33 results for “difficult airway”
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
A 36-year-old woman with congenital chest wall abnormality, scoliosis, and difficult intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had m…
42y · Male·Hypoxic encephalopathy in the setting of recent acute myocardial infarction with…
…ation decision, he deteriorated and required urgent re-intubation. The procedure was complicated by a poor airway view (Grade 2B-3), inadequate pre-oxygenation, failure to use a bougie despite difficulty, lack of capnogr…
31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…
…ible—a fundamental breach of anaesthetic protocol. Despite his pre-operative assessment noting potential difficult intubation, he proceeded with general anaesthesia and paralysis. Subsequent attempts by multiple senior …
46y · Male·Hypoxic ischaemic brain injury complicating a cardiac arrest during anaesthetic …
…severe hypoxic brain injury had occurred, leading to brain death. Key lessons: maintain high suspicion for airway malposition despite initial visualization; rely on capnography waveform as the most reliable confirmation;…
43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …
…ependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone tablets in August 2017 by leveraging regulatory differences between ACT …
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…
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…
12y · Female·Cardio-respiratory failure due to aspiration pneumonia
Angelique Burton-Ho, age 12, with VACTERL syndrome and difficult airway, presented to Bowral Hospital ED on 9 August 2015 with respiratory symptoms. She was inadequately…
62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…
…, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolus. During a community outing, despite having a detailed Mealtime Management Pl…
56y · Female·hypoxic ischaemic encephalopathy due to inadvertent oesophageal intubation and f…
…ly 18 minutes of hypoxia until recognised and corrected by Dr D. Multiple contributing factors included: difficult airway anatomy, chaotic MET environment, inadequate team leadership and communication, failure to prompt…
15y · Female·cardiac and respiratory arrest following pulmonary aspiration
…. The coroner found the resuscitation appropriate given the acute presentation and potential for treatable airway obstruction. A key gap identified was that the ACD was not prominently placed in her medical file, making …
51y · Male·Combined drug toxicity (methadone and benzodiazepines) in a man with coronary an…
…1am. Key clinical lessons: police observations of deteriorating consciousness (grunting response, mucus in airway, abnormal breathing) during two phone calls to the Custodial Health Advice Line nurse were not appropriate…
0y · Female·Perinatal asphyxia
…ise was detected during labour or antenatally. The neonatal resuscitation encountered multiple technical difficulties: failed intubation by the junior registrar, then successful intubation by the consultant at 15 minute…
73y · Female·coronary atherosclerosis
…ppropriate and necessary given her severe coronary artery disease and thrombotic risk. The haematoma was difficult to detect clinically and post-mortem analysis confirmed bleeding occurred after transfer from ICU. The c…
83y · Female·pneumonia with generalised atherosclerosis as a significant contributor
…er made no adverse findings against any clinician or hospital. Key lessons: early pneumonia diagnosis is difficult in elderly patients with chronic lung disease; patient autonomy in refusing hospital readmission must be…
28y · Male·asphyxiation following severe swelling to the larynx due to anaphylactoid reacti…
…lausible; early recognition allows prompt adrenaline administration which may alter outcomes. The surgical airway was difficult given massive swelling but appropriately performed. Broader learning: anaphylaxis can be tri…
32y · Female·Cardiac arrest due to hypoxia caused by dynamic hyperinflation arising from comp…
…re genetic bone disorder) died during elective bariatric surgery. She had undiagnosed subglottic stenosis (airway narrowing) and tracheobronchomalacia. Critical clinical lessons: (1) Rare or unfamiliar diagnoses require …
66y · Female·Complications of pulmonary fibrosis and bronchiectasis in a woman with cerebral …
Linda Stanton, a 66-year-old woman with cerebral palsy, pulmonary fibrosis, and bronchiectasis, died from complications of her lung disease. She had required six hospital presentations between December 2015 and August 20…
37y · Male·water intoxication and olanzapine toxicity in association with schizophrenia
… his death resulted from combined water intoxication and olanzapine toxicity, with the precise mechanism difficult to separate. Care was deemed appropriate despite his rare presentation of psychogenic polydipsia (excess…
37y · Male·Respiratory arrest in association with medication drug effect and alcohol intoxi…
David James Lee, a 37-year-old Aboriginal man with schizophrenia, died on 15 July 2007 at Port Hedland Regional Hospital from respiratory arrest associated with medication effect and alcohol intoxication. He arrived at t…
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