Deaths following a cardiorespiratory complication
| Patient | Age(years) | ASA score | Indication | Monitoring | Sedation | Comments |
|---|---|---|---|---|---|---|
| ASA, American Society of Anesthesiology; BP, blood pressure; CBD, common bile duct; ECG, electrocardiogram; ERCP,endoscopic retrograde cholangio-pancreatography. | ||||||
| 1 | 74 | 2 | CBD stones | Oximetry | Midazolam 8 mg | Cardiac arrest during procedure. Resuscitation failed. Postmortem revealed severe coronary artery disease |
| BP monitoring | Pethidine 50 mg | |||||
| 2 | 75 | 3 | Jaundice secondary to hilar mass | Oximetry | Midazolam 2 mg | Pre-existing chronic obstructive airways disease with low oxygen saturations before ERCP. Developed right basal pneumonia after the procedure and died 2 days later |
| BP monitoring | Pethidine 50 mg | |||||
| ECG monitoring | ||||||
| 3 | 73 | 2 | CBD stone with cholangitis | Oximetry | Midazolam and pethidine; dose unrecorded | Pre-existing cardiac impairment and chronic obstructive airways disease. Deterioration following ERCP with signs of heart failure. Transferred to ITU. Died 27 days after the procedure |
| 4 | 88 | 2 | Jaundice secondary to pancreatic cancer | Oximetry | Midazolam 1.5 mg | Attended as day-case. Became hypoxic and unresponsive after sedation and intubation. Procedure had to be abandoned and patient admitted. Decision made to palliate. Died 12 days later |
| Pethidine 25 mg | ||||||