15 Anaest Death

Question 1

Morphological findings

Answer 1

May be minimal or absent so expert advice and complete clinical information crucial for determining the cause of death

Question 2

Challenges in autopsy

Answer 2

Post op autopsies difficult dt surgical interventions, exudate, sepsis, adhesions, haemorrhage, edema, anatomical distortions. Proper documentation of surgical procedures is essential for accurate autopsy

Question 3

Importance of preserving devices and imaging

Answer 3

Surgical and anaesthesia devices should not be removed before autopsy to check their placement and functionality. Pre autopsy recommended to verify the position of devices like ET tube

Question 4

Causes of anaest deaths

Answer 4

Dt factors other than anaes agent itself such as u/l disease or procedural complications. Hypoxia, inadequate ventilation, overdose anaesthetic agents

Question 5

Complications of regional anaesthesia

Answer 5

Cx usually minor but serious illness like cardiac arrest can occur dt intravascular injection of local anaes or errors during procedures like liposuction

Question 6

Preservation of ante mortem samples

Answer 6

Hospital should retain ante mortem blood or body fluid samples for analytical checks in case suspect transfusion mishaps, metabolic abnormalities, toxicology analysis