131 results for “emergency sedation”
37y · Male·Respiratory arrest in association with medication drug effect and alcohol intoxi…
…misconceived handover suggesting he remained dangerously aggressive. The coroner found the sustained deep sedation was inappropriate; optimal sedation for such patients should maintain rousability. When the patient remov…
63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…
…-year-old woman with profound disability from cerebral palsy and encephalitis, died from complications of sedation for PEG tube insertion. She had a congenital polymicrogyria, a significant neurological risk factor for a…
32y · Male·Systemic sarcoidosis with severe steatosis and acute myocardial infarction
A 32-year-old man with schizophrenia died at a mental health unit shortly after receiving emergency intramuscular sedation (haloperidol 10mg and midazolam 10mg) for acute agitation and refusal of oral med…
64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…
…ensive monitoring in acute settings, not psychiatric wards; (2) critical information about hypoxia during sedation was lost in handover; (3) no formal clinical observations or continuous monitoring was performed post-sed…
29y · Female·Hypoxic-ischaemic encephalopathy due to cardiac arrest of undetermined cause
…te behavioural disturbance, requiring physical and chemical restraint. She received 5mg droperidol IM for sedation, which was appropriate given her frailty. However, formal vital sign monitoring post-sedation was not und…
46y · Male·Coronary artery atherosclerosis
…rar assessment. He died from coronary artery atherosclerosis (underlying cardiac disease), not from overdosedation. Key lessons: avoid excessive sedation without titration; establish clear rapid-sedation guidelines; ensu…
61y · Male·Undetermined
…nd subsequently died on 5 April 2015 from an undetermined cause. Clinical lessons include: Eastern Health sedation guidelines were not followed; vital sign monitoring ceased at 7:45am on 4 April despite guidelines requir…
55y · Male·positional asphyxia, with sedation as an underlying risk factor
…disturbance related to medication changes and possible substance use. He received substantial intravenous sedation (75mg midazolam and 35mg haloperidol) over 20 hours at Royal North Shore Hospital ED, which was clinicall…
46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis
…rlipidaemia. During his final admission, he became extremely agitated due to inability to smoke, required sedation and seclusion, then died overnight while sleeping. Two ECGs performed during admission appeared normal an…
33y · Male·Aspiration due to alcoholic intoxication; coronary atherosclerosis contributed
…d capsicum spray to safely disarm him, he was transported to Royal Brisbane Hospital. Despite appropriate sedation for aggressive behaviour, he vomited copiously, aspirating semi-solid food that obstructed his airway. Em…
31y · Male·Undetermined
Ashley Washington, a 31-year-old Kamilaroi man, died after police restraint and sedation during arrest in Toowoomba. He was apprehended following a report of property theft and stabbed a police …
55y · Female·smoke inhalation from domestic fire caused by unextinguished cigarette
… was taking tapentadol (a synthetic opioid), amitriptyline, and alcohol—substances that combined to cause sedation. Her physical disability and sedation meant she could not react quickly enough to escape. Functioning smo…
31y · Male·Status epilepsy secondary to cerebral cavernoma
…ramedics responded, using physical and mechanical restraints in prone position followed by 5mg droperidol sedation. He deteriorated rapidly and suffered cardiac arrest. The coroner found paramedic care appropriate despit…
40y · Male·Aspiration pneumonia
…owel obstruction, and he became agitated during nasogastric tube insertion. Ketamine was administered for sedation, he vomited and aspirated during tube placement, requiring emergency intubation. Despite seven weeks of I…
43y · Male·Hypoxic ischaemic encephalopathy, due to or as consequence of, cardiac arrest of…
…ded as 36), misinterpretation of involuntary muscle movements as active resistance, and insufficient post-sedation monitoring despite obvious deterioration. While the underlying cause was lethal methamphetamine toxicity …
40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…
…ands Hospital's mental health ward on 20 November 2014 with acute psychiatric decompensation and received sedation (haloperidol and clonazepam) for agitation. He was observed hourly overnight but deteriorated with progre…
35y · Male·atherosclerotic heart disease with methylamphetamine effect in a man under physi…
…ximately an hour. He came down voluntarily and was restrained by four police officers to allow parenteral sedation (midazolam 10mg and ketamine 160mg intramuscularly). Following sedation, he developed asystole and cardia…
24y · Male·cardio-respiratory arrest due to multi-drug toxicity
…mbined with illicitly obtained buprenorphine. Clinical lessons include: monitoring for signs of excessive sedation despite therapeutic dosing; ensuring robust communication systems for clinically significant observations…
74y · Female·right lower lobe pneumonia (Staphylococcus aureus)
…placement received 15mg Nitrazepam instead of prescribed 15mg Mirtazapine due to drug name confusion. The sedation caused aspiration of gastric contents, leading to hospital-acquired pneumonia (Staphylococcus aureus) and…
36y · Male·Cardiorespiratory arrest complicating propofol administration for endodontic pro…
…old obese man (BMI 38.5), suffered cardiorespiratory arrest during a root canal procedure under conscious sedation with propofol administered by Dr S. in a dental office setting. He had undiagnosed borderline cardiomegal…
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