Coronial

13 results for post-operative secondary haemorrhage

NThospital2004-01-16

Inquest into the death of Souzana Afianos

41y · Female·secondary haemorrhage following gastric banding surgery

A 41-year-old enrolled nurse died from secondary haemorrhage eight days after laparoscopic gastric banding surgery in Darwin. She attended ED on 18 Febru…

general surgeryemergency medicinecommunicationsystemparacetamol/codeine
VIChospital2022-10-18

Finding into death of Kenneth Ernest O'Brien

74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair

… drained. Postoperatively, he developed hypotension and was transferred to ICU. The coroner found that post-operative intra-abdominal haemorrhage was not recognised early enough. Critical factors included: over-reliance …

general surgeryanaesthesiadiagnosticcommunicationapixaban
WAhospital- 27 May 2014

Inquest into the Death of Brian John DAVIES

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 …

surgeryanaesthesiasystemdelaymorphine
WAPodcast2015-02-09

Inquest into the Death of Myosotis Julianna MORIARTY

68y · Female·acute gastrointestinal haemorrhage secondary to bilateral dental extraction

…-old woman on long-term warfarin therapy for a prosthetic aortic valve died from acute gastrointestinal haemorrhage following dental extraction. The dentist failed to obtain an INR test within 24 hours of the procedure …

dentistrygeneral practicediagnosticcommunicationwarfarin
VIChome2013-11-27

Finding into death of Andrew Gilmore

17y · Male·intra-abdominal haemorrhage complicating partial pancreatectomy for traumatic pa…

…ation to wait at home. Critical failure was lack of escalation to consulting surgeon despite recurrent post-operative pain in a complex case. Andrew collapsed and died from intra-abdominal haemorrhage (1400ml) from likel…

general surgeryemergency medicinecommunicationdelayoxycodone
QLDhospital2017-10-17

SWK - Non inquest findings

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

78-year-old Jehovah's Witness died from multi-organ failure secondary to intra-abdominal and retroperitoneal haemorrhage following extensive anterior and posterior lumbar spi…

spinal surgeryorthopaedic surgeryproceduraldiagnosticaramine
VICcommunity2010-08-06

Finding into death of Lauren Katherine James

26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…

…tal admission and investigation. Key failures included: failure by Dr C. and Mr Sormann to investigate post-operative complications despite clear clinical signs; Mr Dieu's inadequate post-operative oversight and failure …

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpethidine
QLDhospital2017-07-18

Stimpson, Reginald - Non-inquest findings

73y · Male·Acute intracranial haemorrhage, due to or as a consequence of coagulopathy, due …

Mr Stimpson, a 73-year-old man, died from massive intracerebral haemorrhage secondary to coagulopathy caused by inadvertent double administration of anticoagulants (Clexane and Xa…

orthopaedic surgerygeneral medicinemedicationcommunicationenoxaparin
QLDhospital2009-03-20

Woolgar, Shealah Ann

83y · Female·Haemorrhage due to mitral valve disease (surgically repaired); specifically haem…

An 83-year-old woman died from haemorrhage following mitral and tricuspid valve repair surgery. During intra-operative testing of the repaired mit…

cardiothoracic surgeryanaesthesiaproceduralwarfarin
VIChome2024-08-08

Finding into death of Alan Edward Stewart

70y · Male·haemoperitoneum secondary to ruptured spleen following colonoscopy

…itical clinical lessons: (1) Post-discharge advice was inadequate, failing to list symptoms of internal haemorrhage; (2) Nurse-on-Call triage nurse failed to correctly assess airway-breathing-circulation compromise when…

gastroenterologyemergency medicinecommunicationsystemparacetamol
NSWhospital2025-02-28

Inquest into the death of Heather Winchester

75y · Female·multiple organ failure due to severe anaemia secondary to blood loss post electi…

…fering understandings were not identified before surgery or during the timeout procedure. When massive post-operative bleeding occurred, the patient ultimately refused transfusion and died. Clinicians should ensure all t…

gynaecologyanaesthesiacommunicationsystem
VIChome2025-02-26

Finding into death of Jonathan Alan Uphill

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

… elderly patients with significant cardiac disease requires careful pre-operative assessment and close post-operative monitoring for complications, though the procedure itself was considered standard practice.

oral and maxillofacial surgeryanaesthesiadelaycodeine
NSWhospital2018-10-22

Inquest into the death of Sandra Cree

71y · Female·Ruptured abdominal aortic aneurysm, with coronary artery atherosclerosis contrib…

Sandra Cree, a 71-year-old woman, died from a ruptured abdominal aortic aneurysm (AAA) after undergoing an elective endovascular repair procedure in Brisbane. She presented to a remote hospital (Lightning Ridge Multi-Pur…

emergency medicinevascular surgerydiagnosticcommunicationgentamicin

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