Coronial
NSWhome

Inquest into the death of Dr Beta Vandeville

Deceased

Beata Vandeville

Demographics

46y, female

Date of death

2013-01-18

Finding date

2016-11-24

Cause of death

acute mixed drug toxicity due to accidental self-administered drug overdose

AI-generated summary

Dr V., an obstetrician-gynaecologist trainee, died from acute mixed drug toxicity on 18 January 2013 following self-administration of multiple anaesthetic drugs (propofol, midazolam, fentanyl, alfentanil) via intravenous injection. The coroner found her fiancé, anaesthetist Dr K., diverted these restricted substances from hospitals where he worked, providing them to Dr V. who self-administered them. While Dr V. experienced repeated examination failures, stress, and depression during her specialist training, the coroner found no evidence the training program directly contributed to her death and ruled out intentional self-harm. Clinical lessons include the need for vigilant monitoring of restricted drug storage in hospitals, recognition that medical practitioners struggling with mental health may be at risk of substance misuse, and the importance of early intervention when colleagues show signs of psychological distress.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • self-administration of propofol, midazolam, fentanyl and alfentanil via intravenous injection
  • diversion of restricted substances from hospitals by Dr K.
  • depression and psychological stress from repeated examination failures in specialist training
  • lack of intervention for signs of mental health distress

Coroner's recommendations

  1. The Department of Health and Australian and New Zealand College of Anaesthetists should collaborate to review and consider ways to minimise unauthorised diversion of propofol from hospital settings without compromising patient safety
  2. Local health districts in NSW should consider implementing a designated anaesthetist role to oversee the welfare of anaesthetists at each hospital, to minimise risk of diversion of anaesthetic drugs for recreational use
Full text

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