Duodenal perforation patient DEATH AUDIT.pptx

Audit of duodenal perforation

1. DEATH AUDIT

2. PATIENT : PREM AGE : 74y /M UHID NUMBER : 250053867 ADDRESS : MEERUT

3. Presenting complaint: PATIENT PRESENTED TO CSSH WITH COMPLAINT OF NON PASSAGE OF STOOL SINCE 1 DAY

4. PAST HISTORY Reasons for Admission: PATIENT PRESENTED TO CSSH WITH COMPLAINT OF RIGHT UPPER ABDOMEN PAIN SINCE 4 DAYS , NONPASSAGE OF STOOL SINCE 3 DAYS Significant Findings at the time of admission: P/A - SOFT, NON-DISTENDED, TENDERNESS PRESENT DISTENSION PRESENT 

5. PATIENT WAS DIAGNOSED AS CASE OF   DUODENAL PERFORATION  FOR WHICH UNDERWENT EXPLORATORY LAPAROSCOPIC WITH GRAHAMS PATCH REPAIR ON 11/1/25 UNDER GA IN CCSH . POST OP STAY WAS UNEVENTFUL. POST OPERATIVELY PATIENT WAS MANAGED WITH IV FLUIDS, ANTIBIOTICS, ANALGESICS AND ANTACIDS

6. Condition at the time of discharge: STABLE VITALS ORALLY ACCEPTING WELL SUTURES IN SITU, SUTURE SITES HEALTHY, WITHOUT ANY ACTIVE DISCHARGE PASSING URINE, FLATUS AND STOOLS NORMALLY

7. READMISSION PATIENT PRESENTED TO CSSH WITH COMPLAINT OF NON PASSAGE OF STOOL SINCE 1 DAY PATIENT ADMITED AND EVALUATED AND DIAGNOSED AS SMALL BOWEL OBSTRUCTION

8. PRE OP Patients attendants were explained about the prognosis and risk . Informed and written consent was taken CT STUDY OF WHOLE ABDOMEN (CONTRAST ) on 13/2/25 Impression : Dilated small bowel eliciting small bowel faeces sign with thickening at the ileo-caecal junction---- small bowel obstruction. In view of previous operative history,possibility of adhesions needs consideration. Left renal non obstructive calculus. Mild free fluid in abdomen.

9. PATIENT UNDERWENT EXPLORATORY LAPAROTOMY WITH ILLEOSTOMY ON 13/2/25 UNDER GA. TB CHEST AND MEDICINE OPINION HAS BEEN TAKEN AND ADVISED FOLLOWED DUELY . Central line insertion Was Done On Pod0 On 13/2/2025

10. AFTER OPERATION PATIENT WAS SHIFTED TO SICU . POD 0 PATIENT UNDERWENT SUDDEN CARDIAC ARREST AND CPR STARTED AT 8;10PM ON 13/2/25 DUE TO SUDDEN CARDIAC ARREST 22 CYCLE OF CPR WAS GIVEN AS PER STANDARD ATLS GUIDELINES PATIENT COULD NOT REVIVED AND DECLARED TO PATIENT ATTENDENT ON 8;55PM ON 13/2/25

11. Thank you