Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make an application (PDF, 112.1 KB) to the Court. In some inquests recommendations - external site are made to Ministers and Government and non-government agencies.

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Search results for ‘anaesthetic’

Showing results 1 - 10 of 47 results

Inquest into the death of D H (282.6 KB,PDF File)

Decision of State Coroner Mabbutt

Coronial law, Cause and manner of death, Hospital care and treatment

Inquest into the death of Emiliana OBUSAN (345.4 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - cause and manner of death - endotracheal tube - unrecognised oesophageal intubation - tracheal intubation - provision of anaesthesia care to pae

Inquest into the death of Paul Lau (540.5 KB,PDF File)

Decision of Acting State Coroner O'Sullivan

Coronial law, Cause and manner of death, TrakCare, Electronic medical records, Anaesthetics, Opioids, Fentanyl, Handover practices

Inquest into the death of Heather Winchester (1.8 MB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – elective surgery, informed consent, Jehovah’s witness, documents indicating wishes, documents prepared in USA, unsuitability of documents for NSW

Inquest into death of Lucas PEYRET (216.8 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – unexpected hospital death; Sugammadex; anaphylaxis; appendicectomy; acute appendicitis; Open Disclosure policy

Inquest into the death of Melissa Stokes (356.9 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, unascertained cause of death, pre-surgical anaesthetic assessment, analgesia, post surgical nursing observations

Inquest into the death of Madeline Newcombe (342.9 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, pulmonary thromboembolism within 24 hours Bilateral Total Knee Arthroplasty, Aspirin and mechanical prophylaxis, anti-

Inquest into the death of June Nutter (750.1 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, lymphangitic carcinomatosis, Campbelltown Private Hospital, High Dependency Unit, patient monitoring, Basic Life Support, Advanced Life Support,

Inquest into the death of Dr Beta Vandeville (643.6 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, propofol, fentanyl, midazolam, restricted substances, anaesthetist, Royal Australian College of Obstetricians and Gynaecologists

Inquest into the death of Pauline KESSELL (214.2 KB,PDF File)

Decision of Deputy State Coroner Russell

Coronial law, cause and manner of death, endoscopic pyeloscopy with laser lithotripsy, sepsis, antibiotic administration, clinical review

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