Coronial

303 results for ventilation failure

VIChome2023-06-26

Finding into death of R M

88y · Female·Carbon monoxide toxicity

…ad installed a portable gas-powered fridge (manufactured 1993) in the rear of her van using a makeshift ventilation system through a window. During an overnight stay at a campground, the fridge was operating with the ve…

systemoxycodone
NSW2011-07-28

Dani jinesh

29y · Male·carbon monoxide poisoning

…umidity and pool chemicals, and gaps in the external wall allowing gas infiltration into the mechanical ventilation system. A resident had collapsed from suspected CO poisoning three days prior, suggesting chronic hazar…

system
NSW1980-12-19

Inquest into the deaths from the Appin Mine Disaster

Unknown·Explosion injuries and carbon monoxide poisoning from methane gas ignition in un…

… the explosion resulted from ignition of methane gas in an unventilated B heading stub during a planned ventilation system changeover. Contributing factors included: inadequate communication of changeover procedures to …

communicationsystem
VIChospital2012-12-16

Finding into death of Luke Andrew Hyatt

6y · Male·Acute on chronic respiratory failure in the setting of hypotonic quadriplegic ce…

…hronic lung disease, and cardiac arrhythmia requiring a pacemaker, died from acute on chronic respiratory failure following a respiratory infection. He was admitted to Royal Children's Hospital in November 2012, requiri…

paediatricsintensive care
SAhospital2021-06-30

Coroner's Finding: MAZMANIDIS Kiriakos Jack

83y · Male·respiratory failure due to chronic obstructive lung disease

…y disease, suspected mesothelioma, and recurrent respiratory infections presented with type 2 respiratory failure and delirium secondary to hypoxia and lower respiratory tract infection. He was appropriately managed wit…

respiratory medicineintensive carehaloperidol
VIChospital2015-07-30

Finding into death of Martin Robert Beaty

52y · Male·Community acquired pneumonia in a man with myotonic dystrophy

…ith mild pneumonia diagnosis but returned two days later with respiratory acidosis and type 2 respiratory failure. Non-invasive ventilation was commenced, but his condition deteriorated. Clinical assessment determined h…

emergency medicinerespiratory medicinedigoxin
VIChospital2025-09-29

Finding into death of Baby M

0y · Female·Perinatal asphyxia

…ior registrar, then successful intubation by the consultant at 15 minutes of life but without effective ventilation achievement. Clinical lessons include: escalation to senior staff could have been marginally earlier (c…

obstetricsneonatologyproceduralcommunicationadrenaline
TAShome2023-10-25

Coroner's Finding: de-identified IY

54y · Male·Acute exacerbation of chronic obstructive pulmonary disease due to inhalation of…

…ive equipment despite warnings on paint containers and advice from his spouse. The shed lacked adequate ventilation. Death resulted from hypoxaemia and respiratory failure, with cardiac dysrhythmias secondary to hypoxia…

respiratory medicinecardiologytramadol
VIChospital2025-12-01

Finding into death of Larelle Sheridan Dean

51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…

…51-year-old woman with WHO Class III obesity, chronic alcohol consumption, and anaemia died of multiorgan failure following admission with community-acquired pneumonia and respiratory failure. She presented with abdomin…

general medicineemergency medicinehydromorphone
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
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
VIChomePodcast2018-08-22

Finding into death of Sonia Sofianopoulos

62y · Female·carbon monoxide toxicity

…city on 21 July 2017. A 25-year-old Vulcan OFG (open flued gas) heater in a sealed unit with inadequate ventilation spilled high levels of carbon monoxide into her home when bathroom and kitchen exhaust fans were operat…

forensic medicinetoxicologysystemdelay
VIChome2016-04-01

Finding into death of Michelle Lorraine Griffin

48y · Female·Acute respiratory failure (cerebral hypoxia) in a woman dependent on non-invasiv…

Michelle Griffin, 48, with motor neurone disease, died from acute respiratory failure while dependent on non-invasive ventilation (NIV) at home. A carer, Julie Manessis, was caring for her wh…

respiratory medicineneurologycommunicationsystemmorphine
WAhospital2007-06-08

Inquest into the Death of Rasmussen

31y · Female·cerebral anoxia following attempted intubation pre-surgery in a woman with torti…

…hetist, administered the intermediate-acting muscle relaxant Atracurium without first establishing that ventilation was possible—a fundamental breach of anaesthetic protocol. Despite his pre-operative assessment noting …

anaesthesiageneral surgerydiagnosticproceduralatracurium
VIChome2013-07-30

Finding into death of Tyler Robinson

6y · Male·Carbon monoxide poisoning

…ete combustion and dangerously high CO emissions (exceeding 3000 ppm). The sealed house lacked adequate ventilation, and operation of multiple extractor fans created negative pressure that reversed the flue operation, d…

systemdelay
SAhospital2008-11-13

Coroner's Finding: WILSON Edward James

29y · Male·air embolus complicating gunshot wounds to chest

…enetration) that had created a defect allowing air entry into pulmonary vessels under positive pressure ventilation. Air embolus occurred in the coronary arteries, causing left ventricular dysfunction. The coroner found…

trauma surgeryintensive care
VIChospital2014-10-01

Finding into death of Gary Jason Cramer

44y · Male·Influenza B infection

… on 16L O2) and was transferred to ICU where he was started on intravenous antibiotics and non-invasive ventilation. A nasopharyngeal aspirate confirmed Influenza B. After discussion with family, a decision was made aga…

intensive carerespiratory medicineaugmentation
VIChospital2012-07-16

Finding into death of Ruben Chand

42y · Male·Hypoxic encephalopathy in the setting of recent acute myocardial infarction with…

…intubation. The procedure was complicated by a poor airway view (Grade 2B-3), inadequate pre-oxygenation, failure to use a bougie despite difficulty, lack of capnography confirmation, and critically, absence of manual b…

intensive careanaesthesiaproceduralcommunicationpropofol
VIChospital2019-04-05

Finding into death of Richard Alan Jones

68y · Male·exacerbation of congestive cardiac failure and aspiration pneumonia on a backgro…

…alsy, intellectual disability, epilepsy, and cardiac disease, presented to Austin Hospital in respiratory failure from congestive cardiac failure exacerbation and aspiration pneumonia. Upon admission, he received intrav…

cardiologyemergency medicinemorphine
VIC2014-06-19

Finding into death of Karl Harrison

69y · Male·Hypoxic ischaemic cerebral injury secondary to respiratory arrest in the setting…

…re to dichloromethane fumes. Working alone in a poorly ventilated basement, he removed his mask and the ventilation fan was unplugged when he collapsed. He had previously survived a similar incident in 2004 where he was…

forensic medicineemergency medicinesystemdelay
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