127 results for “catheter insertion”
66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion
…ntia and multiple comorbidities died from sepsis following bacteraemia after a routine indwelling urinary catheter change at a nursing home. The catheter insertion was traumatic, resulting in haematuria, anuria, fever an…
38y · Male·Urosepsis
…sis after rapid deterioration at his residential facility on 28 March 2009. He had a permanent suprapubic catheter inserted in 2008 for chronic urinary retention and had experienced ongoing problems with catheter dysfunc…
68y · Male·Internal haemorrhage due to coagulopathy and upper gastrointestinal varices, cir…
…year-old man with end-stage cirrhosis and multiple comorbidities, died hours after undergoing intercostal catheter insertion for pleural effusion drainage at Rockhampton Hospital. While the procedure itself was clinicall…
74y · Female·Complications of carotid artery injury from central line insertion in the settin…
…metastatic colon cancer, died from complications of carotid artery injury sustained during central venous catheter (CVC) insertion as part of a Whipple procedure and hemicolectomy. The CVC was inadvertently placed in the…
87y · Female·Pulmonary artery rupture complicating pulmonary artery catheter insertion in a w…
…nary artery rupture during elective off-pump coronary artery bypass surgery. A Swan-Ganz pulmonary artery catheter (PAC) was inserted pre-operatively for haemodynamic monitoring. Approximately 45 minutes later, at anaest…
83y · Male·Sepsis due to staphylococcus aureus bacteraemia following infection of a left an…
…idney failure died from sepsis caused by MSSA bacteraemia following infection at a peripheral intravenous catheter (PIVC) insertion site. Ambulance paramedics inserted the PIVC 56 hours before hospital admission, but hos…
75y · Male·Right haemothorax complicating intercostal catheter insertion for the treatment …
Giuseppe Costa, 75, died from right haemothorax following intercostal catheter insertion for pleural effusion drainage. Critical failures in clinical management included: inadequate do…
52y · Male·C2, C3, C4 spinal injury sustained from a fall secondary to seizures
…o difficulty understanding his neurological baseline, communication challenges, and technical issues with catheter insertion. The coroner found the diagnostic delay was not causal to his death and did not represent a mis…
66y · Female·retroperitoneal haemorrhage due to anticoagulation following right cerebrovascul…
… retroperitoneal haemorrhage following anticoagulation for stroke caused by intra-arterial central venous catheter placement. The catheter was mistakenly inserted into the right carotid artery instead of the jugular vein…
94y · Female·Sepsis complicating management of vulval carcinoma in an elderly woman with seve…
A 94-year-old woman with vulval carcinoma underwent suprapubic catheter insertion at a private hospital on 14 May 2014. She appeared well post-procedure with normal observations…
48y · Female·Cardiorespiratory arrest due to cardiac tamponade as a result of perforation of …
…ied on 1 July 2000 from cardiac tamponade following perforation of the right atrium during central venous catheter exchange in ICU. She was recovering from emergency liver transplantation complicated by sepsis and acute …
39y · Female·Undifferentiated large right pleural effusion
…June 2024 with breathlessness and seizure. Despite attempts at treatment with antibiotics and intercostal catheter insertion, Lydia became distressed and refused care. Her family, in consultation with medical staff, tran…
78y · Male·urinary tract infection in a man with dementia and epilepsy
…tellectual disability, dementia, epilepsy, and chronic urinary tract infections managed with a suprapubic catheter, died of urosepsis at a hospice after admission for end-of-life care. His health had deteriorated rapidly…
87y · Male·aspiration pneumonia, urinary tract infection and general inanition complicating…
… complications including urinary retention and pneumonia. He required escalating levels of care including catheterisation, restraints (mittens), and eventually palliative care. The coroner found the care provided during …
3y · Male·thrombotic microangiopathy
A 3-year-old child died from thrombotic microangiopathy (haemolytic uraemic syndrome) secondary to Shiga toxin-producing E. coli infection, likely acquired from consumption of unpasteurised milk. Early presentation to GP…
53y · Male·Aspiration pneumonia in a man with myotonic dystrophy
…r home environment. The community residential unit staff were inadequately trained in palliative care and catheter management, and he deteriorated rapidly, requiring readmission within hours. The coroner found care was r…
61y · Male·urosepsis in the setting of chronic suprapubic catheterisation in a man with con…
Wayne Daniel Holland, aged 61, died from urosepsis related to chronic suprapubic catheterisation. He had significant disability from congenital rubella and lived in specialist disability accommod…
60y · Female·Cardiac tamponade due to ruptured heart due to total parenteral nutrition due to…
…ight atrium junction. How the perforation occurred remains unclear—possibilities include migration after insertion, partial perforation with delayed extension, or other mechanisms. The diagnosis of cardiac tamponade was…
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
…g shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical failures included: inadequate assessment before discharge from acute care despite uncontrolled …
58y · Male·Pneumonia and urosepsis
…tia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His indwelling catheter was poorly managed, causing urethral trauma and erosion. Staff failed to recognise signs of clinical dete…
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