Coronial

136 results for recurrent aspiration

TAShospital2021-03-19

Coroner's Finding: Master T

3y · Male·Hypoxic brain injury secondary to cardiorespiratory arrest, possibly secondary t…

…ter T, aged 3 years, died from hypoxic brain injury secondary to cardiorespiratory arrest, likely due to aspiration pneumonitis. He had severe congenital abnormalities including holoprosencephaly with VP shunt, anal atre…

paediatricsintensive careparacetamol
VIChospital2025-07-28

Finding into death of Ann Williams

71y · Female·Aspiration pneumonia complicating dysphagia and status epilepticus

Ann Williams, a 71-year-old woman with severe intellectual disability and chronic dysphagia, died of aspiration pneumonia complicated by status epilepticus while residing in specialist disability accommodation. She p…

emergency medicinerespiratory medicine
VIChospital2024-05-10

Finding into death of Peter Fiorakis

72y · Male·Complications of small bowel obstruction in a man with multiple medical co-morbi…

Peter Fiorakis, a 72-year-old man with intellectual disability, schizophrenia, recurrent DVT, cardiomegaly, COPD, ischaemic heart disease and hiatus hernia, presented to Austin Hospital with na…

general medicinesurgery
VICcommunity2011-09-05

Finding into death of Stephen Ross Gamble

49y · Male·Complications of craniopharyngioma and pan-hypopituitarism

…e Repatriation Hospital's Palliative Care Unit for symptom management and end-of-life care. He developed aspiration pneumonia and died on 28 July 2010. The coroner found no autopsy necessary, with external examination an…

palliative care
VIChospital2024-11-27

Finding into death of Michael Ruawai Robin

59y · Male·Respiratory failure with paraplegia as a significant contributing factor

…decline with decreased mobility, fluctuating consciousness, increasing shortness of breath, and a likely aspiration event. An advanced care plan was in place and end-of-life care was initiated. The coroner found no evide…

emergency medicinecardiology
SAhospital2020-11-03

Coroner's Finding: WHISKEY Louise Kitty

51y · Female·community acquired pneumonia

Louise Kitty Whiskey, a 51-year-old Aboriginal woman with chronic alcohol misuse, cirrhosis, and recurrent respiratory infections, died from community-acquired pneumonia at Royal Adelaide Hospital. She was admit…

intensive carepsychiatrysystemnoradrenaline
VIChospital2023-03-16

Finding into death of Reginald William Griggs

84y · Male·Respiratory failure complicating hospital acquired pneumonia following surgical …

…n 84-year-old man died from respiratory failure due to hospital-acquired pneumonia following surgery for recurrent mandibular squamous cell carcinoma. Key clinical lessons: (1) Advanced Care Plans (ACPs) must be activel…

oncologyENT surgerycommunicationsystemhydromorphone
VIChospital2023-06-06

Finding into death of Dianne Linford

63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…

…ificant neurological risk factor for anaesthesia. Following a dental injury in March 2018, she developed aspiration pneumonia and severe mouth ulcers limiting oral intake. She presented in June requiring hospitalisation …

anaesthesiagastroenterologyprocedural
VIChospital2022-12-20

Finding into death of John Hardy Stow

73y · Male·Aspiration pneumonia

John Hardy Stow, 73, died of aspiration pneumonia complicated by a small bowel obstruction. He had cerebral palsy, intellectual disability, dysp…

palliative caregeneral medicineescitalopram
VICaged care2014-11-20

Finding into death of Gerald Quinane

82y · Male·bronchopneumonia

…cs, and discharged the same day. His condition deteriorated and he was readmitted on 3 March, developing aspiration pneumonia. The coroner found his death resulted from natural causes related to underlying medical condit…

general practiceemergency medicinecommunicationdelay
VIChospital2025-07-15

Finding into death of Linda Snadden

62y · Female·Aspiration pneumonia in the setting of refractory focal status epilepticus

… history, and multiple comorbidities including severe sleep apnoea and pulmonary hypertension, died from aspiration pneumonia during refractory focal status epilepticus. She presented with seizures in September 2023, was…

neurologyneurosurgeryanti-seizure medications
SAhospital2019-10-29

Coroner's Finding: PEMBERTON Graham Ashton

87y · Male·aspiration pneumonia, urinary tract infection and general inanition complicating…

Graham Pemberton, 87 years old with advanced Alzheimer's dementia, died of aspiration pneumonia, urinary tract infection, and general inanition. He was admitted to hospital multiple times in…

geriatric medicinepsychiatry
NThome2011-09-09

Inquest into the death of Baby M

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…

paediatricsneonatology
TAShospital2017-06-19

Coroner's Finding: Nancarrow, Maurice Cecil

76y · Male·multiple organ failure due to large volume aspiration of gastric contents during…

Maurice Nancarrow, 76, died from multiple organ failure following aspiration of gastric contents during anaesthetic induction for cystoscopy on 15 August 2015. He had undergone colo…

general surgeryurologydiagnosticcommunicationdiuretics
TAShome2021-04-12

Coroner's Finding: Rubenach, Timothy Luke

32y · Male·Aspiration pneumonia and reflux oesophagitis

Timothy Luke Rubenach, aged 32, died of aspiration pneumonia following severe reflux oesophagitis. He had profound intellectual disability and drug-resista…

general practicegastroenterologymorphine
SAhospital2016-09-01

Coroner's Finding: CALLAGHAN Brian Francis

79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…

…al causes. Key clinical lessons include managing delirium in elderly post-operative patients, preventing aspiration pneumonia in those with swallowing difficulties, optimising nutrition in uncooperative patients, and app…

general surgeryorthopaedic surgery
WAhospital2019-12-20

Inquest into the Death of Child TJW

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…

paediatricsneurologymorphine
WAhospital2025-04-17

Inquest into the Deaths of HC and Child HR

terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…

A 12-year-old girl with severe cerebral palsy (quadriplegia) died from aspiration pneumonia whilst in state care following removal from her mother's care. Her mother, HC, had chronic ben…

paediatricspalliative care
WAhome2021-08-26

Inquest into the Death of Baby E (Name Subject to Suppression Order)

0y · Male·Complications of VATER syndrome and sacrococcygeal teratoma

Baby E was a 7-month-old neonate with VATER syndrome and sacrococcygeal teratoma who died from complications of these conditions. He was born prematurely at 30 weeks, requiring intubation and ventilation, and remained in…

neonatologynephrology
VIChospital2012-08-02

Finding into death of Elsinore Mitchell

74y · Female·right lower lobe pneumonia (Staphylococcus aureus)

…d 15mg Nitrazepam instead of prescribed 15mg Mirtazapine due to drug name confusion. The sedation caused aspiration of gastric contents, leading to hospital-acquired pneumonia (Staphylococcus aureus) and death. Contribut…

general medicinepsychiatrymedicationcommunicationnitrazepam

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