57 results for “regional anaesthesia”
83y · Male·aspiration pneumonia and delirium complicating surgery for left total knee repla…
…n with dementia and ischaemic heart disease underwent elective left total knee replacement under spinal anaesthesia to avoid general anaesthesia, as advised by geriatrician. Despite optimal anaesthetic technique, he dev…
1y · Female·unrecognised oesophageal intubation
A 19-month-old girl died from unrecognised oesophageal intubation during anaesthesia for finger laceration repair. The anaesthetic team failed to recognise multiple clinical indicators of …
47y · Male·cardiomyopathy in a 47 year old man with Down syndrome
Greg Norman Mackrell, a 47-year-old man with Down syndrome and known cardiomyopathy with pacemaker, was admitted for elective colonoscopy. The anaesthetist reviewed him preoperatively and the procedure was completed quic…
80y · Male·acute myocardial ischaemia due to coronary atherosclerosis
Mr Wade, aged 80, died from acute myocardial infarction following knee surgery. On postoperative day 3, he developed chest symptoms, elevated troponin, and hypoxia. An ECG was performed showing acute anterior myocardial …
11y · Male·complications of bowel obstruction in the setting of chronic constipation
…dmissions for bowel washouts. Despite referral to RCH paediatric surgery in 2021, his examination under anaesthesia was delayed until after the surgeon's leave, scheduled for February 2022. On 23 March 2022, the family …
57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy
…obesity, diabetes, hypertension, COAD, sleep apnoea) underwent elective laparoscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense adhesions and obesity. Post-operatively, he de…
76y · Female·Head injury comprised of subdural haematoma, subarachnoid haemorrhage with brain…
… severe head injury sustained in a motor vehicle collision. She was initially managed conservatively at a regional hospital, but her condition deteriorated markedly at 9pm with signs of increased intracranial pressure. C…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
…rillation, ischaemic heart disease and hypertension underwent left inguinal hernia repair under general anaesthesia at a regional hospital. He experienced a small acute myocardial infarction during or immediately after …
29y · Female·Exsanguination post tubal ligation procedure
… died from exsanguination following an iatrogenic injury during elective laparoscopic tubal ligation at a regional hospital. A vascular injury to the right external iliac artery occurred during the procedure, likely duri…
74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…
…with diabetes, obesity, COPD and coronary disease, underwent elective hernia repair in November 2016 at a regional hospital. An unexpected colon tumour was removed during surgery. She subsequently developed a faecal leak…
8y · Male·acute exacerbation of chronic asthma
An 8-year-old boy with undertreated chronic asthma presented to North West Regional Hospital with acute exacerbation. Initial assessment underestimated severity. Despite initial improvement…
77y · Male·Cerebral infarction (stroke) complicating elective hernia repair
A 77-year-old man with atrial fibrillation on warfarin underwent elective hernia repair. Warfarin was appropriately ceased five days pre-operatively. Post-operatively, warfarin was recommenced on day 1 post-op at 5pm. He…
9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)
…osed concussion and sent him home. When Dwayne vomited—abnormal for him—his mother took him to Kalgoorlie Regional Hospital, where resident intern Dr P. also diagnosed concussion. The following morning, Dr W. arranged a …
0y · Male·traumatic head injury due to instrumental vaginal delivery of a term infant
Baby H died on 24 March 2019, one day after birth, from traumatic head injuries sustained during an instrumental vaginal delivery using Neville Barnes forceps on a baby in occipito-posterior position. Critical clinical l…
43y · Male·Hypoxic brain injury secondary to haemopericardium and tamponade complicating ru…
… centre, he suffered irreversible hypoxic brain injury. Key clinical lessons: (1) complications of PCI in regional facilities without on-site cardiac surgery incur significant time delays for definitive surgical manageme…
4y · Female·volvulus of the large intestine
Tahlia Rose Bembridge, a 4-year-old with Down syndrome and prior mid-gut volvulus, presented to Bunbury Hospital ED with vomiting and abdominal pain on 1 October 2015. Initial assessment excluded acute bowel obstruction.…
31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…
…. Despite his pre-operative assessment noting potential difficult intubation, he proceeded with general anaesthesia and paralysis. Subsequent attempts by multiple senior anaesthetists and the surgeon to establish an air…
2y · Female·perforated oesophagus secondary to complications of treatment of oesophageal inj…
…cols for post-operative concerns, enhanced triaging of after-hours calls, and consideration of vulnerable regional patients.
17y · Male·fatal asphyxia resulting from severe upper airway obstruction secondary to acute…
Kieran Watmore, a fit 17-year-old male, died from fatal asphyxia at Albany Regional Hospital on 28 August 2008 while being treated for acute tonsillitis. He presented to ED on 27 August wit…
28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…
A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe respiratory d…
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