Age | Event(s) leading to death |
---|---|
85 | Pneumonia, ultrasound guided biopsy. Not monitored. Next night developed signs of septic shock with hypotension, lactate 18 mmol/l and severe hypoxemia. Died. Death probably related to the biopsy. |
90 | Isoprenaline infusion with a syringe pump. The hosing lost connection with syringe, and before this was detected the patient development of therapy resistant bradycardia and death. |
60 | Admission with suspected endocarditis, not monitored. Had cardiac arrest on ward, resuscitation efforts negative. Died. |
64 | Elective surgery for liver metastasis. Perioperative lesion of the liver vein with profuse bleeding. Death on the operating table. |
73 | Admitted with tentative diagnosis: urethral stone, and was treated for this. Patient suddenly developed circulatory arrest and died. Post mortem autopsy revealed peritonitis and perforated colon. Error of omission. |
80 | Whiple’s operation performed. In recovery room delirious, and a new gastric tube had to be reinserted. This resulted in vomiting and pulmonary aspiration leading to cardiac arrest and death. |
77 | Urethral catheter inserted which resulted in profound urethral bleeding and hypovolemic shock. Next day severe sepsis secondary to urinary tract infection. Death. |
57 | Iatrogenic opiate overdose postoperatively. Found dead in bed. Probably related to opioid overdose. |
68 | Thoracic drain inserted to remove pleural effusion. After several hours development of circulatory shock and anemia. Died. Post mortem exam revealed large amount of blood in thoracic cage. |
64 | Postoperative pneumothorax during mechanical ventilation. Insertion of pleural drain resulted in bleeding from an intercostal artery, leading to thoracotomy because of ongoing bleeding. Had a cardiac arrest. ROSC, but severe cerebral injury led to withdrawal of treatment some days later. |
80 | Pleural drain inserted. Resulted in bleeding and cardiac arrest. Received anticoagulation drugs. |
66 | Cancer pulm. Operated. After surgery airway problems (ET tube) with hypoxemia and hypotension. Did not wake up, and treatment was stopped after 6 days. |
60 | Abdominal pain, given ketobemidon. Low body weight. Registered low respiratory rate during next night, nothing was done and patient found dead in the morning. Possible opioid overdose. |
81 | Because of delirum given klometiazol (Heminevrin) i.v. One hour later cardiac arrest and with no ROSC. Died. |
89 | 17 days in hospital with abdominal pain, no diagnosis made. Patient died. Post mortem revealed gallstone and cholecystitis. Error of omission |
86 | Dyspnoe and AMI, given antithrombotic drugs that resulted in profound bleeding and haemorrhagic shock. Death. |