Coronial

59 results for post-operative shock

TAShospital2018-12-05

Coroner's Finding: Suckling, James William

72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…

A 72-year-old man died from hypovolemic shock due to intra-abdominal haemorrhage following Spigelian hernia repair. Post-operatively he presented with h…

surgeryemergency medicinediagnosticcommunicationmetaraminol
TAShospital2024-11-04

Coroner's Finding: de-identified EK

80y · Male·haemorrhagic stroke caused by Staphylococcus aureus sepsis due to L4/5 discectom…

…essive treatment including IV antibiotics and surgical washout, the infection progressed to sepsis, septic shock, hospital-acquired pneumonia, kidney failure, possible endocarditis, and ultimately a haemorrhagic stroke.…

orthopaedic surgeryinfectious diseasesantibiotics
TAShospital2025-01-29

Coroner's Finding: de-identified IM

37y · Female·sepsis due to necrotising fasciitis following abdominoplasty with liposuction

…om sepsis due to necrotising fasciitis following abdominoplasty and liposuction. She was discharged on post-operative day 4 with severe pain, nausea, and vomiting, which were attributed to normal post-operative symptoms.…

plastic and reconstructive surgerygeneral practiceoxycodone
WAhospital2014-05-27

Inquest into the Death of Julissa Teresa GILBERT

57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …

…Surgery was performed by an unsupervised surgeon operating on friable tissues with limited visibility. Post-operatively, mesenteric tears caused intra-abdominal haemorrhage (1600mls), but this was misdiagnosed as septic …

anaesthesiasurgerydiagnosticcommunicationaramine
TAShospital2019-08-21

Coroner's Finding: Golus, Peter

65y · Male·escherichia coli urosepsis

…-old psychologist, died from escherichia coli urosepsis following pyeloscopic kidney stone extraction. Post-operative fever developed within 2 hours of surgery. By 2:00am, clinical evidence of septic shock was present (h…

urologyanaesthesiadelaysystemondansetron
QLDhospital2007-10-29

Cvitic, Nardia Annett

30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…

…nderwent radical hysterectomy on 11 February 2002. She collapsed on 14 February with signs of hypovolaemic shock (haemoglobin 5.3 g/dL). Dr W. performed emergency laparotomy via midline incision, found 1-1.5 litres of '…

oncologygeneral surgerydiagnosticmedicationheparin
VIChospital2021-07-20

Finding into death of Barry Brown

56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy

…n, died from internal bleeding after laparoscopic cholecystectomy due to critical systemic failures in post-operative care and diagnosis. Following hypotension at 7:30pm, nursing staff failed to follow escalation protoco…

general surgeryintensive carediagnosticcommunicationnoradrenaline
NSWhospital2019-10-08

Inquest into the death of George Kimpton

80y · Male·Vasodilatory shock and multi-organ failure secondary to aspiration and cardiores…

George Kimpton, aged 80, died from vasodilatory shock and multi-organ failure secondary to aspiration pneumonia five hours after cardiopulmonary arrest in hospi…

colorectal surgerygeriatric medicinecommunicationsystemmorphine
SAhospital2004-11-18

Coroner's Finding: PEDDEY Ross Dudley

63y · Male·pneumonia complicating anoxic brain injury, due to post-operative haemorrhage as…

A 63-year-old man died from pneumonia complicating anoxic brain injury following a post-operative haemorrhage from the inferior epigastric artery during ileostomy closure surgery. The critical failure…

colorectal surgerygeneral surgerydiagnosticdelaywarfarin
NSWhospital2020-03-04

Inquest into the death of Paul MORTIMER

65y · Male·ischaemic heart disease following complications of colorectal surgery

…ant comorbidities (cardiomyopathy, diabetes, obesity) underwent colorectal surgery for adenocarcinoma. Post-operative course was complicated by anastomotic breakdown causing sepsis on day 12 post-discharge, requiring rea…

colorectal surgeryintensive careproceduralsystemenoxaparin
QLDhospital2012-12-06

McNaught, Judith

69y · Female·Septic shock due to biliary peritonitis as a consequence of laparoscopic cholecy…

A 69-year-old woman died of septic shock following bile leak complications after laparoscopic cholecystectomy. Critical failures included: (1) inap…

surgeryanaesthesiadiagnosticmedicationmorphine
NSW2016-07-15

Inquest into the death of Sheila Drysdale

75y · Female·hypovolaemic shock following uncontrolled blood loss from mini-liposuction stem …

A 75-year-old woman with advanced frontal lobe dementia died from hypovolaemic shock following uncontrolled bleeding after an unproven stem-cell liposuction procedure. Critical failures inclu…

plastic and reconstructive surgerygeriatric medicinemedicationproceduralaspirin
NThospital2019-04-16

Inquest into the death of Ali Achmadun Djawas

70y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

…on (family not informed of anastomotic leak risk, complications, warning signs, or urgency of return). Post-operative recovery proceeded well until day 6 when he was discharged. On day 10, he developed an anastomotic lea…

colorectal surgerygeneral surgerydiagnosticcommunicationmethylnatrexone
VIChospital2021-12-06

Finding into death of Ingeburg Hildegard Muller

85y · Female·Staphylococcus bacteremia complicating multiple injuries sustained in a motor ve…

…ation. She was readmitted with deep wound infection, underwent washouts, and subsequently developed septic shock from Staphylococcus bacteremia secondary to acute kidney injury, dying on 28 August 2018. Clinical lessons…

emergency medicineintensive caresystemantibiotics
VIChospital2025-10-15

Finding into death of Gary William Bruce

71y · Male·Complications following a right hepatic artery injury following an open cholecys…

…le and the intraoperative injury was appropriately managed. However, critical deficiencies occurred in post-operative care: the patient met MET call criteria on 10 occasions overnight but only one MET call was activated …

general surgeryanaesthesiacommunicationsystem
VIChospital2021-07-21

Finding into death of Lorinda Stacey Ruff

55y · Female·Complications of metastatic colorectal carcinoma

…lood pressure, low pulse, and abdominal tenderness. She was referred to ED and admitted to ICU with septic shock and bowel obstruction. CT imaging revealed colon cancer with hepatic metastases. She underwent emergency p…

general practiceemergency medicine
NSWhospital2019-08-07

Inquest into the death of Pauline KESSELL

53y · Female·multiple organ failure as a result of septic shock

Pauline Kessell, aged 53, died from septic shock caused by overwhelming sepsis following endoscopic pyeloscopy with laser lithotripsy for a 5cm infected st…

urologyanaesthesiadiagnosticproceduralgentamicin
TAShospital2021-11-29

Coroner's Finding: Bennett, Anthony George

77y · Male·shock due to bowel ischaemia following massive blood loss due to bleeding of the…

…c heart disease, atrial fibrillation, peripheral vascular disease, and end-stage kidney disease, died from shock due to bowel ischaemia following massive blood loss from the left internal iliac artery after elective abd…

vascular surgerycardiology
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
VIChospital2011-10-20

Finding into death of Andrew Westley

56y · Male·Cardiogenic shock, end stage ischemia due to chemo related cardiomyopathy, fulmi…

…ation (prior surgery/radiotherapy causing adhesions), and organ procurement from far North Queensland. Post-operatively, he required prolonged ECMO, IABP, and biventricular assist devices but developed VRE sepsis, asperg…

cardiothoracic surgerytransplant medicinedelayvancomycin

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