148 results for “ICU admission”
76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…
…elective sacroiliac arthrodesis. Critical failures included: (1) patient's sleep apnoea disclosed in pre-admission form but not flagged as anaesthetic alert; (2) absent pre-operative physician assessment despite previou…
72y · Female·probable sepsis complicating chemotherapy for non-Hodgkin's lymphoma
…L), and signs of shock. The surgical team failed to recognize evolving septic shock and did not escalate to ICU until 7:10pm, when her condition had critically deteriorated. By 1:00pm, vital signs clearly indicated sept…
73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …
… while an inpatient in a psychiatric unit. She had recently been treated for C. difficile colitis requiring ICU admission for hypotension. The coroner found that medical care was appropriate and the death could not have…
81y · Female·Severe cardiogenic shock complicating cardiac surgery
…ortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The surgery involved emergency coronary artery bypass grafting and was technically sound, but a…
56y · Female·multi-organ failure due to anorexia nervosa
…-old woman with a long history of anorexia nervosa and a BMI of 10.3 died from multi-organ failure after admission to hospital. She was found on her bedroom floor, dehydrated and malnourished, and was involuntarily admi…
54y · Female·Multiple organ failure, due to pneumonia in a patient with Guillain-Barré syndro…
…es, and recurrent infections, died from multiple organ failure due to hospital-acquired pneumonia during an ICU admission at The Canberra Hospital. The family raised concerns about disability discrimination, parenteral …
29y · Male·Pulmonary thromboembolism secondary to deep venous thrombosis
…embolism secondary to deep vein thrombosis (DVT) following a suicide attempt by hanging. He was admitted to ICU and appropriately commenced on prophylactic enoxaparin 40mg daily. On day 3 of admission, due to aggressive…
55y · Male·Ascending cholangitis due to choledocholithiasis
…ession, and cardiac dysfunction, and was a specialist disability accommodation resident. He was admitted to ICU three times over several months with septic shock secondary to biliary tract infection, treated with antibi…
50y · Male·Pneumonia
…pital on 18 May for rehydration due to dehydration and hypotension from refusing fluids. Within hours of admission, he deteriorated rapidly with vomiting, altered consciousness, and severe pneumonia ('white out' on ches…
79y · Female·cardiogenic shock following repair of fractured right femur on a background of a…
… was admitted with a fractured right femur. Post-operatively she developed acute pulmonary oedema requiring ICU admission. Cardiology identified myocardial ischaemia; an angiogram was discussed but her condition deterio…
78y · Female·Tension pneumothorax (surgically managed) due to aspiration pneumonia (bronchosc…
…ning vital signs (respiratory rate >30, low oxygen saturations), the anaesthetist did not arrange immediate ICU transfer, instead planning to monitor for another hour. The patient aspirated before transfer could be arra…
57y · Male·Sepsis and acute renal failure due to pneumonia
…a, intellectual disability, and multiple comorbidities presented to hospital with chest pain, breathing difficulty, atrial fibrillation, and hypoxia. He was diagnosed with chest sepsis, septic shock, respiratory failure…
60y · Male·Pulmonary Thromboembolism
…tnessed tonic-clonic seizure, intubated for airway protection, then transferred to Royal Melbourne Hospital ICU on 22 February 2023. He remained intubated for 8 days, developing aspiration/ventilator-associated pneumoni…
67y · Male·Complications of pressure ulcers in the setting of a thoracic vertebral fracture…
…ade A spinal cord injury at T11/T12). The incident was preventable through: proper spinal precautions on admission; complete neurological assessment; involving family in care planning; and exploring alternative imaging …
48y · Female·Combined effects of cardiac hypertrophy, chronic obstructive pulmonary disease a…
…ssment order. Following sedation for assessment, she developed respiratory failure requiring intubation and ICU admission. She was extubated and returned to the ward on 26 September, where she died suddenly on 27 Septem…
76y · Female·multisystem organ failure due to or as a consequence of ischaemic small intestin…
…tation and antibiotics rather than immediate surgery. However, junior medical staff (surgical registrar and ICU registrar) failed to recognize Mrs MDF's clinical deterioration despite progressive metabolic acidosis and …
1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…
…ng bronchodilators, oxygen, transfusions, and antivirals, he suffered sudden respiratory arrest on day 2 of ICU admission. The coroner found medical and nursing care reasonable and appropriate. Communication with family…
17y · Male·pneumonia and respiratory failure associated with choreoathetoid cerebral palsy
A 17-year-old Indigenous male with severe choreoathetoid cerebral palsy, feeding difficulties, and swallowing dysfunction died of pneumonia and respiratory failure in ICU. He had missed lunch medi…
60y · Female·Peritonitis due to anastomotic leak following subtotal colectomy for treatment o…
…ttributed to other causes. Multiple clinicians failed to recognize deterioration or escalate appropriately; ICU involvement was delayed and poorly communicated. Expert review criticized surgical technique (side-to-side …
49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…
…e to recognise and treat internal bleeding despite clear clinical signs; and poor medical leadership in the ICU with inexperienced overseas-trained doctors in senior positions without proper orientation or supervision. …
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