15 results for “catheter replacement”
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…
66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…
…ry Hospital Emergency Department with vaginal pain and signs of infection. She had a long-term indwelling catheter placed for urinary incontinence. The ED doctor did not recognize catheter-associated urinary tract infect…
66y · Male·Coronary atherosclerosis
…, aged 66, died from coronary atherosclerosis on 24 February 2004, shortly after day surgery to replace a catheter on his intrathecal morphine pump. Dr R. and RN Couper administered a 0.26ml overdose of morphine during p…
81y · Female·Severe cardiogenic shock complicating cardiac surgery
An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The…
48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…
…ntion at the disability care provider (air mattress deflation, poor repositioning documentation), delayed catheter replacement (5 days without IDC), failure to escalate wound deterioration, and loss of trust in providers…
3y · Male·Influenza A infection (Type H3N2)
…ing breathing/perfusion) rather than over-relying on monitoring equipment; (4) ensuring earlier albumin replacement for hypoalbuminaemia; and (5) implementing multidisciplinary high-acuity flagging systems (CHAP). The n…
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 …
54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…
…superior mesenteric artery and coeliac artery stents post-operatively. He had undergone left total knee replacement surgery at Fairfield Hospital on 28 September 2018. A vascular surgeon consultation had been explicitly…
20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…
…plete dislodgement. Critically, the tube should have been removed and replaced immediately when a suction catheter could not be passed, but this did not occur for approximately 46 minutes. Staff attempted blind bougie in…
19y · Female·Meningococcal septicaemia
Emma McGrath, a 19-year-old nursing student, died from meningococcal septicaemia caused by the W strain after presenting to the ED with a 12-hour history of vomiting, diarrhoea, abdominal pain and fever. The atypical pre…
47y · Female·hypoxic ischaemic encephalopathy complicating systolic cardiac arrest in the set…
Ms Ling-Ling Ang, aged 47, died from hypoxic ischaemic encephalopathy and cardiac arrest following severe allergic asthma exacerbation during the November 2016 Melbourne thunderstorm asthma epidemic. She had known asthma…
76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…
Mrs Cook, a 76-year-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal failure and dangerously…
45y · Male·complications associated with metastatic adenocarcinoma of the lung, treated pal…
Herbert Mackay, a 45-year-old Aboriginal man, died from complications of metastatic adenocarcinoma of the lung discovered at stage 4 in late December 2020 while imprisoned at Casuarina Prison. He presented with respirato…
62y · Female·Haemorrhage caused by abdominoperineal excision of the rectum
A 62-year-old woman died of uncontrollable haemorrhage following an abdominoperineal excision of the rectum (APER) at a remote hospital. The coroner found the operation itself was inappropriate: performed for undiagnosed…
28y · Male·MRSA sepsis
Mahmoud Allam, a 28-year-old man, died from MRSA sepsis whilst in custody at Parklea Correctional Centre. He initially presented with upper respiratory symptoms on 11 June 2016, followed by increasing symptoms including …
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