37 results for “central catheter insertion”
74y · Female·Complications of carotid artery injury from central line insertion in the settin…
…old woman with 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 inadvertent…
66y · Female·retroperitoneal haemorrhage due to anticoagulation following right cerebrovascul…
…woman died from 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 …
48y · Female·Cardiorespiratory arrest due to cardiac tamponade as a result of perforation of …
…ins, aged 48, died 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 s…
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…
60y · Male·End stage renal failure
… Hospital. He had schizophrenia and chronic kidney disease requiring dialysis, but repeatedly removed his central line (permacath). After a traumatic reinsertion in March 2013 caused cardiac arrest, radiologists advised…
61y · Male·Hypoxic encephalopathy arising from cardiac arrest following self-removal of a c…
… a 61-year-old man, died of hypoxic encephalopathy following a cardiac arrest caused by self-removal of a central venous catheter (CVC) on day 14 post-bilateral lung transplant. The CVC was still in situ despite two doc…
68y · Female·Haemorrhage secondary to right subclavian artery lacerations sustained during ce…
…d woman died from massive blood loss following inadvertent puncture of the right subclavian artery during central venous line insertion. The anaesthetist used anatomical landmarks without ultrasound after an initial hig…
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…
39y · Male·dilated cardiomyopathy
…put. Despite high-quality medical management by experienced clinicians, he suffered cardiac arrest during central line insertion and could not be revived. The coroner concluded the death resulted from combined chronic c…
0y · Unknown·focal ventricular myocarditis and myonecrosis resulting from migration of a Peri…
…antibiotics treating periorbital cellulitis. Initial placement in the right atrium was confirmed on post-insertion X-ray. However, the PICC line subsequently migrated into the right ventricle, likely after the securing …
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…
36y · Male·Multiple injuries sustained from intentional jump from cliff top
Alexander Albert Steinbrenner, a 36-year-old man with schizo-affective disorder, died from multiple injuries sustained when he jumped from an 11-metre cliff at the Roundhouse in Fremantle on 27 February 2004. He was an i…
7y · Female·cardiac tamponade due to total parenteral nutrition fluid leakage into the peric…
…cardiac tamponade caused by total parenteral nutrition (TPN) fluid leaking into the pericardial sac via a central venous line inserted during bowel obstruction surgery. Clinical lessons: cardiac tamponade is a rare but …
60y · Male·bronchopneumonia as a result of or secondary to cerebral haemorrhage; contributi…
Wayne Barry Matschoss, a 60-year-old man with significant medical comorbidities including cardiac disease, epilepsy, chronic bronchitis and bronchiectasis, died in custody at Rockhampton Base Hospital from bronchopneumon…
64y · Male·Postoperative intra-abdominal bleeding from pancreatic artery injury and its con…
John Reginald Beech, 64, died at Sydney Adventist Hospital on 24 April 2007 from postoperative intra-abdominal hemorrhage following colonic surgery. One week earlier, he underwent high anterior resection and hernia repai…
74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…
…y high mortality. An additional error was calcium infusion via peripheral vein causing arm tissue damage; central venous access should have been used.
77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…
… and high-risk comorbidities; (3) ICU consultation should have occurred during weekend deterioration; (4) central venous pressure monitoring would have guided fluid management more accurately; (5) consultant cardiologis…
57y · Male·aspiration pneumonia secondary to small bowel obstruction
A 57-year-old man with chronic schizophrenia, intellectual disability, and history of bowel obstruction presented with faecal vomiting and signs of shock. He was appropriately transferred to hospital where small bowel ob…
76y · Female·Undetermined (natural causes)
HJ, a 76-year-old woman with chronic psychotic disorder and paranoid delusions, presented with abdominal pain, vomiting, and small bowel obstruction. Imaging revealed bilateral adnexal masses. Due to her lack of insight …
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
… review identified multiple sub-optimal care deficiencies: inadequate urine output monitoring (no urinary catheter despite critical illness and acute kidney injury); delayed and sub-optimal antibiotic dosing and timing; …
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