228 results for “airway management”
1y · Female·unrecognised oesophageal intubation
…t: absence of persistent end-tidal CO2 waveforms, persistent air leak despite cuff inflation, coarse upper airway sounds, and gastric distension. These signs should have prompted ETT repositioning verification. The team …
35y · Male·Choking due to impaction of soap in airway
A 35-year-old man with treatment-resistant depression and complex psychiatric presentation died from choking on a bar of soap while in involuntary psychiatric care. He had attempted multiple suicides previously. Clinical…
16y · Female·upper airway occlusion due to aspiration of a foreign body (disposable latex glo…
Sophia Nisco, a 16-year-old with severe cerebral palsy and intellectual disability, died from airway obstruction after aspirating a disposable latex glove at a respite care facility. She had documented oral …
15y · Female·Seizure Disorder in association with Long Standing Hypoxic Ischaemic Encephalopa…
…re death. Her paediatrician had identified the need for a multidisciplinary meeting to discuss emergency management plans for her respiratory impairment, but this meeting had not been finalised by the time of her death. …
77y · Female·Airways obstruction by tissue paper
A 77-year-old woman with depression, anxiety, and chronic pain died from airway obstruction by tissue paper at an aged care facility. She had expressed suicidal ideation, attempted self-…
75y · Female·Septicaemia as a result of lobar pneumonia; congestive heart failure also presen…
…d, with non-functional equipment, and without urgent clinical indication. The procedure was complicated by airway management difficulties and was abandoned. While the procedure did not directly cause death, autopsy findi…
43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …
…ependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone tablets in August 2017 by leveraging regulatory differences between ACT …
63y · Male·complications of an inverted positional event (asphyxia from airway occlusion)
…o his bedside drawer while attempting to open it from his motorised wheelchair. He became trapped with his airway occluded. An enrolled nurse and personal care assistant were unable to remove him safely and called emerge…
13y · Male·Staphylococcus aureus bronchopneumonia due to perinatal hypoxic-ischaemic brain …
…with breathing difficulties one week before death; his GP examined him on 25 June 2009 and diagnosed upper airway infection, recommending conservative treatment. His condition worsened over the following week, and he die…
56y · Female·hypoxic ischaemic encephalopathy due to inadvertent oesophageal intubation and f…
…nutes of hypoxia until recognised and corrected by Dr D. Multiple contributing factors included: difficult airway anatomy, chaotic MET environment, inadequate team leadership and communication, failure to promptly utilis…
46y · Female·hypoxic ischaemic brain injury as a result of cardiac arrest following a choking…
Andrea Sewell, a 46-year-old woman with Osmotic Demyelination Syndrome (ODS) and acute psychiatric illness, died from hypoxic brain injury following a choking episode during a meal in a psychiatric intensive care unit (P…
11y · Female·pneumonia complicating cytomegalovirus embryopathy
… had been fostered by Mr and Mrs Bevan since age 21 months, receiving exceptional care including medical management of multiple complications (epilepsy, aspiration risk, spinal deformity, recurrent infections). By 2001, …
34y · Male·Foreign body aspiration
… in custody at a correctional centre, three days after arrest for a serious violent crime. He fashioned an airway obstruction from toilet paper and meal pack plastic packaging whilst housed in an assessment cell under CC…
48y · Female·Acute respiratory failure (cerebral hypoxia) in a woman dependent on non-invasiv…
…V) at home. A carer, Julie Manessis, was caring for her when the humidifier tipped over, water entered the airway tubing, and the NIVs malfunctioned. Manessis was unable to troubleshoot the equipment failure. Key clinica…
55y · Female·Mixed drug toxicity in a woman with cardiomegaly and chronic obstructive airway …
…lving heroin/morphine combined with benzodiazepines in the context of cardiomegaly and chronic obstructive airway disease. She was a voluntary palliative care patient at a residential aged care facility with a history of…
31y · Male·Hypoxic ischaemic encephalopathy following out of hospital cardiac arrest in a m…
31-year-old Darren Culleton died from hypoxic brain injury after choking on the hood of his coveralls while in police custody. He had presented to St Vincent's Hospital with acute intoxication and self-harm behavior (att…
27y · Male·Airway obstruction due to a combination of positional asphyxia, aspiration and a…
27-year-old Aboriginal man died in Alice Springs Watch House from airway obstruction due to acute alcohol intoxication, positional asphyxia and aspiration. He was detained in prot…
33y · Male·Opiate toxicity
… while the patient exhibited heavy snoring progressing to soft snoring—indicating progressive sedation and airway compromise. Nursing staff recorded low saturations but failed to escalate appropriately at the critical 90…
62y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …
…llectual disability, autism, epilepsy, and dysphagia, died from hypoxic ischaemic encephalopathy following airway obstruction by food bolus. He choked on toast at breakfast despite direct supervision and prior speech pat…
37y · Male·Respiratory arrest in association with medication drug effect and alcohol intoxi…
David James Lee, a 37-year-old Aboriginal man with schizophrenia, died on 15 July 2007 at Port Hedland Regional Hospital from respiratory arrest associated with medication effect and alcohol intoxication. He arrived at t…
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