88 results for “central monitoring”
61y · Male·Hypoxic encephalopathy arising from cardiac arrest following self-removal of a c…
… a 61-year-old man, died of hypoxic encephalopathy following a cardiac arrest caused by self-removal of a central venous catheter (CVC) on day 14 post-bilateral lung transplant. The CVC was still in situ despite two doc…
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
…ears despite documented alcohol abuse history, which was contraindicated. The GP also prescribed multiple central nervous system depressants (Temazepam, Alprazolam) concurrently, significantly increasing overdose risk. …
48y · Female·Aspiration pneumonitis in the setting of central nervous system vasculitis
…hts the vulnerability of NDIS participants in disability accommodation and the need for vigilant symptom monitoring in this cohort.
48y · Male·Mixed prescription drug and ethanol toxicity (promethazine, citalopram and ethan…
… medication without regard to dosage and ignored warnings about combining promethazine with alcohol, both central nervous system depressants. Clinical lessons include: medication counselling should emphasise absolute co…
36y · Male·Multiple injuries
…36, died from multiple injuries sustained when he fell between a train carriage and platform at Melbourne Central Station. He was intoxicated and taking benzodiazepines (Xanax), forced open a moving train door at 11:52p…
63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…
…spiratory depression, hypernatremia and alcohol withdrawal requiring benzodiazepines and BiPap support. A central venous line was inserted for medication access prior to transfer to ICU. The line was inadvertently place…
36y · Male·Combined drug toxicity (pregabalin, morphine, amitriptyline)
…ts to reduce opioids, and maintained poor clinical documentation. The concurrent prescription of multiple central nervous system depressants created substantial overdose risk. Dr S.'s prescribing was unsafe due to inade…
77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…
… and high-risk comorbidities; (3) ICU consultation should have occurred during weekend deterioration; (4) central venous pressure monitoring would have guided fluid management more accurately; (5) consultant cardiologis…
51y · Female·Cannot be determined; likely mixed drug (including alcohol) toxicity or undeterm…
…e, gabapentin, chlorpromazine, lorazepam, and high alcohol levels. Clinical lessons include: (1) careful monitoring of patients prescribed multiple sedating substances, particularly Schedule 8 narcotics; (2) importance o…
43y · Male·Pneumonia
…r found medical management reasonable and appropriate, but commended subsequent improvements in sedation monitoring policies and training.
58y · Female·mixed drug toxicity
…nation of three serotonergic drugs created risk of serotonin syndrome, while concurrent diazepam enhanced central nervous system depression. She was found deceased at home after the Red Cross welfare service was unable …
50y · Female·Mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydr…
…dly for the next day. The coroner found no suspicious circumstances and concluded the death resulted from central nervous system depression leading to respiratory arrest. Key clinical lessons include the complexity of m…
21y · Male·combined effect of a cocktail of drugs taken by him, which caused central nervou…
Paul Fennessy, 21 years old, died from a cocktail of drugs causing central nervous system and respiratory depression with positional asphyxia on 6 January 2010. He had a decade-lon…
62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…
… poor outcomes: late recognition of blood loss, delay in activating massive transfusion protocol, loss of central line preventing vasopressor administration, inadequate team communication, and suboptimal fluid resuscita…
24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns
…RNH) including obsolete ventilation (bellows anaesthetic machine rather than modern ventilator), lack of monitoring equipment, limited laboratory capacity, and inability to manage complex burns; (3) delayed recognition o…
16y · Male·Complications of acute alcohol intoxication
A 16-year-old male died from complications of acute alcohol intoxication after consuming a dangerous quantity of alcohol (estimated blood alcohol content 0.34-0.4 g/100mL at midnight) at a family Christmas gathering. He …
Unknown·Alan Bugden: pulmonary thromboembolism after stroke. Amaru Bestrin: combined dru…
…drug and alcohol toxicity. Both cases expose systemic failures: inadequate toilet cleaning protocols and monitoring, absent technological alert systems, lack of auditing compliance, and insufficient response escalation p…
36y · Male·mixed drug toxicity
…f polypharmacy with CNS depressants, particularly in patients with mental illness, and the importance of monitoring medication combinations and patient compliance with prescribed regimens.
27y · Female·mixed methadone and alcohol intoxication
… coroner could not definitively establish how methadone was obtained, highlighting gaps in substance use monitoring for vulnerable populations subject to community orders.
43y · Male·hypoxic brain injury caused by cardiac arrest due to unintentional drug poisonin…
…ls; avoid duplicate prescriptions; verify patient hospitalisation status; and use real-time prescription monitoring systems to prevent multi-pharmacy dispensing.
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