Coronial

7 results for CO2 retention

QLDhospital2024-06-21

Non-inquest findings into the death of Mr K

81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…

…al transfer to a private hospital and subsequent management errors. Key clinical lessons: (1) patients with CO2 retention require explicit identification on all oxygen prescriptions and careful titration to target satur…

respiratory medicineemergency medicinemedicationcommunicationdiazepam
QLDhospital2025-10-23

Inquest into the death of Shirley Elizabeth Haggett

78y · Female·Tension pneumothorax (surgically managed) due to aspiration pneumonia (bronchosc…

…3 patients. The anaesthetist administered high-flow, high-concentration oxygen for over 2 hours, which in a CO2 retainer caused severe hypercarbia and hypercarbic narcosis. Post-operatively, the patient remained obtunde…

anaesthesiaplastic and reconstructive surgerysystemdiagnosticmidazolam
QLDhospital2007-11-23

Bodell, Margaret Florence Anne

65y · Female·gastrointestinal haemorrhage from duodenal ulcer

… ulcer bleeding during hospitalisation. Critical clinical lessons include: (1) careful oxygen management in CO2 retainers—automatic oxygen escalation by nursing staff without checking care plans can worsen respiratory d…

respiratory medicinegeneral medicinecommunicationsystemprednisone
SAhospital2017-08-10

Coroner's Finding: HERCZEG Stephen

72y · Male·Bilateral pneumothoraces and pneumoperitoneum due to insufflation of the bladder…

…or oxygen saturation target of 85-92% on room air only; (3) inadequate understanding among nursing staff of CO2 narcosis risk in COPD patients receiving supplementary oxygen; (4) failure to monitor that his saturations …

respiratory medicineemergency medicinecommunicationmedicationoxygen
VICmental health2015-12-20

Finding into death of Danny Wayne Feschuk

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

…ychiatric and medical settings; the challenge of safely discontinuing supplementary oxygen in patients with CO2 retention; and the importance of clear communication and escalation protocols when medically complex patien…

psychiatryrespiratory medicineoxycodone
SAhospital2020-06-25

Coroner's Finding: KARTINYERI Laura Rose

44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…

Laura Rose Kartinyeri, aged 44, died from multi-organ failure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-compliance with treatment, and hospital present…

respiratory medicineintensive carepregabalin
VIChospital1996-08-16

LONG June

69y · Female·Asthma

June Sylvia Long, aged 69, suffered an asthma attack at home on 28 June 1994 and was transported to Alfred Hospital. She deteriorated overnight in the hospital's Respiratory Ward despite initial improvement in Emergency …

respiratory medicineemergency medicinediagnosticcommunicationsalbutamol

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