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.