| 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. |