A 67-year-old woman was admitted to the surgical department at the University Hospital for abdominal discomfort a year ago. She had Crohn’s disease and its blood-thinning medication. The woman was known to be difficult stung and had bled heavily during previous operations.
At the first attempt to put a venous catheter was there a hole in an artery. Only at the third attempt, when it passed two days, succeeded another doctor put a functioning venous neck. When the patient was anesthetized before an abdominal operation.
After the surgery, she received blood thinning medication. Two days later, she suffered from anxiety and respiratory and circulatory problems. Then she was transferred to the intensive care unit where she died. At autopsy revealed that she had holes in the carotid artery and a lot of blood in the chest.
The hospital did a Lex Maria notification. Inspectorate for Health Care is not taking any action, but now calls the hospital to improve surveillance in case of complications in patients with increased risk.
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