228 results for “airway management”
7y · Female·aspiration pneumonia leading to multi-organ failure in a female child with compl…
…i-organ failure. Born with severe perinatal brain injury, she had complex lifelong medical needs including airway management with nasopharyngeal airway, supplementary oxygen, and seizure control. Initially cared for at h…
69y · Male·Hypoxic ischaemic brain injury secondary to right facial artery pseudoaneurysm r…
…trismus 12 days after completing chemoradiotherapy. On presentation to emergency department with bleeding, airway risk was under-recognised despite clinical assessment noting significant risk if bleeding recurred. Missed…
1y · Male·hypoxic brain damage due to laryngeal obstruction from foreign body (metal screw…
…ics arrived within 6 minutes but struggled to visualize and remove the screw due to blood and vomit in the airway. An intensive care paramedic arrived and successfully removed the screw via laryngoscopy with Magill's for…
33y · Male·Aspiration due to alcoholic intoxication; coronary atherosclerosis contributed
…te sedation for aggressive behaviour, he vomited copiously, aspirating semi-solid food that obstructed his airway. Emergency attempts at intubation and surgical airway management were unsuccessful. The coroner found no c…
20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…
…e-mask ventilation through a displaced tube, causing bilateral tension pneumothoraces. Delays in emergency airway management, failure to use laryngeal mask airway, and failure to perform timely finger thoracostomy signif…
85y · Female·acute exacerbation of congestive heart failure, following injuries suffered in a…
…optimal paramedic care (limited initial assessment, ineffective communication, failure to attempt advanced airway management), the expert opinion concluded these deficiencies unlikely contributed to her death. The primar…
39y · Male·Positional asphyxia in a setting of intoxication and minor head injury
…g the club, he fell and was found with his head wedged against the wall in a position that compromised his airway. Over six minutes elapsed before emergency services determined he needed repositioning due to airway obstr…
46y · Male·Upper airway obstruction due to acute tonsillitis with laryngeal oedema and haem…
A 46-year-old man with acute tonsillitis complicated by upper airway obstruction died at Cunderdin District Hospital. He presented with severe pharyngitis on 5 September 2002,…
51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…
…itation was undertaken following ARC guidelines but was unsuccessful. The coroner found overall clinical management reasonable and appropriate. A key lesson identified was the need for better communication among resuscit…
70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…
…ales Hospital. That evening, the tracheostomy tube became dislodged during patient turning. Recognition of airway compromise was delayed approximately 7 minutes, and calling for medical assistance was further delayed. Re…
78y · Male·cardiorespiratory failure due to complications of tracheal stenosis
…rs of admission, his respiratory rate fluctuated between normal and elevated levels despite a critical 4mm airway narrowing. Key clinical lessons: (1) Altered vital sign calling criteria were inappropriately implemented …
22y · Male·Airway obstruction due to laryngeal abscess and laryngeal chondronecrosis due to…
Kyle Gallagher, age 22, died from airway obstruction due to laryngeal abscess and chondronecrosis following a motorcycle accident. A CT scan on 13 …
78y · Female·Hypoxic ischaemic encephalopathy as a result of obstruction of airway caused by …
… from hypoxic ischaemic encephalopathy following an acute post-surgical arterial bleed that obstructed her airway after hemithyroidectomy. The bleeding complication occurred when she coughed after taking oral pain medica…
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
…rnight vital sign monitoring despite clinical deterioration; and inadequate resuscitation with no advanced airway management available. The patient deteriorated overnight with progressive hypoxia, received only basic air…
63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…
… placement in recovery position; and failure to escalate for medical review despite clinical indicators of airway compromise. The combination of polypharmacy with QT-prolonging agents, airway obstruction, and respiratory…
0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…
…nitial laryngospasm led to suspected post-obstructive pulmonary oedema requiring intubation. During PICU management, multiple opportunities were missed to verify endotracheal tube positioning: continuous capnography was …
58y · Female·lymphangitic carcinomatosis leading to hypoxaemic respiratory failure and cardia…
…015, and during resuscitation following cardiac arrest, adrenaline was not administered per guidelines and airway management issues occurred. She died of lymphangitic carcinomatosis, a rare gastric cancer undiagnosed ant…
1y · Male·Global cerebral ischaemia in an infant with upper airway obstruction
…ly signs of tracheostomy obstruction (gasping, cyanosis, apnoea) and did not perform appropriate emergency airway management. She did not suction the tracheostomy or change the tube, instead providing ineffective CPR wit…
41y · Male·Upper airway obstruction from ingestion of dirt in an intellectually impaired ma…
… severe intellectual disability, autism, partial blindness and longstanding pica disorder, died from upper airway obstruction after ingesting large quantities of dirt in the backyard of his residential care facility. He …
50y · Female·Aspiration pneumonia
… of outpatient GP treatment for lower respiratory tract infection. She aspirated, requiring intubation for airway protection. CT imaging confirmed aspiration. After initial extubation and rapid reintubation, end-of-life …
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