152 results for “endotracheal intubation”
<1y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…
…diorespiratory arrest. Initial laryngospasm led to suspected post-obstructive pulmonary oedema requiring intubation. During PICU management, multiple opportunities were missed to verify endotracheal tube positioning: con…
78y · Female·Hypoxic ischaemic encephalopathy as a result of obstruction of airway caused by …
…rning hours. Critical delays in diagnosis and management followed: the overnight medical officer lacked endotracheal intubation skills and did not escalate promptly to senior specialists; nursing staff with tutorial trai…
20y · Male·hypoxic encephalopathy
…ephalopathy after sustaining head injuries in a motor vehicle collision. While hospitalised in ICU, his endotracheal tube (ETT) became displaced around 12:20am on 23 January 2005, likely moving upward initially with the …
46y · Male·Hypoxic ischaemic brain injury complicating a cardiac arrest during anaesthetic …
…l hernia repair at a private hospital. During anaesthetic induction, he experienced cardiac arrest. The endotracheal tube (ETT) was visualized passing through the vocal cords, but likely became dislodged, kinked, or obst…
45y · Male·Aspiration pneumonia with acquired brain injury as a contributing factor
…espiratory support but suffered a cardiac arrest during the procedure, with initial misplacement of the endotracheal tube. The coroner found all clinical management by paramedics, Yooralla staff, and hospital to be reaso…
<1y · Male·Complicated endotracheal tube insertion due to or as a consequence of recent clo…
…er Steven McVey, a premature twin born at 31 weeks gestation weighing 1036g, died from complications of endotracheal tube re-insertion at 67 days of age. Following successful surgical ligation of a patent ductus arterios…
33y · Male·Aspiration due to alcoholic intoxication; coronary atherosclerosis contributed
…iour, 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 clinical failures: police interve…
1y · Female·unrecognised oesophageal intubation
A 19-month-old girl died from unrecognised oesophageal intubation during anaesthesia for finger laceration repair. The anaesthetic team failed to recognise multiple clini…
<1y · Female·Perinatal asphyxia
…ng labour or antenatally. The neonatal resuscitation encountered multiple technical difficulties: failed intubation by the junior registrar, then successful intubation by the consultant at 15 minutes of life but without …
21y · Male·Closed head injury and retroperitoneal and pelvic haematoma due to fractured pel…
…dinate resources, arrange blood transfusion, and detect clinical errors like the imperfectly positioned endotracheal tube; (2) Wide-bore IV access and early blood transfusion are critical in pelvic trauma—blood was unava…
56y · Female·hypoxic ischaemic encephalopathy due to inadvertent oesophageal intubation and f…
…y 2011. She had an adverse reaction characterised by vomiting, breathlessness and hypertension. MET team intubation was performed by first-year anaesthetic registrar Dr T., who had never previously performed emergency in…
<1y · Male·hypoxic brain damage due to laryngeal obstruction from foreign body (metal screw…
An 11-month-old boy died from hypoxic brain damage following aspiration of a 2cm metal screw that lodged in his larynx. The child was left briefly unsupervised at home when he ingested the screw and began choking. Parent…
42y · Male·Hypoxic encephalopathy in the setting of recent acute myocardial infarction with…
Ruben Chand, a 42-year-old male, suffered a fatal hypoxic brain injury during emergency re-intubation in ICU. After an initially reasonable extubation decision, he deteriorated and required urgent re-intuba…
52y · Male·Coronary Atherosclerosis
…m outage preventing access to medical history, nursing staff provided competent emergency care including intubation during ambulance transport. Advanced life support continued during hospital admission but was unsuccessf…
37y · Male·Respiratory arrest in association with medication drug effect and alcohol intoxi…
… respiratory arrest. Although resuscitation efforts were undertaken, delays in securing oxygenation via endotracheal tube were fatal. The coroner found the death preventable through lighter sedation, better documentation…
15y · Male·Cardiorespiratory arrest of unknown aetiology complicating hypoxic ischaemic enc…
…ramedics administered adrenaline but Max deteriorated rapidly. At hospital, emergency physicians delayed intubation for 15 minutes despite critical hypoxia, attempting to stabilise him first. A surgical airway was eventu…
19y · Male·ischaemic brain injury after cardiac arrest, brought about by blunt force injuri…
…air leak, pneumothoraces, and aspiration pneumonitis. Bystander CPR could not have prevented death—only endotracheal intubation by paramedics addressed the tracheal rupture. Key clinical lessons: even optimal first aid c…
69y · Male·asphyxia due to choking on food
… by ward staff within seconds, and paramedics arrived 8.5 minutes later with continued resuscitation and intubation. The coroner found the care at the facility was of very good standard and did not contribute to the deat…
51y · Male·Hyperthermia of unknown cause in a man with cardiac hypertrophy; chronic obstruc…
Arthur Andrianakis, 51, died from hyperthermia of unknown cause with cardiac hypertrophy and COPD. He presented to hospital with respiratory distress following police custody for assaulting his mother. Initial diagnosis …
20y · Female·Cerebral anoxia consequent upon a severe acute asthmatic event
…t including oxygen, adrenaline and hydrocortisone, she was transferred to the High Dependency Unit where intubation became necessary. Dr N., a medical officer with 10-11 years post-graduate experience, chose pancuronium …
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