27 results for “percutaneous endoscopic gastrostomy insertion”
63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…
…ofound disability from cerebral palsy and encephalitis, died from complications of sedation for PEG tube insertion. She had a congenital polymicrogyria, a significant neurological risk factor for anaesthesia. Following …
69y · Female·peritonitis due to dislodged percutaneous endoscopic gastrostomy (PEG) tube
A 69-year-old woman with pyelonephritis developed peritonitis and died after a percutaneous endoscopic gastrostomy (PEG) tube became dislodged. The tube dislodgement was suspected on 11 December …
76y · Female·Aspiration pneumonia and cholangitis; obstructive jaundice from intraduct tumour…
…tted with obstructive jaundice and sepsis, underwent ERCP procedures for bile duct obstruction and stent insertion. Despite antibiotic therapy and supportive care including transfusion and oxygen therapy, she developed …
54y · Male·Aspiration pneumonia in a man with cerebral palsy, epilepsy and recent PEG inser…
…epilepsy, and severe dysphagia, died from aspiration pneumonia on 15 August 2014, one day after PEG tube insertion at Maroondah Hospital. He had experienced recurrent respiratory infections and malnutrition over several…
11y · Female·Pneumonia complicating cerebral palsy secondary to KCNQ2 developmental and epile…
HD was an 11-year-old girl with severe cerebral palsy, epilepsy, and multiple complex medical conditions including central respiratory depression and recurrent chest infections. She died from pneumonia at home in August …
81y · Female·aspiration pneumonia on a background of severe dysphagia and right hemiplegia
An 81-year-old woman with severe dysphagia and right hemiplegia from previous stroke died of aspiration pneumonia after vomiting while sleeping following PEG feeding. She was subject to guardianship and detention under t…
32y · Female·Aspiration pneumonia with severe cerebral palsy as underlying condition
Ella Hitchen was a 32-year-old woman with severe cerebral palsy, quadraplegia, intellectual disability, vision impairment, epilepsy and dysphagia who died from aspiration pneumonia. She had a PEG tube inserted in 2011 du…
79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…
…cision-making. No preventability issues were identified. Key lessons: careful risk assessment before PEG insertion in aspiration-prone patients, secure tube fixation methods, and clear communication regarding patient wi…
68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…
A 68-year-old woman with oculopharyngeal muscular dystrophy died from sepsis due to peritonitis following dislodgement of a PEG tube inserted on 27 February 2018. She presented to a rural hospital 5.5 hours post-discharg…
13y · Female·Complex congenital heart disease (operated) and sepsis
Belle Bromley, a 13-month-old child with complex congenital heart disease (22q11 deletion syndrome causing pulmonary atresia with ventricular septal defect and major aorta-pulmonary collateral arteries), died from sepsis…
17y · Male·pneumonia and respiratory failure associated with choreoathetoid cerebral palsy
A 17-year-old Indigenous male with severe choreoathetoid cerebral palsy, feeding difficulties, and swallowing dysfunction died of pneumonia and respiratory failure in ICU. He had missed lunch medications (Baclofen and Ga…
68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…
A 68-year-old man with dysphagia and bipolar disorder died from airway obstruction and aspiration pneumonia after choking on a sandwich brought by his wife during a supervised hospital meal. He had been admitted with wor…
52y · Male·end-stage throat cancer
Lincoln Campbell, a 52-year-old Aboriginal man with terminal throat cancer, disappeared from Kununurra Hospital on 24 December 2005 while receiving palliative care. He had a PEG feeding tube, required regular morphine an…
9y · Female·Aspiration pneumonia due to cerebral palsy and seizures
Nine-year-old Aboriginal girl with severe cerebral palsy, cognitive impairment, and seizure disorder died of aspiration pneumonia in ICU following status epilepticus. She had complex medical needs including PEG feeding, …
31y · Female·urosepsis due to acute pyelonephritis
Catherine Joy Davis, a 31-year-old woman with severe lissencephaly, intellectual impairment, epilepsy and cerebral palsy, died from urosepsis due to acute pyelonephritis. She presented to ED with vomiting and constipatio…
2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …
…n) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endoscopic gastrojejunostomy (PEG-J) procedure. Critical failures included: delay in recognising bowel …
56y · Male·Acute bronchopneumonia secondary to locally advanced, poorly differentiated squa…
A 56-year-old Aboriginal man died in custody from bronchopneumonia secondary to metastatic hypopharyngeal squamous cell carcinoma. He first presented with sore throat in February 2014 and was referred to ENT clinic in Ap…
68y · Male·Cerebrovascular disease
John Raymond Ainsworth, a 68-year-old prisoner, died of cerebrovascular disease following a severe stroke on 25 November 2020. He had poorly controlled Type II diabetes, hypertension, and high cholesterol. Prior to his a…
48y · Female·malnutrition in association with sepsis on a background of end stage multiple sc…
A 48-year-old woman with end-stage multiple sclerosis died from malnutrition and sepsis after her husband, her primary carer, failed to provide adequate nutrition via a PEG tube despite receiving training and instruction…
29y · Female·Bronchopneumonia in a woman with brain injury
A 29-year-old Aboriginal woman suffered a motor vehicle collision resulting in severe multi-system injuries requiring multiple surgical interventions. Eleven days after transfer to the trauma ward, she experienced sudden…
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