Coronial
VIChospital

Finding into death of Baby E

Deceased

Baby E

Demographics

3y, female

Coroner

Coroner Dimitra Dubrow

Date of death

2024

Finding date

2026-05-04

Cause of death

COMPLICATIONS FROM SEVERE CEREBRAL PALSY

AI-generated summary

Baby E, a 3-year-old with severe cerebral palsy, spastic quadriplegia, bulbar dysfunction and upper airway obstruction, died from complications of her severe cerebral palsy. She presented with seizures, dark green sputum, and signs of sepsis (respiratory acidosis confirmed). Despite treatment for presumed chest sepsis and non-invasive ventilation support at Royal Children's Hospital ICU, her condition deteriorated over 20 days with progressive hypothermia, decreased respiratory drive and consciousness. The coroner found no want of care by the hospital or child protection department. Clinicians appropriately identified and treated the acute infection, discussed palliative care options, and provided compassionate end-of-life support. The death was from natural causes—complications of her underlying severe neurological condition.

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

Specialties

intensive carepaediatricspaediatric surgery

Clinical conditions

cerebral palsyspastic quadriplegiabulbar dysfunctionupper airway obstructionsevere hypoxic ischaemic encephalopathyseizure disordercortical blindnesshearing losssepsisrespiratory acidosishydrocephalushypothermia

Contributing factors

  • Severe cerebral palsy with spastic quadriplegia
  • Bulbar dysfunction
  • Upper airway obstruction
  • Severe hypoxic ischaemic encephalopathy
  • Seizure disorder
  • Cortical blindness
  • Hearing loss
  • Respiratory acidosis
  • Sepsis (presumed chest sepsis)
  • Rhinovirus/enterovirus infection
  • Hypothermia
  • Hydrocephalus
Full text

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