15 results for “warfarin over-anticoagulation”
68y · Male·Dilated cardiomyopathy with previous aortic valve replacement and aortic graft
…morrhage as a contributing factor. He developed a large perinephric haematoma (1900mL) secondary to over-anticoagulation (INR 3.5, prothrombin 49 seconds) from warfarin. His GP did not receive anticoagulation monitoring …
81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…
…ic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of injury. Critical failures included: (…
93y · Male·Intracranial haemorrhage in the setting of over-warfarinisation
A 93-year-old man on warfarin for atrial fibrillation sustained a head strike in a fall at residential aged care. Initial assessment by…
65y · Male·acute right subdural haematoma
…ged 65, died from an acute right subdural haematoma caused by excessive, unmonitored anticoagulation with warfarin. His general practitioner, Dr A., prescribed warfarin for atrial fibrillation but failed to implement any…
53y · Female·infarction of the transverse colon due to mesenteric/retroperitoneal haemorrhage…
…enced. She developed abdominal pain and imaging suggested small bowel obstruction managed conservatively. Warfarin levels became dangerously high (6-8 September) leading to internal haemorrhage. The coroner found no diag…
86y · Female·right subdural haematoma due to blunt head trauma with contributing excessive wa…
An 86-year-old woman died from subdural haematoma following a minor head injury, complicated by excessive warfarin anticoagulation. She was started on warfarin by a cardiologist on 19 December 2012 for atrial fibrillatio…
77y · Female·haemorrhagic diathesis due to warfarin toxicity
Ruby Mabel Edwards, 77, died from haemorrhagic diathesis due to warfarin toxicity after 84 days in a rural hospital. She had a prosthetic aortic valve requiring anticoagulation. …
73y · Male·Blunt head injury from fall, complicated by warfarin therapy
A 73-year-old man on warfarin therapy for atrial fibrillation died from traumatic head injury sustained in an unwitnessed fall from a l…
75y · Male·acute right subdural haemorrhage sustained in a fall
George Triantafilopoulos, a 75-year-old man on warfarin after aortic valve replacement, suffered two head strikes within 24 hours—first falling onto concrete at …
73y · Male·subdural haematoma from fall
Leonard Athol Long, a 73-year-old on warfarin for mechanical mitral valve replacement, fell twice during hospitalization for urinary tract infection. H…
87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…
An 87-year-old man with atrial fibrillation on warfarin developed septic shock and multi-organ failure following traumatic bladder catheterisation. Two catheteri…
77y · Female·Haemoperitoneum following cholecystectomy
A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epigastric artery was a recognised surgical complication bu…
81y · Female·hypovolaemic shock following bleeding from the site of a femoral angiogram
…ommenced on Heparin anticoagulation but therapeutic range took 38 hours to achieve, exposing her to over-anticoagulation. Critical failures included: haemoglobin levels not monitored on 25-26 January despite evidence of …
59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…
…r 2007 when she fell backwards from a walker being pushed inappropriately by a support worker. She was on warfarin. Dr L. examined her, documented instructions to observe for 4 hours and refer to A&E if deterioration occ…
12y · Male·Cardiac haemorrhage due to or as a consequence of congenital aortic stenosis (su…
Joshua Statis, a 12-year-old with complex congenital aortic stenosis, died 18 days after a redo Konno procedure and aortic valve replacement when a CardioCel patch to the right ventricular outflow tract (RVOT) ruptured, …
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