advice

[Ronald Gross]

Probably need just a bit more info than this.  Was this an open or lap hernia?  Based on what you have given us, and assuming that the hernia was done "open", however, you gotta wonder if the epigastric artery wasn't bagged during the surgery and that the kid bled into the abdomen or even into the retroperitoneum.  A massive PE could explain the hypoxia, but geez, that would be a bit unusual for a healthy 20 yo male.  And I kinda doubt that an AA would even make the dx. list in a healthy 20 yo with no other co-morbid disease processes......

>>> "Peter Klopper" <plklopper at webmail.co.za> 4/11/2007 1:25 AM >>>
Hi every one I need some advise and would appreciate all input I can get. I
am nurse in a private hospital. I was called to a resus in one of the wards,
young male patient , 20 years old. Had an inguinal hernia repair yesterday,
complained of back pian associate with hypoxia and also abdominal pian, 15
mg morphine given imi as prescribed by he surgeon, ten minuts later he was
in full arress no signs of anaphalaxis or rash noted, he had morphine in
theatre for pain. Do you think it can be anephalixis or even a aortic
aneurism. Hes mother is a nurse and also a friend. I advise her to have a
post mortem , to have closure to this unfortunate incedent. Please give me
your input I would appreciate aal. 

Thank you

Peter 

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