37 results for “neonatal intensive care”
0y · Male·cardiogenic shock and neonatal encephalopathy
Matthew Hutchinson, born at 1 day of age at Flinders Medical Centre, died from cardiogenic shock and neonatal encephalopathy. While obstetric care was appropriate, neonatal care was significantly deficient. Critical…
0y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…
…opulmonary collateral arteries). She was born at 33+5 weeks with low APGAR scores and required immediate intensive support. Despite appropriate multidisciplinary care including serial cardiac imaging, medical management…
Female·Hypoxic ischaemic encephalopathy following hypovolaemic shock and multi-organ fa…
…arlier recognition might have prolonged circulatory support. The coroner emphasized the need for improved neonatal observation policies with clear vital sign monitoring triggers, staff education in recognizing blood loss…
0y · Male·neonatal encephalopathy due to perinatal compromise
…nfirming severe bilateral brain injury. After detailed discussions with the parents regarding prognosis, intensive care was withdrawn on day 2 of life, transitioning to palliative care. Jaxon died at home 27 days later.…
1y · Female·cystic encephalomalacia
…n syndrome, yet the planned foetal MRI to assess this was never performed. After premature discharge from neonatal care at <36 weeks without documented SIDS counselling or detailed community follow-up, critical clinical …
0y · Unknown·unascertained
… was subsequently managed appropriately with antibiotics, fluids, and retrieval but deteriorated despite intensive care including intubation and ECMO support. Cause of death was unascertained at autopsy. Key preventable…
0y · Female·Methylamphetamine toxicity
… showed mild respiratory distress managed with CPAP, had normal vital signs, and was transferred to special care nursery for monitoring. The acute deterioration at 5 a.m. with respiratory distress, pulmonary haemorrhage,…
Male·Myocardial failure resulting from excessive pulmonary blood flow and consequenti…
One-month-old Liam Woodcock, born extremely prematurely at 27.5 weeks gestation weighing approximately 1 kilogram, died from myocardial failure secondary to excessive pulmonary blood flow in the context of severe congeni…
0y · Male·Scimitar syndrome
…cluding pulmonary hypoplasia, venous obstruction, and severe pulmonary hypertension. The infant received intensive care at Princess Margaret Hospital including cardiac catheterisation and emergency surgery. The coroner …
0y · Female·Severe hypoxic ischemic encephalopathy due to brain injury from complicated assi…
Lucy Margaret Campbell died eight days after birth from severe hypoxic ischemic encephalopathy following complicated assisted vaginal birth at Ingham Hospital. Her mother had a low-risk pregnancy complicated by spontaneo…
0y · Male·meconium aspiration syndrome complicated by persistent pulmonary hypertension
Baby C was born at 41 weeks and 2 days covered in thick meconium with respiratory distress. Key clinical failures included: (1) failure to respond to mother's request for induction at term+6 days; (2) failure to investig…
0y · Female·acute blood loss due to velamentous insertion of the umbilical cord with likely …
…tioned; (3) protocols for alerting key personnel to emergency caesareans must be followed to ensure special care nursery is prepared; and (4) blood gas testing must be prioritized post-delivery to guide management. While…
0y · Female·Persistent pulmonary hypertension in the newborn (PPHN)
Summer Jamsek was born at 4pm on 4 April 2010 with persistent pulmonary hypertension of the newborn (PPHN) and died 5 April 2010 at Royal Children's Hospital. The coroner found Baby Summer died from PPHN but was not sati…
0y · Female·Subdural and subarachnoid haemorrhages due to late onset vitamin K deficiency bl…
A 33-day-old exclusively breastfed baby died from subdural and subarachnoid haemorrhages caused by late-onset vitamin K deficiency bleeding (VKDB). The parents, exercising informed choice based on spiritual beliefs, decl…
2y · Male·Hyaline membrane disease and pneumonia in the setting of pneumothorax
A 2-day-old term infant (2670g, small-for-gestational-age) presented with respiratory distress at 11 hours of life. A capillary blood gas at 1:14pm showed mixed respiratory and metabolic acidosis indicating decompensatio…
0y · Female·Hypoxic ischaemic encephalopathy caused by multiple factors including lung abnor…
… delivery was prolonged but deemed appropriate. Critical gaps included: failure to follow planned antenatal care (elective caesarean not booked at 40 weeks), failure to call a paediatrician to delivery despite guidelines…
0y · Female·Global hypoxic-ischaemic injury of unknown cause
…brain injury. MRI showed changes characteristic of severe acute hypoxia-ischaemia. Despite advanced medical care including therapeutic hypothermia and specialist consultation, the extent of neurological injury was incomp…
Female·Combination of liver failure, blood loss and shock following needle biopsy
Alyssa, a 9-week-old infant, died from hemorrhage following a liver biopsy at Monash Medical Centre. She had persistent jaundice, and biopsy was undertaken to investigate potential biliary atresia. Post-operatively, nurs…
0y · Female·OEIS Complex (Omphalocoele, Exstrophy of Cloaca, Imperforate Anus, Spinal Defect…
…t size, and even if feasible would not achieve continence. The medical team appropriately made a palliative care decision on day 7. The coroner found no preventable issues; the anomalies were random in nature and unrelat…
1y · Male·Hypoxic-ischaemic encephalopathy and multisystem failure in the setting of extre…
… sustaining severe hypoxic-ischaemic injury. The death was multifactorial. The mother had limited antenatal care despite known methamphetamine use during pregnancy, absent child protection notification, and booking failu…
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