Coronial

8 results for post-operative respiratory compromise

QLDhospital2012-11-28

Hammett, Christopher

47y · Male·Aspiration pneumonia due to or as a consequence of coronary atherosclerosis

…o diagnose aspiration acutely, poor handover communication, inadequate nursing escalation despite clear respiratory compromise, and unprofessional record alteration. Death was preventable had staff recognised and commun…

orthopaedic surgeryanaesthesiadiagnosticcommunicationmorphine
QLDhospital2025-10-23

Inquest into the death of Shirley Elizabeth Haggett

78y · Female·Tension pneumothorax (surgically managed) due to aspiration pneumonia (bronchosc…

78-year-old woman with severe COPD and type 2 respiratory failure underwent elective melanoma surgery at a private day hospital (North Lakes Day Hospital) despit…

anaesthesiaplastic and reconstructive surgerysystemdiagnosticmidazolam
WAhospital2003-08

Inquest into the Death of Richard Christopher Jankowski

39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…

Richard Christopher Jankowski, a 39-year-old man, died from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment w…

anaesthesiageneral surgeryproceduralcommunicationpropofol
SAaged care2024-01-19

Coroner's Finding: Elliott, Ronald Arthur

80y · Male·aspiration pneumonia on a background of severe oropharyngeal dysphagia and chron…

…e surgeon noted pneumonia likely preceded the fall rather than resulting from it, suggesting underlying respiratory compromise. Guardianship orders were appropriately implemented given Mr Elliott's fluctuating delirium …

orthopaedic surgerygeneral medicine
NSWhospital2012-06-14

Beverly ann murphy finding & recommendations 0701 08

70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…

… Royal Hospital for Women. The complex surgery was complicated by iatrogenic small bowel perforations. Post-operatively, wound dehiscence and bowel obstruction developed, requiring return to theatre on 12 April for repai…

gynaecologyoncologydiagnosticcommunication
SAhospital2023-04-11

Coroner's Finding: Rerich, Josef

78y · Male·multi-organ failure complicating neck of femur fracture (operated) on a backgrou…

…al disease, COPD) suffered a neck of femur fracture from an unwitnessed fall at an aged care facility. Post-operatively he deteriorated with acute renal failure, respiratory compromise, and delirium with combative behavi…

orthopaedic surgerygeneral medicinehaloperidol
VIChospital2015-02-12

Finding into death of Mary Mulqueen

57y · Female·small bowel ischaemia; distal gastrectomy

57-year-old woman underwent distal gastrectomy and vagotomy for gastric outlet obstruction in August 2008. Coroner found she suffered an aberrant surgical reconstruction during the procedure, with abnormal bowel anatomy …

general surgerygastroenterologyproceduraldiagnosticesomeprazole
QLDhospital2013-04-19

Brockel, Ronald James

64y · Male·aspiration pneumonia following insertion of a jejunostomy tube

…in the terminal ileum rather than the jejunum. This positioning error, undetected until late April 2005, compromised nutrient absorption (primarily occurring in the jejunum) and likely contributed to his severe malnutrit…

general surgerygastroenterologyproceduraldiagnosticomeprazole

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