Severe respiratory failure fully recovered by cardiopulmonary bypass

 

Doctors of the Intensive Care Unit, Bach Mai Hospital have successfully rescued patients with severe respiratory failure, blood clotting disorders, circulatory failure and acute renal failure.

Doctors of the Intensive Care Unit, Bach Mai Hospital have successfully rescued patients with severe respiratory failure, blood clotting disorders, circulatory failure and acute renal failure. According to doctors, without artificial cardiopulmonary (ECMO) support, the patient's life cannot be saved.

Escaping death thanks to modern technology and youthful strength

The patient is a 21-year-old student at a university in Hanoi. On February 12, 2017, the patient had an attack of hypertension, fatigue, facial erythema and joint pain. The patient is examined and treated at a hospital with a diagnosis of lupus erythematosus. After 1 week, the patient develops additional high fever, increasing shortness of breath, does not respond to oxygen and requires mechanical intubation, continuous dialysis, antibiotics meropenem, moxifloxacin. However, after 3 days the situation did not improve, so it was transferred to the Intensive Care Unit, Bach Mai Hospital.

When transferred to Bach Mai Hospital (on February 25, 2017), the patient was in a very severe respiratory condition (only 70% oxygen despite maximum oxygen), two completely blurred lungs, multiple organ failure such as severe blood clotting disorders, circulatory failure and acute renal failure... Immediately, the patient received cardiopulmonary support (ECMO), in addition to applying other intensive resuscitation measures to patients with multiple organ failure.Bệnh nhân N. được các bác sĩ khám ở giai đoạn hồi phục.

Patient N. is examined by doctors at the stage of recovery.

After intensive treatment, the patient's condition improved, after 5 days of withdrawal from the ECMO system, on the 9th day after entering the ICU, the patient was intubated.

Talking about this case, Dr. Pham The Thach, Intensive Care Unit, Bach Mai Hospital said: To save patients is the effort of a whole team, including doctors, nurses, nurses ... Before the patient moved in, the doctors were informed in advance of this case, consulted with each other over the phone, determined that this was a very severe case of acute respiratory failure but on a young body (youth is a hope for recovery). However, in the face of comatose patients, unmeasured blood pressure, bleeding from the nose and mouth, platelets only 30,000 (normal people are 150,000), abdominal distension, a lot of intra-abdominal fluid..., doctors said: saving patients is not simple, because respiratory failure and multiple organ failure are very severe; Only cardiopulmonary bypass has a chance of saving.

Because the patient is in a coma, doctors have to determine if there is a cerebral hemorrhage (if there is a brain hemorrhage, there will be many consequences such as the lungs can recover but are disabled for life). Fortunately, the patient did not have a cerebral hemorrhage... By 10/3, the patient had fully recovered, the patient was breathing on his own and was able to talk although he was still a little tired. On 23/3, the patient recovered from normal walking and was discharged to the Department of Allergy and Clinical Immunology for further treatment of Lupus erythematosus.

Prevention of respiratory failure during flu season

Dr. Thach said that without artificial cardiopulmonary surgery, 75-100% of cases like patient N. will die. The Intensive Care Unit, Bach Mai Hospital has treated many pneumonia patients, but severe pneumonia with multiple organ failure like patient N. is not many. It is good that from being in an almost "incurable" condition, the patient has recovered, can return to normal life.

Patient N. due to lupus erythematosus should be immunocompromised. Waiting for the patient to fully recover, doctors will transfer the patient to the Department of Clinical Immuno-Allergy for treatment and control of lupus erythematosus.

Dr. Thach warned: It's flu season, so people need to be vigilant. There are many viruses, bacteria that will attack the human body; Some people will recover quickly, but some people will progress to severe, causing respiratory failure, which is very dangerous. As in the case of patient N., the lung scan is white (showing that there is no air entering the lungs to exchange oxygen), the patient seems to be suffocating, organ failure gradually ... When suffering from influenza or pneumonia, patients should pay attention to treatment, go to the hospital immediately if they find difficulty breathing because the body is deprived of oxygen, it will be like a person with suffocation, gradually progressing to multiple organ failure.

Comments

Post a Comment

Popular posts from this blog

Phu Quoc "re-emerges" to welcome visitors with a series of jubilant festivals at the end of the year

Image
  In the period of "hibernation" because of the epidemic, Phu Quoc froze its activities. But no, Pearl Island has reappeared spectacularly with a series of new high-class works and services, welcoming visitors back with a vibrant appearance to "explode" in the year-end festive season. Returning to Phu Quoc these days, clearly see the joy in the eyes of the islanders. Mr. Tran Van Khanh – a taxi driver excitedly told the joy of holding the steering wheel to transport passengers to Pearl Island: "We are vaccinated, now customers come to feel warmer". Phu Quoc is full of life with works at the Vietnamese version of Mediterranean Town complex in the center of An Thoi In 20 minutes moving from the airport to Bai Kem, the taxi driver passionately tells about the island city of Phu Quoc changing day by day with new projects continuously completed, beautiful check-in points like the West, crazy festivals. "Just now the epidemic, although there are no visitors...
Read more

What to do with kids who never sit still?

Image
  Holding the ball for less than 2 seconds, the boy quickly threw it to a corner and climbed on to the chair, next, he jumped down and ran quickly to the potted planter and scattered flowers... Looking at the 6-year-old child, he kept his hands. Without stopping, the mother shook her head in dismay. Let go of this, catch that and be unruly At the Department of Child Psychiatry, Psychiatric Hospital, Ho Chi Minh City Psychiatric Hospital, this is not the only case of attention deficit hyperactivity disorder (ADHD). One day, just one morning, the doctors had Check up to dozens of cases. The baby's expression is the same. Taken to the doctor by his mother, an 11-year-old boy from Tien Giang "messed up" in the doctor's room even though he had just come here for the first time.  The boy refused to sit still, stood up, ran and jumped, played with furniture all over the room, fell to the ground crying when his mother stopped him.  Another child insists on getting the balloon...
Read more

Food allergies - subjectively dangerous

Image
  A food allergy (food allergy) is a condition in which one or certain foods cause an abnormal immune response. That's because the body's immune system mistakenly recognizes certain proteins in food as harmful agents, thereby triggering a series of defense mechanisms (including releasing chemicals like histamine) that cause allergies. How do food allergies occur? Food allergies are more likely to occur in people with allergies (atopic dermatitis, allergic rhinitis, bronchial asthma...). For people with food allergies, even very small amounts of allergenic foods are enough to develop allergic reactions, which can be mild and transient but sometimes cause a serious medical condition, even death. Symptoms of food allergies can be one or more manifestations such as rashes, itching in the skin. Redness usually goes away in a few days. Some cases that can persist for a long time are called atopic dermatitis. Itchy nose and eyes, sneezing and runny nose, there may be symptoms of asthm...
Read more