Coronial

7 results for chest drain placement

SAaged care2017-05-30

Coroner's Finding: ABBOTT Raymond

70y · Male·chronic obstructive lung disease with emphysema on a background of advanced vasc…

… at a residential care facility. He was admitted to hospital on 10 March 2015 with shortness of breath and chest pain, found to have a large left spontaneous pneumothorax requiring chest drain insertion. Despite drain p…

respiratory medicinegeneral medicinemidazolam
VIChospital2023-06-23

Finding into death of Edis Vytas Brenner

78y · Male·Multiorgan failure consequent upon pulmonary lacerations and haemorrhage sustain…

…ll superficial laceration to the right lower lobe lung occurred, likely from pleural space manipulation or chest drain placement. This resulted in severe unexpected bleeding requiring return to theatre and massive trans…

cardiothoracic surgeryintensive caresystem
TAShospital2024-12-09

Coroner's Finding: Brand, Robin William

62y · Male·Mediastinitis due to perforated oesophagus, with severe emphysema as a contribut…

…9 August 2024, he was discharged without signs of perforation. He presented 4 days later with vomiting and chest pain; gastroscopy revealed deep longitudinal tears. The coroner found no fault with the discharge decision…

gastroenterologyemergency medicine
QLDhospital2007-10-29

Cvitic, Nardia Annett

30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…

…istration. Dr C. then discovered the actual source: a lacerated external iliac vein, likely injured by the drain trochar on 11 February and tamponaded until dislodged on 14 February. Critical failures included: failure …

oncologygeneral surgerydiagnosticmedicationheparin
NSWhospital2019-12-19

Inquest into the death of Lesley ARNDELL

61y · Female·multi organ failure due to abdominal sepsis

Lesley Arndell, aged 61, died from multi-organ failure due to abdominal sepsis after undergoing a Whipple's procedure for pancreatic cancer. Key clinical lessons include: (1) patients with previous bariatric surgery requ…

general surgeryintensive caremedicationcommunicationpiperacillin/tazobactam
NSWhospital2023-10-31

Inquest into the death of Adam Fitzpatrick

20y · Male·hypoxic ischaemic encephalopathy secondary to displacement of tracheostomy and p…

…with complex facial and skull fractures from a motor vehicle collision, underwent emergency tracheostomy placement. On 22 August 2020, 13 days later, his tracheostomy tube became dislodged. Clinical staff performed unne…

intensive careanaesthesiadiagnosticproceduralrocuronium
TAShospital2022-10-26

Coroner's Finding: Carroll, Terence John

71y · Male·sepsis caused by mediastinal empyema (abscess) which complicated perforation of …

Terence Carroll, 71, died from sepsis and mediastinal empyema following oesophageal perforation during rigid oesophagoscopy for stricture dilation. Critical failures included: CT scan showing suspicious oesophageal thick…

ENT surgerygeneral surgerycommunicationdiagnostic

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