27 results for “post-operative decline”
88y · Male·general inanition on a background of advanced dementia and a fractured patella (…
…all at a residential care facility. He was under a guardianship order requiring residential placement. Post-operatively, he experienced poor oral intake and drowsiness attributed to analgesic use. The family and care tea…
83y · Male·aspiration pneumonia and delirium complicating surgery for left total knee repla…
…d general anaesthesia, as advised by geriatrician. Despite optimal anaesthetic technique, he developed post-operative delirium with agitation and aggression, requiring a Mental Health Act inpatient treatment order. He su…
99y · Male·Pneumonia
A 99-year-old man with cognitive decline sustained a hip fracture from a fall and subsequently underwent surgery with informed consent. He suffere…
91y · Female·exacerbation of behavioural and psychological symptoms of dementia following sur…
…sed fall at an aged care facility on 8 August 2022. She underwent surgical repair on 9 August 2022 but post-operatively remained confused, agitated, and refused medications. She was discharged back to aged care on 19 Aug…
76y · Male·Complications following surgery for intradural cervical meningioma
… intellectual disability, underwent neurosurgery for an intradural cervical meningioma in August 2010. Post-operatively, his condition initially improved but he subsequently deteriorated, requiring transfer to coronary c…
87y · Female·General inanition complicating mixed vascular and Alzheimer's dementia on a back…
…ell on 16 August 2020, initially managed conservatively, then surgically repaired on 2 September 2020. Post-operative delirium and pain management led to reduced oral intake. Despite family concerns and medical review, h…
84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …
…ing, sustaining a left neck of femur fracture. Surgery occurred 72 hours after anticoagulation ceased. Post-operatively he declined despite physiotherapy attempts, becoming bed-bound with poor oral intake. The coroner fo…
93y · Male·general inanition on a background of cognitive impairment, congestive cardiac fa…
…e sustained in a fall at an aged care facility. He was under a guardianship order with special powers. Post-operatively, he developed pneumonia and delirium requiring an inpatient treatment order. After discharge, he had…
85y · Female·general inanition on a background of vascular dementia and a recent right neck o…
…l fixation at Flinders Medical Centre and was discharged on 9 August 2020. Despite initial alertness, she declined rapidly over the following week with decreased mobility and food/fluid intake, transitioning to comfort …
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
…ectomy at a regional hospital. The procedure was converted to open due to dense adhesions and obesity. Post-operatively, he developed progressive hypoxia and signs of acute renal failure within hours. Despite escalation …
92y · Male·Consequences of accidental fall at RACF: post-operative delirium, left femoral i…
…ustained an unwitnessed fall resulting in left hip fracture, requiring surgical fixation. He developed post-operative delirium and died 8 days later. The coroner identified missed opportunities in falls risk assessment a…
89y · Male·peri-prosthetic fracture of right femur
…athroom, sustaining a peri-prosthetic right distal femur fracture. He was assessed as high falls risk. Post-operatively his condition deteriorated with decreased consciousness; palliative care was adopted and he died 7 d…
81y · Male·pneumonia complicating surgery for left hip fracture on a background of ischaemi…
…lowing hip fracture surgery. He fell while hip protectors were being cleaned after bowel incontinence. Post-operatively he developed hospital-acquired pneumonia and was appropriately managed with palliative care. The cor…
85y · Female·Complications of a left ankle fracture (operated)
…tatic hypotension, urinary tract infections, oral candidiasis, hypercalcaemia, and progressive functional decline over two months. The coroner found her death resulted from complications of the ankle fracture and its se…
65y · Male·complications of end stage chronic obstructive pulmonary disease
…y, general medical, and psychiatry teams. A lung abscess and worsening pneumonia contributed to his final decline. The coroner found his care and management was reasonable and appropriate, with no preventability identif…
80y · Male·Vasodilatory shock and multi-organ failure secondary to aspiration and cardiores…
…hours after cardiopulmonary arrest in hospital following colorectal cancer surgery. He had developed a post-operative ileus requiring nasogastric tube placement, which was removed on 4 June when he appeared to be recover…
Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…
…o obese patients died from hypoxic-ischaemic encephalopathy following cardio-respiratory deterioration post-operatively at a private hospital without overnight medical cover. John Ryan (54) deteriorated within hours of a…
82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…
… and document clearly; implement standardized escalation policies; and identify nutritional risk early post-operatively.
67y · Female·pulmonary thromboembolus due to deep vein thrombosis
…longstanding mental health issues, died from pulmonary thromboembolism following hip fracture surgery. Post-operatively, she refused prophylactic anticoagulation (clexane) despite repeated discussions of the serious risk…
78y · Female·multi-organ failure due to haemorrhage into the abdomen, pelvis and retroperiton…
…ardic during the posterior approach but surgery continued without re-exploration of the anterior site. Post-operative imaging failed to identify the bleeding source, though autopsy revealed significant haemorrhage. Exper…
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