Coronial

14 results for epidural analgesia

SAhospital2013-03-08

Coroner's Finding: PAULEY Cynthia Joy

72y · Female·Intrathecal toxicity of bupivacaine and morphine

…0, a senior palliative care physician ordered a bolus dose of 5mg morphine and 3ml bupivacaine, intending epidural administration but the line was intrathecal. These doses were excessive for intrathecal delivery. The pat…

palliative careoncologymedicationproceduralmorphine
VIChospital2020-03-18

Finding into death of Sommer Bethany Warren

18y · Female·Generalised tonic-clonic seizure and cardiac arrest arising from severe hyperten…

…hypertensive medication or magnesium sulphate. Instead, the treating anaesthetist administered additional epidural analgesia, expecting this to lower blood pressure. At 1810 hours she became drowsy with eyelid flickering…

obstetricsanaesthesiamedicationdiagnosticropivacaine
SAhospital2002-02-28

Coroner's Finding: GALEA Lesley Anne

30y · Female·respiratory failure related to bronchopneumonia following cerebral anoxia due to…

…f vaginal delivery. She received Syntocinon augmentation at 6:45 AM without prior cervical assessment and epidural analgesia at 7:35 AM. No vaginal examinations were performed between 1:00 AM and 9:30 AM despite these in…

obstetricsanaesthesiadiagnosticcommunicationoxytocin
SAhospital2020-11-03

Coroner's Finding: MARSHALL Daryl Grant

61y · Male·hospital acquired pneumonia complicating aorto-femoral bypass surgery for periph…

A 61-year-old man with peripheral vascular disease, alcohol dependence, and heavy smoking history underwent aorto-femoral bypass surgery. Post-operatively he developed hospital-acquired pneumonia, delirium from alcohol w…

vascular surgeryintensive care
TAShospital2022-02-08

Coroner's Finding: KN - deidentified

0y · Male·global hypoxic ischaemic encephalopathy

A term breech baby was born at Launceston General Hospital following a traumatic vaginal delivery with instrumental assistance after failed initial extraction attempts. The infant suffered severe hypoxic-ischaemic enceph…

obstetricsmidwiferydiagnosticdelay
NThospital2009-05-28

Inquest into the death of Declan McConville

0y · Male·acute hypoxic damage caused by shoulder dystocia during delivery

Declan Brian McConville was born with shoulder dystocia (impacted shoulders) after vacuum-assisted delivery at Royal Darwin Hospital on 31 August 2007. He was stuck in the birth canal for approximately 15 minutes before …

obstetricspaediatricsproceduralsystemoxytocin
VIChospital2014-08-12

Finding into death of Baby Paula Victoria OShea

0y · Female·Intra-uterine hypoxia

Baby Paula O'Shea was born at Sandringham Hospital at term following spontaneous labour. Labour was augmented with IV Syntocinon after ARM. Cardiotocography (CTG) monitoring was difficult to interpret due to poor detecti…

obstetricsmidwiferydiagnosticoxytocin
QLDhospital2009-03-20

Glasgow, Benjamin

0y · Male·Intrapartum head injuries secondary to brow presentation and obstructed labour

Benjamin Glasgow died shortly after emergency caesarean delivery at 12:30 pm on 19 October 2006 for brow presentation, an obstructed labour. Autopsy revealed unprecedented multiple skull fractures and severe brain injury…

obstetricspaediatricscommunicationsystemnitrous oxide
WAhospital2023-07-07

Inquest into the Death of Ashlee Jade REINDL

0y · Female·Fetal demise due to placental abruption and sepsis secondary to chorioamnionitis…

Ashlee Reindl died hours after birth in 2019 following a prolonged induction of labour complicated by fetal distress and chorioamnionitis. A catastrophic placental abruption occurred shortly before emergency caesarean se…

obstetricsmidwiferydiagnosticcommunicationoxytocin
ACThospitalPodcast2015-12-18

AN INQUEST INTO THE DEATH OF CORRINA ANNE MEDWAY

32y · Female·massive postpartum intracerebral haemorrhage of spontaneous hypertensive origin

A 32-year-old woman with Factor V Leiden mutation died from a massive postpartum intracerebral haemorrhage of hypertensive origin five hours after delivering twins. She had been diagnosed with pregnancy-induced hypertens…

obstetricsgeneral medicinediagnosticmedicationlabetalol
NSWhospital2016-03-11

Inquest into the death of Elsie COGHILL

0y · Female·Hypoxic ischaemic encephalopathy caused by multiple factors including lung abnor…

Elsie Coghill, a newborn, died from hypoxic ischaemic encephalopathy due to multiple factors including an underlying lung abnormality from antenatal distress, an undetected apnoeic episode during transfer, and undiagnose…

obstetricsneonatologycommunicationsystemoxytocin
QLDhospital2010-10-29

Spence, Samantha Rose

12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…

Samantha Rose Spence, 12 years old, died two days after spinal fusion surgery for severe scoliosis. She had a pre-existing, asymptomatic Chiari type 1 malformation detected on pre-operative MRI of her spine. A paediatric…

orthopaedic surgeryneurologydiagnosticcommunicationmorphine
VIChospital2023-10-20

Finding into death of Vanessa Li

0y · Female·subgaleal haematoma complicating an obstructed labour

Vanessa Li, a term infant born following obstructed labour, died at four days of age from subgaleal haemorrhage (SGH) with severe hypoxic-ischaemic encephalopathy. Labour was managed by private obstetrician Dr K., who wa…

obstetricsneonatologycommunicationdiagnosticoxytocin
WAhospital2010-03-03

Inquest into the Death of McLevie

38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)

Susannah McLevie, a 38-year-old woman, died on 6 April 2006 from untreated Group A Streptococcal septicaemia (puerperal sepsis) following childbirth at Osborne Park Hospital. She developed fever (38°C) at 3am on 5 April,…

obstetricsmidwiferydiagnosticcommunicationparacetamol/codeine

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