13 | 41 | F | 4 | Emergency | Spinal | Left Above Knee Amputation and debridement of right below knee stump | Left leg gangrene Non-ST Elevation Myocardial infarction (NSTEMI) Septic shock on dopamine End Stage Renal Failure (ESRF) on Haemodialysis, Chronic Anaemia, Diabetes Mellitus (DM), Hypertension (HTN), Hypothyroidism | PEA post spinal anaesthesia Intubated and surgery proceeded under GA Death in intensive care unit 12 hours post-surgery |
14 | 73 | M | 3 | Emergency | Spinal | Forefoot amputation | Recent NSTEMI with Left foot gangrene DM, Dyslipidaemia, Depression | Intra-operatively haemodynamically stable, an uneventful course in recovery, asystole arrest in general ward 3 hours after. |
15 | 53 | M | 3 | Emergency | Peripheral nerve block | Debridement of forearm | Forearm thrombophlebitis Ischaemic cardiomyopathy, Chronic renal impairment, DM | Developed hypotension in the ward 3 hours post op, Had NSTEMI and hemothorax from block Developed PEA in ward |
16 | 71 | M | 4 | Emergency | Peripheral nerve block | Debridement and fasciotomy of arm | Necrotizing fasciitis of left arm ESRF on haemodialysis, IHD, previous stroke, Atrial fibrillation, HTN, Dyslipidaemia | Given sedation for supraclavicular approach to brachial plexus block Developed hypotension and VF during block |
17 | 69 | M | 4 | Emergency | Peripheral nerve block | Above knee amputation | Sepsis from Below knee amputation stump wound infection NSTEMI complicated by congestive cardiac failure, DM, HTN, Dyslipidaemia, Carotid artery stenosis, Cervical Myelopathy | Required conversion to GA due to pain. Developed ST elevation intraoperatively, followed by PEA |
18 | 69 | M | 3 | Elective | General | Anterior corpectomy and drainage L2/L3 abscess | Salmonella L2-L4 Osteomyelitis with psoas abscess | Septic patient with new ischaemic ECG changes before surgery Prolonged surgery complicated by blood loss of 2.3 L PEA at end of surgery. |
19 | 65 | M | 3 | Elective | General | Craniotomy and resection of parietal tumour | HTN, Dyslipidaemia, Chronic Smoker, Colon Cancer status post resection. | Post induction developed hypotension then refractory VF |
20 | 65 | M | 3 | Elective | General | Pneumonectomy | Left Lung Adenocarcinoma HTN | Pulmonary artery injury during pneumonectomy Attempted going onto cardiopulmonary bypass however difficulty going onto full bypass in lateral position. Thoracotomy incision also made a sternotomy incision difficult. Repair attempted as mass closure and protamine given but friable tissue and advanced cancer thus bleeding continued. |