120 results for “chest aspiration”
64y · Male·Aspiration event obstruction in a man with oropharyngeal dysphagia and Parkinson…
… with intellectual disability, schizophrenia, Parkinson's disease and oropharyngeal dysphagia, died from aspiration obstruction following a witnessed choking episode while eating. He presented to the ED the same day, was…
4y · Male·chronic degenerative damage (complications) from neonatal cerebral palsy
Baby M was a 4.5-year-old Aboriginal boy with severe neonatal cerebral palsy causing quadriplegia, intellectual disability, seizures, blindness, and severe gastro-oesophageal reflux. He died unexpectedly at home from chr…
95y · Female·asphyxia due to glottic obstruction by food
…g inappropriate food textures. When choking began, the registered nurse incorrectly attributed coughing to chest infection rather than recognised choking, failed to consult the facility's choking protocol, and did not p…
7y · Female·aspiration pneumonia leading to multi-organ failure in a female child with compl…
… with severe cerebral palsy, hypoxic ischaemic encephalopathy, microcephaly and seizure disorder died of aspiration pneumonia leading to multi-organ failure. Born with severe perinatal brain injury, she had complex lifel…
0y · Female·meconium aspiration
A full-term female infant (41 weeks 3 days) died from meconium aspiration during a planned home water birth attended by an experienced midwife. The mother had gestational diabete…
75y · Male·acute bronchopneumonia in a man with comorbidities
…tory, policy should have been followed. Mr Rice had declined recommended dietary modifications to reduce aspiration risk despite being warned of pneumonia and death risks; aspiration possibly contributed to his fatal bro…
46y · Female·combined effects of aspiration pneumonia due to gastroparesis following sleeve g…
A 46-year-old woman died from aspiration pneumonia due to gastroparesis following sleeve gastrectomy, complicated by ischaemic heart disease. Pos…
60y · Male·respiratory failure and sepsis complicating acute subdural haematoma
…ure requiring further craniotomy, temporal lobectomy, and later management in critical care led to ARDS, aspiration pneumonia and sepsis. The forensic pathologist confirmed appropriate and timely treatment. Clinical less…
82y · Male·respiratory failure
…failure following a three-day illness. He presented to hospital on 20 January with shortness of breath and chest pain, was diagnosed with pneumonia and discharged on antibiotics. He returned on 22 January with worsening…
0y · Male·meconium aspiration syndrome complicated by persistent pulmonary hypertension
Baby C was born at 41 weeks and 2 days covered in thick meconium with respiratory distress. Key clinical failures included: (1) failure to respond to mother's request for induction at term+6 days; (2) failure to investig…
79y · Female·aspiration pneumonia caused by aspiration of emesis secondary to small bowel obs…
Mrs Little, 79, died from aspiration pneumonia caused by small bowel obstruction post-hysterectomy surgery. The obstruction resulted from bot…
11y · Female·pneumonia complicating cytomegalovirus embryopathy
… 21 months, receiving exceptional care including medical management of multiple complications (epilepsy, aspiration risk, spinal deformity, recurrent infections). By 2001, her condition deteriorated significantly with pr…
7y · Female·respiratory failure from severe scoliosis due to Murray Valley encephalitis
…phalitis acquired at age two. Her clinical course involved progressive respiratory compromise, recurrent aspiration pneumonia, and progressive spinal deformity. The coroner found that the care, supervision and treatment …
76y · Male·Chest sepsis in a man with ischaemic heart disease
A 76-year-old man with multiple myeloma and complex medical history died from chest sepsis and myocardial infarction following a medication dispensing error. After discharge from hospital fo…
69y · Female·Respiratory obstruction by aspirated food (Brussels sprout, chicken and carrots)…
…thology assessment despite risk factors, failure to use appropriate choking management techniques (lateral chest thrusts), and non-functional oxygen equipment. The home subsequently implemented improvements including in…
81y · Male·aspiration of gastric contents complicating disseminated moderately differentiat…
Graham Joseph Butson, aged 81, died from aspiration of gastric contents complicating undiagnosed metastatic lung cancer with brain metastases. He presented …
47y · Male·Pneumonia (1(a)), Motor neurone disease (1(b))
…ventilatory support, died of pneumonia at a disability accommodation service. He had been diagnosed with a chest infection on 19 June 2018 and prescribed antibiotics. On the morning of 20 June, after receiving clonazepa…
47y · Male·Aspiration pneumonia due to or as a consequence of coronary atherosclerosis
Christopher Hammett, a fit 47-year-old, died from aspiration pneumonia with contributing coronary atherosclerosis following routine L5-S1 disc replacement. A critica…
74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …
William Searle, a 74-year-old prisoner, died from aspiration of gastric contents following a Whipple procedure for recurrent ampullary adenoma. The clinical lessons …
80y · Male·asphyxia due to choking on food
…istension (3750 ml urine), urinary obstruction from enlarged prostate causing paralytic ileus increasing aspiration risk. The coroner found medical care at hospital appropriate. Key lessons: mental health teams did excel…
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