302 results for “hypoxia”
56y · Female·Complications of Angelman's syndrome - aspiration pneumonia
…piration pneumonia following a one-month hospital admission. She experienced recurrent aspiration events, hypoxia, and hypercapnia episodes requiring multiple MET calls. Medical teams appropriately managed her complex c…
25y · Male·Cerebral hypoxia and multisystem organ failure from heroin (morphine) toxicity
…de Dorogi, a 25-year-old man with a history of drug addiction but no prior heroin use, died from cerebral hypoxia and multisystem organ failure following heroin toxicity. He ingested heroin on 4 May 2009 with his cousin…
48y · Male·cardiac arrhythmia which occurred in the context of physical exertion and hypoxi…
…ronic coronary artery disease and elevated clozapine levels. Clinical experts concluded restraint-induced hypoxia precipitated fatal arrhythmia. Key failures: paramedics' failure to perform proper assessment or recognis…
0y · Male·complications of intrauterine hypoxia
Baby Jacob Hill died from intrauterine hypoxia following an obstructed labour managed at Sunshine Hospital. A 39-week primiparous labour was complicated…
Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…
…ahar (8 days old) died from multiorgan failure following subgaleal haemorrhage complicated by intrapartum hypoxia. Both deliveries were technically appropriate. Jessica's death may have been preventable: she required ur…
83y · Male·respiratory failure due to chronic obstructive lung disease
… and recurrent respiratory infections presented with type 2 respiratory failure and delirium secondary to hypoxia and lower respiratory tract infection. He was appropriately managed with non-invasive ventilation, antibi…
32y · Male·Pulmonary embolism originating from deep vein thrombosis in right calf
…VTE prophylaxis was appropriately prescribed. However, the clinical team failed to investigate persistent hypoxia (low oxygen saturations 78-85%) from post-operative day 3 onwards. Critical failures included: incorrect …
15y · Male·Cardiorespiratory arrest of unknown aetiology complicating hypoxic ischaemic enc…
…eteriorated rapidly. At hospital, emergency physicians delayed intubation for 15 minutes despite critical hypoxia, attempting to stabilise him first. A surgical airway was eventually established via cricothyroidotomy. T…
63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…
Dianne Linford, a 63-year-old woman with profound disability from cerebral palsy and encephalitis, died from complications of sedation for PEG tube insertion. She had a congenital polymicrogyria, a significant neurologic…
0y · Male·Perinatal asphyxia
…ry at 7:37am, when the baby was born in severe distress (Apgar 0/0). Autopsy showed severe uteroplacental hypoxia. The critical failing was failure to recognise and escalate absent foetal heart rate after membrane ruptu…
82y · Male·hypoxic-ischaemic encephalopathy due to cardiac arrest as a result of fractured …
…re surgery. The anesthetist failed to recognise clinical deterioration, did not intubate despite signs of hypoxia and hypotension, and allegedly prevented nursing staff from calling for emergency assistance. The pre-ope…
0y · Female·Intrapartum hypoxia due to breech delivery with head entrapment and associated c…
…reach hospital in time. The delivery involved head entrapment and cord compression leading to intrapartum hypoxia and death. The coroner found that adequate advice was provided about risks and birthing options, but high…
64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…
…vation. Initially admitted to ED where she was sedated with haloperidol and clonazepam. Despite recording hypoxia (oxygen saturation 93%) and requiring supplemental oxygen overnight, she was transferred to an aged-care …
0y · Female·Intra-uterine hypoxia
…er intervention, survival could not have been anticipated. Baby Paula's death resulted from intra-uterine hypoxia, likely multifactorial including severe head impaction during delivery, which was unforeseeable and extre…
46y · Male·Cardiomegaly in the setting of hypoventilation syndrome in an obese man with sch…
A 46-year-old man with schizophrenia, COPD, hypoventilation syndrome, obesity and cardiomegaly died suddenly on a psychiatric inpatient unit from a cardiac arrhythmia. He had experienced multiple respiratory crises requi…
64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…
…rdial infarction, and died from bilateral pulmonary embolism complicated by stroke. Key failures: initial hypoxia not investigated; complexity not recognised on readmission; escalation inadequately documented; transfer …
56y · Male·Hypoxia and cardiac arrest with contributing conditions of Ischaemic Heart Disea…
…ravenous propofol) was used for this high-risk patient. During surgery, the patient experienced prolonged hypoxia with severe oxygen desaturation (53–78%), bradycardia (heart rate 26–40/min), and hypertension, none adeq…
35y · Female·Global cerebral ischaemic injury in the setting of post caecal resection for col…
…emic injury. The cause of cerebral ischaemia was not definitively identified but may have been related to hypoxia from ongoing seizure activity in the post-operative period. Clinical lessons include the importance of ur…
49y · Female·Hypoxia due to complications following incision and drainage of a right buttock …
…ot recognised due to misidentification of an impedance monitor as capnography; delayed detection allowing hypoxia; medication errors (Metaraminol infusion continued, Propofol not commenced); and subsequent tracheostomy …
Female·hypoxic-ischaemic encephalopathy due to intrapartum hypoxia due to delayed deliv…
A 54-hour-old neonate died of hypoxic-ischaemic encephalopathy following a planned home birth of twins. The second twin experienced a prolonged delay in delivery (over 60 minutes) during which foetal heart rate decelerat…
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