Coronial

82 results for general anaesthesia with intubation

NSWhospital2021-11-19

Inquest into the death of Emiliana OBUSAN

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…

anaesthesiaorthopaedic surgerydiagnosticcommunicationfentanyl
VIChospital2022-10-03

Finding into death of Travis Jack Blows

15y · Male·pneumonia in the setting of cerebral palsy and epilepsy

Travis Blows, a 15-year-old with cerebral palsy and difficult-to-control epilepsy, died from pneumonia after a prolonged PICU admission. He …

neurologyintensive careclobazam
WAhospital2007-06-08

Inquest into the Death of Rasmussen

31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…

Rachael Anne Rasmussen, a 31-year-old mother of three with severe neck deformities (torticollis, dysmorphia, short rigid neck), died on 17 June 2003 from cerebral ano…

anaesthesiageneral surgerydiagnosticproceduralatracurium
VIChospital2023-06-06

Finding into death of Dianne Linford

63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…

Dianne Linford, a 63-year-old woman with profound disability from cerebral palsy and encephalitis, died from complications of sedation for PEG tube …

anaesthesiagastroenterologyprocedural
WAhospital2013

Inquest into the Death of Kerr, William

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

An 86-year-old man with atrial fibrillation, ischaemic heart disease and hypertension underwent left inguinal hernia repair under g…

anaesthesiageneral surgerycommunicationdiagnosticglyceryl trinitrate
NSWhospital2020-11-20

Inquest into the death of Melissa Stokes

49y · Female·Fatal Cardiac Arrhythmia

…unreliable and retrospectively completed; the patient remained unattended after 10:30pm despite being found with vomitus; and pre-operative respiratory assessment, though appropriate, could have been enhanced given diffi…

anaesthesiagynaecologycommunicationdelaytramadol
VIChospital2016-05-26

Finding into death of Delta Diawo Poke

42y · Female·Global cerebral ischaemia in a setting of anaesthesia

A 42-year-old woman died from global cerebral ischaemia following cardiac arrest during anaesthesia for a late-term termination of pregnancy. The anaesthetist, Dr McAllister, failed to obtain or ensure a…

anaesthesiaobstetricsdiagnosticmedicationpropofol
QLDhospital2005-08-24

Sabadina, Kathryn Marnie

28y · Female·Anaphylactic reaction to anaesthetic drug (suxamethonium), with underlying coron…

A 28-year-old woman died during routine dental extraction under general anaesthesia at a regional hospital. Despite competent initial airway management, she developed severe res…

anaesthesiadentistrydiagnosticproceduralpropofol
QLDhospital2006-03-13

Matschoss, Wayne Barry

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 bronchiectasi…

intensive carerespiratory medicine
SAhospital2020-10-12

Coroner's Finding: USHER Peter Michael

56y · Male·hypoxic ischaemic encephalopathy following insulin and benzodiazepine overdose

A 56-year-old man with depression, known to close friends but not formally disclosed to healthcare providers, deliberately ingeste…

anaesthesiapsychiatrytemazepam
NSW2012-05-15

Grainger ,helen finding 1767 08 2012 05 31 14 40 06 300

29y · Female·Hypoxic Encephalopathy consequent upon Cardiorespiratory Arrest arising from eit…

Helen Grainger, 29, with polycystic kidney disease and asthma, underwent pregnancy termination at Lambton Road Day Surgery in April …

general practiceobstetricsproceduralsystemcephalosporin
WAhospital2003-08

Inquest into the Death of Richard Christopher Jankowski

39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…

…d from hypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment with antibiotics, he underwent incision and drainage at Royal Perth Hos…

anaesthesiageneral surgeryproceduralcommunicationpropofol
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overd…

general practicepain medicinesystemproceduraloxycodone
WAhospital2013-11-11

Inquest into the Death of Kerr

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

…post-operative chest pain episodes, he would have referred the deceased to a cardiologist before proceeding with surgery. During the second procedure, the deceased suffered an acute myocardial infarction intraoperatively…

general surgeryanaesthesiacommunicationsystemglyceryl trinitrate
VIChospital2025-02-20

Finding into death of Mia Rose Iskander

0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…

Mia Rose Iskander died at 8 hours of age from ascending uterine infection (Klebsiella pneumoniae) with chorioamnionitis following maternal premature pre-labour rupture of membranes (PPROM) at 32 weeks. Maternal…

obstetricsneonatologydiagnosticdelayamoxicillin
VIChospital2020-09-29

Finding into death of Nicola Deleo

91y · Male·Complications following cardiac arrest in the setting of anaesthetic induction d…

A 91-year-old man with COPD, asthma, and previous cardiac arrest from suxamethonium died from complications following anaphylaxis …

anaesthesiageneral surgerycommunicationsystemrocuronium
VIChospitalNew2026-07-01

Finding into death of Baby H

0y · Male·traumatic head injury due to instrumental vaginal delivery of a term infant

…d that the consultant obstetrician, not her GP, would perform the procedure; (2) Deficient transfer of care with poor communication and consent verification between clinicians; (3) Use of Neville Barnes forceps in poster…

obstetricsgeneral practicecommunicationprocedural
NSWhospital2021-12-02

Inquest into the death of Joshua Szczudlo

33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury

Joshua Szczudlo, a 33-year-old man with morbid obesity (estimated weight 195kg), underwent shoulder fracture repair surgery on 17 March 2016 at Liv…

orthopaedic surgeryanaesthesiasystemcommunicationmorphine
SAhospital2015-03-06

Coroner's Finding: SIMOS Theodoras Joannas

48y · Male·undetermined

A 48-year-old man with schizoaffective disorder, poorly controlled diabetes, sleep apnoea, obesity and cardiomegaly died unexpecte…

psychiatrygeneral practicesystemdelayhaloperidol
QLDhospital2026-03-31

Inquest into the death of Robyn Ann Beale

78y · Female·Hypoxic ischaemic encephalopathy as a result of obstruction of airway caused by …

… 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 training on mana…

general surgeryanaesthesiadiagnosticcommunicationoxycodone

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