Finding into death of Ruben Chand
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 …
265 results for “intubation and ventilation”
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 …
0y · Female·Perinatal asphyxia
Baby M was born at 38+4 weeks gestation in poor condition at The Royal Women's Hospital on 10 November 2022 and died at 24 minutes of age from perinatal asphyxia. Autopsy findings suggested cord compression occurring 4-…
31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…
…orticollis, dysmorphia, short rigid neck), died on 17 June 2003 from cerebral anoxia following attempted intubation at Joondalup Health Campus. She was admitted for elective left inguinal hernia repair. Dr L., the anaest…
67y · Male·Complicated endotracheal tube insertion due to or as a consequence of recent clo…
…ys of age. Following successful surgical ligation of a patent ductus arteriosus (PDA), Oliver developed ventilation difficulties in the immediate post-operative period. A 3.0mm endotracheal tube (ETT) was selected for i…
6y · Male·Acute on chronic respiratory failure in the setting of hypotonic quadriplegic ce…
Luke Hyatt, a 6-year-old with severe cerebral palsy, chronic lung disease, and cardiac arrhythmia requiring a pacemaker, died from acute on chronic respiratory failure following a respir…
0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…
… boy died following elective cleft palate repair surgery complicated by post-operative respiratory distress and subsequent cardiorespiratory arrest. Initial laryngospasm led to suspected post-obstructive pulmonary oedem…
47y · Female·Mycoplasma pneumonia secondary to rhinovirus infection
Christine Klofa, a 47-year-old woman with Down syndrome and multiple comorbidities, died from mycoplasma pneumonia secondary to rhinovirus infection. She presented to …
46y · Male·Diffuse Alveolar Damage (Adult Respiratory Distress Syndrome) as a consequence o…
…a 46-year-old inmate at Maryborough Correctional Centre, presented with flu-like symptoms on 24 August 2003 and was appropriately evaluated by visiting medical officers. Despite timely antibiotic therapy and supportive …
62y · Male·Multi-organ failure due to paraquat ingestion
A 62-year-old man with diabetes, renal failure, and hypertension died from multi-organ failure following intentional ingestion of approximately 100-150ml of pa…
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 presented to ED mul…
8y · Male·acute exacerbation of chronic asthma
…ation. Initial assessment underestimated severity. Despite initial improvement with salbutamol, ipratropium and prednisolone, he deteriorated over 48 hours. On 2-3 July, nursing and medical staff misdiagnosed severe res…
60y · Male·bronchopneumonia as a result of or secondary to cerebral haemorrhage; contributi…
…year-old man with significant medical comorbidities including cardiac disease, epilepsy, chronic bronchitis and bronchiectasis, died in custody at Rockhampton Base Hospital from bronchopneumonia secondary to cerebral ha…
70y · Male·The combined effects of the complications of ventilation associated pneumonia, a…
Ronald Reeves, a 70-year-old man on remand at Goulburn Correction Centre, was found unconscious on 22 April 2019 and transferred to Canberra Hospital …
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…
73y · Female·pulmonary embolus
Mary Collis, a 73-year-old woman with bipolar disorder and type 2 diabetes, died from pulmonary embolus whilst an inpatient at Launceston General Hospital on 15 June …
55y · Female·Aspiration pneumonia in a woman with epilepsy and intellectual disability
Kerri Michelle Moore, a 55-year-old woman with intellectual disability, epilepsy, and progressive neurological deficit, died from aspiration pneumonia. She was admitted with status epilepticus,…
44y · Male·Influenza B infection
Gary Cramer, a 44-year-old man with cerebral palsy and intellectual disability, was admitted to Monash Medical Centre with hypotension, productive cough, and biba…
48y · Female·Combined effects of cardiac hypertrophy, chronic obstructive pulmonary disease a…
…8-year-old woman with chronic schizo-affective disorder, end-stage renal failure, COPD, cardiac hypertrophy and obesity, died from combined natural causes while under assessment order in psychiatric care. She presented …
41y · Male·multi-organ failure due to severe lactic acidosis due to metformin toxicity
A 41-year-old man with depression, anxiety, and substance abuse history deliberately ingested 390 metformin tablets on 24 December 2009 in a suicide attemp…
26y · Male·Upper cervical spinal cord injury
…Jetty into shallow water on New Year's Day 2008. He was transferred to ICU where he required mechanical ventilation. After being informed of his dire prognosis (permanent ventilator dependence and institutional care), a…
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