20 results for “surgical emphysema”
81y · Male·pneumonia complicating fracture of the neck of the right femur sustained in a fa…
An 81-year-old man with multiple chronic conditions including dementia, ischaemic heart disease, emphysema, and hypertension sustained a fractured right femoral neck from a fall at an aged care facility. He unde…
48y · Male·sepsis and renal failure due to perforated gastric ulcer
…causing peritonitis was not recognised until 9pm when he was found on the floor in shock. Transfer to the surgical centre was delayed until 11:40pm. Emergency laparotomy revealed 3 litres of faecal matter in the peritone…
66y · Male·Coronary atherosclerosis with emphysema as secondary cause
…ames Carpenter, a 66-year-old prisoner with significant comorbidities including ischaemic heart disease, emphysema, hepatitis C and possible malignancy, died from coronary atherosclerosis and emphysema. He presented wit…
58y · Male·pneumonia on a background of adenocarcinoma of the lung stage 4, ischaemic heart…
…ner died from pneumonia complicated by stage 4 lung adenocarcinoma, ischaemic heart disease, and chronic emphysema. He presented with critical leg ischaemia requiring femoral endarterectomy, developed acute myocardial i…
66y · Male·Palliative treatment (withdrawal of life-sustaining medication and oxygen) follo…
…rowsiness from his prescriptions, or deliberately intended to end his life. Given his terminal condition, surgical intervention for leg injuries would have been fatal. The clinical team appropriately decided on palliativ…
87y · Male·infective exacerbation of chronic obstructive lung disease
…to enable medical treatment including oxygen therapy and monitoring. Chest imaging subsequently revealed emphysema and signs of infection. He deteriorated despite antibiotics and non-invasive ventilation, ultimately dyi…
74y · Male·Small bowel obstruction due to extensive intra-abdominal adhesions
Timothy Funder, a 74-year-old man with schizophrenia, chronic obstructive pulmonary disease, and previous small bowel obstruction, died from small bowel obstruction due to extensive intra-abdominal adhesions. He presente…
74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…
…was removed during surgery. She subsequently developed a faecal leak from the colon anastomosis requiring surgical repair. Critically, she also suffered a spontaneous oesophageal perforation (Boerhaave syndrome) likely o…
68y · Female·Anaphylaxis in a woman with atherosclerotic cardiovascular disease and emphysema
…rgies precisely (distinguishing antibiotic vs non-antibiotic sulphonamides), and communicate clearly with surgical teams about allergies.
47y · Male·Metastatic mesothelioma
James John Wilson, a 47-year-old man imprisoned at Port Phillip Prison, died from metastatic mesothelioma on 5 May 2019 at St Vincent's Hospital. He was diagnosed with epithelioid mesothelioma in January 2019 following C…
60y · Male·ischaemic heart disease due to severe single vessel atherosclerosis
A 60-year-old man died from ischaemic heart disease due to severe single vessel atherosclerosis after suffering a heart attack while driving, which caused a motor vehicle collision. Two to three weeks after shoulder surg…
79y · Male·complications of peritonitis
… requiring emergency Hartmann's procedure. The operating surgeon, Dr L.-Ming Schmidt, made a catastrophic surgical error by exteriorising the wrong end of bowel as a stoma, causing iatrogenic mechanical bowel obstruction…
43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…
43-year-old woman died from sepsis and necrotising fasciitis following small bowel perforation during laparoscopic tubal ligation. She was at high risk due to previous abdominal surgeries and adhesions. A 4-5mm perforati…
64y · Male·necrotising fasciitis precipitated by a fishbone perforating his rectum, leading…
…is leading to necrotising fasciitis. Critical delays occurred: surgery was delayed 32 hours (justified by surgical scheduling), and more significantly, when he returned on 8 December with markedly elevated white cell cou…
71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …
Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…
77y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian)
A 77-year-old woman was fatally struck by a utility vehicle reversing from a driveway while walking her dog on a footpath. The vehicle lacked modern safety features (reverse camera, sensors, or warning beeper) and had po…
66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet
A 66-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couc…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
…ar-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Key clin…
32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…
… revealed previously undiagnosed severe subglottic stenosis. Earlier recognition would have allowed joint surgical-anaesthetic planning or procedure deferral. Lost opportunities for investigation and communication proved…
48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)
…ate cardiac care and the stent angiography approach was well-justified given his clinical status and high surgical risk. However, deficiencies were identified in post-discharge medication management (incorrect drugs give…
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