303 results for “ventilation failure”
47y · Female·Mycoplasma pneumonia secondary to rhinovirus infection
… ICU admission at Frankston Hospital. Given her previously expressed wish to avoid prolonged mechanical ventilation and the severity of her condition, she was extubated on 21 June with a comfort-focused care plan and di…
46y · Male·Diffuse Alveolar Damage (Adult Respiratory Distress Syndrome) as a consequence o…
… Hospital by ambulance and diagnosed with severe bilateral pneumonia. Despite intubation and mechanical ventilation, he developed Adult Respiratory Distress Syndrome and died. An independent respiratory physician review…
62y · Male·Multi-organ failure due to paraquat ingestion
A 62-year-old man with diabetes, renal failure, and hypertension died from multi-organ failure following intentional ingestion of approximately 100-150m…
60y · Male·pneumonia in a man with underlying advanced metastatic cancer and chronic airway…
…ng his final hospitalisation at Royal Perth Hospital, he received palliative chemotherapy, non-invasive ventilation, antibiotics, and steroids. The coroner found the quality of supervision, treatment and care in custody…
68y · Female·chronic obstructive pulmonary disease
…016. Despite multiple interventions including oxygen, nebulised medications, and trials of non-invasive ventilation (BiPAP), she demonstrated poor compliance, refused diagnostic imaging (CTPA), and became increasingly a…
66y · Female·Complications of pulmonary fibrosis and bronchiectasis in a woman with cerebral …
… August, her respiratory status continued to deteriorate and she was deemed unsuitable for non-invasive ventilation. The coroner found that medical care and management were reasonable and appropriate, with no preventabi…
Explosion caused by ignition and deflagration of acetylene leak from a cylinder …
…storage procedures despite clear safety labelling on cylinders warning against enclosed storage without ventilation. The coroner emphasised that acetylene cylinders must be stored and transported only in accordance with…
15y · Male·pneumonia in the setting of cerebral palsy and epilepsy
Travis Blows, a 15-year-old with cerebral palsy and difficult-to-control epilepsy, died from pneumonia after a prolonged PICU admission. He presented to ED multiple times in the months before death with seizures and feve…
51y · Male·respiratory failure and cardiac failure on a background of chronic obstructive l…
Colin Peter Smith, aged 51, died of respiratory and cardiac failure from acute pulmonary oedema and pneumonia on a background of chronic obstructive lung disease and ischaem…
74y · Male·Probable respiratory failure in a man with advanced motor neurone disease in the…
Philip McHardy, a 74-year-old man with advanced motor neurone disease (MND), died of respiratory failure on 13 July 2025 after a five-month hospital admission. He was dependent on non-invasive ventilation (NIV)…
24y · Male·Multiple organ failure due to or as a consequence of severe thermal burns
…mmolating at the Nibok settlement. He was airlifted to Brisbane but died on 29 April 2016 from multiorgan failure. Critical clinical lessons include: (1) inadequate mental health triage—his self-referral for psychology …
0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…
…e), investigate gastric distension as a sign of tube malpositioning, maintain capnography during manual ventilation and CPR, and ensure clear airway role assignment during resuscitations.
8y · Male·acute exacerbation of chronic asthma
…ne, he deteriorated over 48 hours. On 2-3 July, nursing and medical staff misdiagnosed severe respiratory failure as panic attack when wheeze ceased—a critical pathophysiological misunderstanding. The absence of wheeze …
42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …
…eveloped sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasive ventilation. Critical failures occurred in managing his agitation and hypoxaemia on the evening of 3 July 2016. Alt…
68y · Male·Multi-organ failure due to gram-negative sepsis on a background of recent myocar…
A 68-year-old male prisoner with multiple comorbidities (diabetes, end-stage renal failure, COPD, morbid obesity) presented with acute myocardial infarction and underwent coronary artery bypass gr…
58y · Female·lymphangitic carcinomatosis leading to hypoxaemic respiratory failure and cardia…
June Nutter, a 58-year-old woman presenting with weight loss, anorexia, and unexplained shortness of breath, underwent gastroscopy and colonoscopy at a private hospital to investigate suspected gastric pathology. She had…
60y · Male·respiratory failure and sepsis complicating acute subdural haematoma
…nagement. The coroner found Senior Constable Fox's pursuit decision justified, though noted communication failures between officers regarding actual location/ETA affected decision-making about pursuit termination.
Male·Cardiac arrhythmia secondary to cardiac sensitisation from acute exposure to Bos…
…uene. The coroner found Mr Parsons was performing work-related cleaning duties. Critical workplace safety failures included: inadequate ventilation (only small cooling fans, no extraction), lack of chemical hazard train…
66y · Male·End stage chronic obstructive pulmonary disease
…a and anxiety. In September 2012, he was admitted with acute COPD exacerbation causing severe respiratory failure and hypoxemia. After assessment by a respiratory physician in November 2012, a palliative management appr…
57y · Male·Type 2 respiratory failure secondary to aspiration pneumonia
…-old man with Down syndrome, dementia, and a history of aspiration pneumonia died from type 2 respiratory failure secondary to aspiration pneumonia. He had been in Department of Human Services residential care and was u…
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