40 results for “post-operative state”
65y · Female·Aspiration pneumonia following emergency laparotomy for incarcerated umbilical h…
…s, diabetes, and epilepsy presented with an incarcerated umbilical hernia requiring emergency surgery. Post-operative aspiration occurred in recovery with subsequent aspiration pneumonia. Despite appropriate management i…
54y · Male·Complications of cervical spinal stenosis treated with cervical laminectomy and …
…oxic-ischemic brain injury, underwent indicated cervical laminectomy and fusion for cervical stenosis. Post-operatively, he self-removed a drainage tube, then developed a wound infection despite antibiotic treatment. Fol…
73y · Male·Haemorrhagic stroke in the setting of recent inguinal hernia surgery and change …
… he ceased it six days before surgery (timing unclear). Critically, rivaroxaban was not charted in the post-operative period despite the surgeon's verbal instructions to nursing staff alone. A post-operative review two d…
62y · Female·pulmonary thromboembolism due to deep venous thrombosis of right calf
…was provided and there was no reasonable basis to identify DVT before the catastrophic event. However, post-operative thromboprophylaxis considerations and DVT risk stratification in immobilised post-surgical patients sh…
84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …
…e underwent surgery on 27 August but her acute mania, severe agitation, and challenging behaviour made post-operative management extremely difficult. Staff could not administer necessary blood transfusion due to inabilit…
71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …
…); and the patient was discharged same-day despite being frail, cognitively impaired, hypotensive, and post-operative vital signs indicating instability. The coroner found substandard practice in both the information flo…
49y · Female·Fatal Cardiac Arrhythmia
…y and sling surgery. The coroner found the cause was not opioid-induced respiratory depression despite post-operative narcotic use (tramadol, fentanyl). Critical clinical lessons include: nursing observations were inadeq…
78y · Male·Complications of bowel surgery; specifically post-operative chest infection and …
…diagnosed the next day via CT imaging. Surgical repair proceeded on 9 August with right hemicolectomy. Post-operatively, he developed chest infection on day 4, progressing to sepsis and multi-organ failure. Death resulte…
Female·Not definitively stated in judgment; death followed complications from initial s…
…re and extent of her consent to blood products, given her religious objections to transfusions. The Deputy State Coroner ruled that inquiry into Mrs Winchester's conflicting written and verbal instructions regarding blo…
80y · Female·sudden cardiac arrest due to multiple post-operative complications including myo…
An 80-year-old woman died from multiple post-operative complications following reversal of a Hartmann's procedure for diverticulitis. She had undergone a com…
72y · Female·Hanging
…eated significant psychological vulnerability, the general practitioner did not directly assess her mental state despite noting she appeared 'really upset' and 'really frustrated'. The aged care facility did not perform…
68y · Male·Multi-organ failure due to gram-negative sepsis on a background of recent myocar…
…bid obesity) presented with acute myocardial infarction and underwent coronary artery bypass grafting. Post-operatively, he developed hospital-acquired pneumonia progressing to gram-negative sepsis and multi-organ failur…
26y · Male·Gunshot wound to head
…ticularly given baseline paranoia and anxiety), documented monitoring for breakthrough drug use and mental state deterioration, structured aftercare engagement rather than reliance on patient compliance, and early escal…
86y · Male·hospital acquired pneumonia
Maurice Attwood, 86 years old, died of hospital-acquired pneumonia following surgical repair of a femoral neck fracture sustained in a fall at home. He had significant comorbidities including dysphagia with aspiration ri…
57y · Female·Pulmonary thromboembolism
…laxis was provided, she was discharged without chemical prophylaxis or TED stockings despite the surgeon's stated usual practice including TED stockings. The first dose of post-operative heparin was delayed 12 hours. Th…
74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …
… importance of close communication between junior and senior staff when patients deviate from expected post-operative recovery parameters, and that ERAS protocols may not suit all high-risk patients including those with …
51y · Male·pulmonary thromboembolus secondary to left deep vein thrombosis
…ification meant individualised prophylaxis decisions were not reviewed. The coroner could not definitively state that escalated prophylaxis would have prevented death given controversial guidelines, but emphasised that …
79y · Female·Ischaemic bowel in the setting of cardiomegaly, pneumonia and chronic renal fail…
…matory markers, wound infection with MRSA) were present but the underlying condition developed rapidly post-operatively in the setting of pre-existing cardiac disease.
59y · Male·pulmonary thromboemboli due to deep vein thrombosis following right hip replacem…
…refully evaluate cumulative thrombotic risk factors and maintain appropriate anticoagulation dosing in post-operative hip replacement patients.
59y · Male·Suicide by hanging while suffering from a mood disorder in the nature of deliriu…
…5 January 2009, 47 days after undergoing Deep Brain Stimulation (DBS) surgery for Parkinson's disease. Post-operatively, he experienced significant behavioural changes including agitation, impulsivity, and mood disturban…
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