5y · Female·Pneumonia as a complication of septo-optic cerebral dysplasia
…5 with respiratory infection and pneumonia. Despite antibiotic therapy, her condition deteriorated with ventilatory failure evident on blood gases. A do-not-resuscitate decision had been made jointly by family and carer…
47y · Male·Pneumonia (1(a)), Motor neurone disease (1(b))
Raymond Cassar, a 47-year-old man with motor neurone disease requiring ventilatory support, died of pneumonia at a disability accommodation service. He had been diagnosed with a chest in…
54y · Female·complications related to post-polio syndrome and chronic respiratory weakness; n…
Gabriele Hannemann, a 54-year-old woman with severe post-polio quadriplegia and chronic respiratory failure, died suddenly at home during consensual sexual activity. She had severely compromised lung function (13%…
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…
33y · Male·Fatal cardiac arrhythmia, secondary to acute kidney injury
Joshua Szczudlo, a 33-year-old man with morbid obesity (estimated weight 195kg), underwent shoulder fracture repair surgery on 17 March 2016 at Liverpool Hospital. He died 38 hours post-operatively from a fatal cardiac a…
5y · Male·Brainstem encephalitis (viral)
…ner found that while the diagnosis of encephalitis was not clinically apparent on presentation, there was failure to recognise progressive deterioration, inadequate escalation of care, delayed intubation, and over-relia…
26y · Male·Upper cervical spinal cord injury
…r psychiatric assessment confirmed his decision-making capacity, he consistently requested cessation of ventilatory support. Medical staff withdrew mechanical ventilation, and he died on 9 January 2008. The coroner foun…
Hypoxic-ischaemic encephalopathy following ventilatory failure/cardiac arrest (R…
…sthetic and post-operative risks and should have been admitted to hospitals with ICU/HDU backup. Critical failures included: inadequate pre-operative anaesthetic assessment, inexperienced and understaffed nursing, lack …
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