Advanced lung support system saves Covid patient with brain haemorrhage- The New Indian Express

By Express News Service

KOCHI: After 82 days in hospital, Ram Naresh, 34, was on Wednesday  discharged after regaining his well being. Seriously ailing with Covid, intracranial bleeding and lung failure (Covid ARDS), Ram was dropped at VPS Lakeshore hospital, Kochi in a severe situation. It was the VV ECMO, a complicated mechanical circulatory support system, that saved his life. 

Naresh, an IT skilled from Andhra Pradesh, was airlifted to Kochi from Thiruvananthapuram on  June  13 this yr, with a number of issues, together with pneumothorax (collapsed lung), pneumopericardium (air across the coronary heart), pneumomediastinum (air within the chest), and brain hemorrhage. 
The patient was beneath remedy for Covid at a first-line remedy centre (FLTC) in Thiruvananthapuram, the place he developed intense breathlessness and pneumonia.

Due to the intense situations, he was shifted to a hospital there. As his situation worsened, he was intubated and placed on ventilator support. He had developed extreme Covid ARDS and couldn’t preserve the blood oxygen stage. As his situation deteriorated, the one choice earlier than the medical staff attending on him was to provoke him on ECMO. Since the ability to provoke the support was unavailable there, a cell ECMO support was transferred there and he was airlifted to VPS Lakeshore. According to the medical staff at Lakeshore hospital, previous to the initiation, the patient had proven signs of brain haemorrhage, which heightened the chance.

“It is a extremely unsure measure to provoke ECMO on a patient who has brain  haemorrhage. Despite the dangers concerned, we went forward and put him on Heparin-free VV ECMO with the consent of his relations. Though it took some time for him to reply to remedy, the patient slowly regained his life and has returned house,” stated Sujith D S, Cardiac Surgeon, VPS Lakeshore Hospital. “VV ECMO or Veno-Venous Extracorporeal Membrane Oxygenation is a support system, which aids lung perform until the organ regains its functionality to work correctly,”  Sujith added. After 56 days, the patient was weaned off of VV ECMO support and stored on the ventilator for one more 15 days. On Wednesday, he obtained discharged.

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