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.
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