 6 days post-discharge, resulting in multi-organ failure and death. Mrs Hill…

gynaecologyintensive carediagnosticproceduralheparin

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