Coronial

265 results for intubation and ventilation

VIChospital2012-07-16

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 …

intensive careanaesthesiaproceduralcommunicationpropofol
VIChospital2025-09-29

Finding into death of Baby M

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-…

obstetricsneonatologyproceduralcommunicationadrenaline
WAhospital2007-06-08

Inquest into the Death of Rasmussen

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…

anaesthesiageneral surgerydiagnosticproceduralatracurium
QLDhospital2008-11-28

McVey, Oliver Steven

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…

neonatologycardiothoracic surgeryproceduralcommunication
VIChospital2012-12-16

Finding into death of Luke Andrew Hyatt

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…

paediatricsintensive care
QLDhospital2022-07-08

R - Non-inquest findings

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…

anaesthesiaintensive carediagnosticproceduralpropofol
VIChospital2025-08-20

Finding into death of Christine Klofa

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 …

general practiceemergency medicineamoxicillin
QLDhospital2005-12-22

Hansen, Anthony Kenneth

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 …

respiratory medicineintensive careaugmentin duo
SAhospital2020-07-16

Coroner's Finding: GRAEFE Phillip Brian

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…

toxicologyemergency medicineparaquat
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 presented to ED mul…

neurologyintensive careclobazam
TAShospital2021-07-02

Coroner's Finding: HB

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…

paediatricsemergency medicinediagnosticcommunicationfluticasone/salmeterol
QLDhospital2006-03-13

Matschoss, Wayne Barry

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…

intensive carerespiratory medicine
NSW2022-03-07

Inquest into the death of Ronald Reeves

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 …

intensive careemergency medicinequetiapine
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
TAShospital2022-03-18

Coroner's Finding: Collis, Mary

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 …

intensive carepsychiatry
VIChospital2019-03-28

Finding into death of Kerri Michelle Moore

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,…

intensive carerespiratory medicine
VIChospital2014-10-01

Finding into death of Gary Jason Cramer

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…

intensive carerespiratory medicineaugmentation
VIChospital2025-07-08

Finding into death of KD

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 …

psychiatryintensive careolanzapine
SAhospital2013-09-03

Coroner's Finding: MUMFORD Michael John

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…

intensive careemergency medicinemetformin
VIChospital2010-06-10

Finding into death of Dale Graham Russ

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…

intensive careneurologymorphine
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