Coronial

52 results for severe obstructive sleep apnoea

QLDhospital2016-09-02

Calder, Michael James

33y · Male·Opiate toxicity

A 33-year-old man with previously unrecognized obstructive sleep apnoea was admitted with severe headache. The treating physician prescribed a complex regimen of …

general medicineemergency medicinemedicationdiagnosticmorphine
VICmental health2015-07-03

Finding into death of Anthony Travaglini

40y · Male·combined drug toxicity in a man with asthma (undiagnosed) and sleep apnoea

Anthony Travaglini, a 40-year-old with schizoaffective disorder, severe sleep apnoea, and undiagnosed asthma, died from combined drug toxicity on a psychiatric high-dependency un…

psychiatryrespiratory medicinesystemcommunicationzuclopenthixol
NSW2023-11-16

Inquest into the death of DP

52y · Male·hanging

A 52-year-old man with a history of depression, ankylosing spondylitis, and severe obstructive sleep apnoea died by hanging in custody. He had requested a CPAP machine for over 9 months wit…

psychiatrygeneral practicediagnosticsystemduloxetine
QLDaged care2017-06-09

DR - Non-inquest findings

46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)

…6-year-old woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden ar…

general medicineemergency medicinecommunicationsystemquetiapine
NSWhospital2021-12-02

Inquest into the death of Joshua Szczudlo

33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury

…l. He died 38 hours post-operatively from a fatal cardiac arrhythmia secondary to acute kidney injury with severe hyperkalaemia. Pre-operative assessment identified significant risks (obesity, hypertension, probable slee…

orthopaedic surgeryanaesthesiasystemcommunicationmorphine
VIChospital2023-10-16

Finding into death of Adam Richard Greaves

48y · Male·Aspiration pneumonia complicating progressive degenerative neurological disorder…

…m Greaves, a 48-year-old man with progressive degenerative neurological disorder, frontotemporal dementia, severe dysphagia, and cerebral palsy, died from aspiration pneumonia after admission to hospital with acute breat…

emergency medicineneurology
QLDhospital2015-07-03

Apelu, Faaee - Non-inquest findings

41y · Male·Myocardial infarction secondary to coronary atherosclerosis, resulting in sudden…

A 41-year-old man with multiple cardiac risk factors (hypertension, hyperlipidemia, obesity, obstructive sleep apnoea, family history) presented with chest pain and was diagnosed with acute coronary syndrome.…

cardiologygeneral practicediagnosticmedicationaspirin
VIChospital2015-12-10

Finding into death of Dane Alexander Hortle

2y · Male·Tramadol toxicity in the setting of adenotonsillectomy in a child with Pierre Ro…

Dane Hortle, a 2-year-old with Pierre Robin Sequence and obstructive sleep apnoea, died from tramadol toxicity following adenotonsillectomy. He was discharged with a prescr…

ENT surgerypaediatric surgerymedicationcommunicationtramadol
NSWhospital2026-03-17

Inquest into the death of Serena Lee

<1y · Female·Obstructive sleep apnoea occurring in the context of significant, unrecognised h…

Serena Lee, born 31 October 2021, died at 2 months from obstructive sleep apnoea in the context of severe, unrecognised hypoglycaemia associated with intrauterine growth r…

neonatologymidwiferydiagnosticsystem
VIChospital2025-11-10

Finding into death of Panayotis (Peter) Pavlis

83y · Male·Pneumonia

…ve dementia since 2021, was immobile and bedbound in his final six months, and had comorbidities including sleep apnoea, ischaemic heart disease, and diabetes. On 9 February 2025, nursing staff noted signs of acute dete…

emergency medicinepalliative care
VICmental health2018-05-18

Finding into death of Danny Wayne Feschuk

46y · Male·Cardiomegaly in the setting of hypoventilation syndrome in an obese man with sch…

…t of care contributed to his death. Key clinical lessons include: the complexity of managing patients with severe comorbidities across psychiatric and medical settings; the challenge of safely discontinuing supplementary…

psychiatryrespiratory medicineoxycodone
NSWhome2024-08-09

Inquest into the death of Linus Phillips

65y · Male·Cardiac arrhythmia, probably Torsades de Pointes, due to the combined effects of…

…pitated by methadone prescribed with inadequate oversight. Mr Phillips had chronic pain from knee surgery, severe sleep apnoea, and was opioid-dependent. Dr H., an addiction specialist, prescribed Physeptone (methadone t…

general practiceaddiction medicinediagnosticmedicationmethadone
NSWhospital2014-09-26

Inquest into the death of AA

10y · Male·hypoxic ischaemic encephalopathy following cardiorespiratory arrest due to compl…

AA, a 10-year-old boy with morbid obesity and severe obstructive sleep apnoea, died from hypoxic brain injury after a cardiorespiratory arrest. He had been adm…

respiratory medicineendocrinologycommunicationsystemmethadone
VIChomePodcast2018-11-09

Finding into death of Clarence Tuivaiese Nicholas Leo

37y · Male·Acute asthma (thunderstorm asthma event)

…hma during the unprecedented Melbourne thunderstorm asthma event (21-22 November 2016). He had moderate to severe asthma with suboptimal preventer medication use and recently diagnosed severe obstructive sleep apnea with…

emergency medicineparamedicinedelaysalbutamol
WAhospital2019-11-21

Inquest into the Death of Child SH

5y · Male·aspiration pneumonia with terminal palliative care, in a male child with complex…

A 5-year-old boy with severe congenital myopathy and arthrogryposis died from aspiration pneumonia following terminal palliative care. …

paediatricsrespiratory medicinesystemmorphine
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

…s 2-day hospital stay, clinicians prescribed multiple antipsychotic and sedative medications to manage his severe agitation and aggression. ECG monitoring revealed progressive QT interval prolongation, which can increase…

psychiatryemergency medicinecommunicationsystemolanzapine
WAaged care2014-04-11

Inquest into the Death of Bill PORTELLI

64y · Male·bronchopneumonia in a man receiving palliative care for terminal cancer of the r…

…e palliative management occurred throughout. The case demonstrates the challenge of treating patients with severe mental illness and comorbid terminal cancer who lack insight and lack compliance.

psychiatrypalliative carefentanyl
SAaged care2024-06-19

Coroner's Finding: Murphy, Phillip Robin

76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…

A 76-year-old man with frontotemporal dementia, COPD, and osteoporosis died of right lower lobe pneumonia following multiple falls causing pelvic and rib fractures at a nursing home. He was admitted to hospital on 9 Febr…

geriatric medicinepalliative care
VICaged care2022-02-15

Finding into death of Melissa Cunningham

44y · Female·Complications of a lung abscess with contributing factors of Down's syndrome and…

Melissa Cunningham, a 44-year-old woman with Down's syndrome and severe obesity, died from complications of a lung abscess. She required a CPAP machine for sleep apnoea, prescrib…

respiratory medicinegeriatric medicinesystemcommunication
WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…

…longation (490msec), experts agreed this was within acceptable range. The patient died unexpectedly during sleep the following morning. Key clinical lessons: (1) ensure up-to-date medication charts accompany transfers, …

psychiatryemergency medicinecommunicationsystemketamine

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