Coronial

28 results for nasogastric feeding tube

VIChospital2023-08-09

Finding into death of Shannon Troy Calvert

51y · Male·Aspiration pneumonia in a man with severe scoliosis and cerebral palsy

…on pneumonia after an aspiration episode. Despite speech pathology assessment, nil-by-mouth status, and nasogastric tube placement, he continued aspirating and deteriorated. The case highlights the challenge of managing…

speech pathologyinfectious diseases
NSWhospital2019-12-13

Inquest into the death of Lorraine BARNES

85y · Female·sepsis, with aspiration pneumonitis being an antecedent cause. Iatrogenic injury…

…rition and electrolyte disturbances after refusing oral intake from hospital day 5 onwards. A fine-bore nasogastric tube was inserted on 30 April 2016 to provide enteral nutrition but was incorrectly positioned in the r…

general medicinerespiratory medicinediagnosticsystemciprofloxacin
VIChospital2024-06-13

Finding into death of Jennifer Rowallan Turnbull

79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…

…icated by COVID-19. She was admitted to hospital in October 2022 with recurrent aspiration pneumonia. A PEG tube was inserted after discussion with family. Following accidental dislodgement during a witnessed roll-out of…

general practicerespiratory medicineoral antibiotics
VIChospital2018-03-08

Finding into death of Lesley Fallon

56y · Female·Aspiration Pneumonia in the setting of Cerebral Palsy and Epilepsy

…athologist appropriately identified aspiration risk and recommended nil oral intake on 24 May. However, nasogastric feeding tube insertion on 29 May precipitated instability. Surgery was deemed too risky given her physi…

infectious diseasesrespiratory medicineantibiotics
VIChospital2024-08-07

Finding into death of Georgios Stamkos

68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…

…ing dysphagia, delirium, and bipolar relapse. Speech pathology had prescribed texture-modified diet and nasogastric feeding due to high aspiration risk. The patient and family repeatedly requested 'normal' food despite …

psychiatryspeech pathologyrisperidone
WAhome2014-12-19

Inquest into the Death of Bethany

5y · Female·Epilepsy in association with Cerebral Palsy

… had multiple medical complexities including microcephaly, developmental delay, unsafe swallow managed by feeding tube, and severe spasticity requiring total care dependency. The coroner found the care provided by her m…

paediatricsneurology
SAhospital2014-11-28

Coroner's Finding: BLAIN Kathleen Olive Florence

79y · Female·acute myocardial infarction and acute pulmonary oedema

…ensive multidisciplinary management including medication trials (mirtazapine, citalopram, venlafaxine), nasogastric and PEG feeding support, and five ECT treatments (preceded by appropriate cardiology and neurology clea…

psychiatrycardiologymirtazapine
TAShospital2022-03-18

Coroner's Finding: Shields, Sandra Mary

63y · Female·sepsis and pneumonia due to immobility with sacral ulcer resulting from schizoph…

…ate medical management including antipsychotic medications, benzodiazepines, electroconvulsive therapy, nasogastric feeding, and a Mental Health Act treatment order, her condition proved resistant to treatment. She beca…

psychiatrygeneral medicineclozapine
VIChospital2011-01-20

Kaseybellastarrgower moyle 453809

0y · Female·Spinal Muscular Atrophy - Type 1

…From April 2009, she received 24-hour inpatient palliative care at Royal Children's Hospital, including nasogastric feeding, suctioning, and morphine analgesia. Her parents resided with her but significant tensions deve…

paediatricspalliative caremorphine
SAhospital2025-05-20

Coroner's Finding: Lane, Kevin Roy

81y · Male·inanition complicating traumatic brain injury and disseminated malignancy

…nging behaviours. A guardianship order was obtained to enable medical care. Despite recommendations for nasogastric feeding, he consistently refused nutrition, stating he was dying and wanted peace. He was transitioned …

neurosurgerygeneral medicine
VICaged care2025-09-10

Finding into death of IWT

77y · Female·Complications of malnutrition in a woman with paranoid delusions

…ment including psychiatric review, medication optimization, dietitian involvement, and consideration of nasogastric feeding, she continued to refuse oral intake. A nasogastric tube was withheld to prioritize her express…

psychiatrygeriatric medicineolanzapine
SAhospital2021-11-23

Coroner's Finding: Osborne, Brian Thomas

89y · Male·combined effects of cerebrovascular accident, pneumonia and chronic cardiac fail…

An 89-year-old man with multiple comorbidities (ischaemic heart disease, diabetes, COPD) presented with chest infection and was admitted for heart failure. He suffered an acute stroke with subsequent delirium and combati…

cardiologyneurologyinsulin
VIChospital2025-04-30

Finding into death of Margaret Ann Day

66y · Female·Ischaemic brainstem stroke

…window. She was admitted to the Stroke Unit, commenced on anticoagulation and supportive care including nasogastric feeding. Despite antiepileptic management, she developed progressive seizure activity and clinical dete…

neurologyemergency medicinelevetiracetam
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

…requiring multiple hospital admissions. At Austin Hospital, a management plan was established declining nasogastric tube reinsertion in favour of comfort measures after the family meeting on 14 August 2013. The coroner …

general medicineemergency medicinecommunicationesomeprazole
VIChospital2024-05-13

Finding into death of Gaye Marie Darby

58y · Female·Aspiration pneumonia

… little reversibility. After discussions with her supportive family, a palliative approach including risk feeding was chosen rather than nasogastric tube feeding or ongoing parenteral antibiotics. She deteriorated over …

geriatric medicinerespiratory medicineceftriaxone
VIChospital2025-09-03

Finding into death of Olivia Alexandra Evans

15y · Female·Paracetamol toxicity in the setting of Anorexia Nervosa

…suring sustained oral eating predict continued food refusal at home; coercive interventions (restraint, nasogastric feeding) require reassessment if escalating; comorbid autism and depression demand earlier formal diagn…

psychiatrypaediatricsdiagnosticsystemparacetamol
VIChospital2015-11-30

Finding into death of Maria Dolores Coliero

69y · Female·Inadvertent intravenous administration of oral ciprofloxacin in the setting of a…

…vertent intravenous administration of crushed oral ciprofloxacin. The antibiotic was prescribed for the nasogastric tube but was drawn into a standard syringe instead of the appropriate amber oral dispenser. During medi…

intensive careinfectious diseasesmedicationproceduralciprofloxacin
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

…0 days of intentional food refusal. Despite appropriate medical and psychiatric interventions including nasogastric feeding, electroconvulsive therapy, and intensive supportive care, he continued refusing oral intake. H…

psychiatrygeneral medicine
NThospital2019-11-22

Inquest into the death of Lebron Douglas Martin

4y · Male·respiratory failure secondary to pneumonia on a background of Niemann Pick Type …

…n removing Lebron, the Department should have ensured continuing family support including assistance with feeding, transport to appointments, and coordination of medical care. This would have enabled Lebron to spend his…

paediatricsneurologysystemcommunicationamoxicillin
NThome2016-06-22

Inquest into the death of Richard Kunia

6y · Male·respiratory failure due to pneumonia

Richard Ted Kunia was a 6-year-old Aboriginal child with multiple serious congenital conditions including cerebral palsy, epilepsy, severe developmental delay, aspiration syndrome, and microcephaly. He was in state care …

paediatricsintensive caremorphine

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