Saving the life of a child with acute myocarditis

On June 9, Hue Central Hospital announced that after a week of intensive treatment, doctors saved the life of a child patient TPGH (11 years old, Vy Da Ward, Hue City) with acute myocarditis with cardiogenic shock complications, at high risk of death.

Previously, on the afternoon of May 30, H. was taken to the hospital's Pediatric Intensive Care Unit with pain behind the sternum, myocardial ischemia, and tests showed damage to the heart muscle. Doctors diagnosed H. with acute myocarditis, with a very high risk of death.

Thanks to timely treatment, the patient's health has now stabilized and he can wait to be discharged from the hospital.

Here, this child was treated with intensive internal medicine for acute myocarditis and his vital functions were closely monitored. However, after one day of treatment, the disease progressed more severely, with ventricular fibrillation and decreased consciousness...

Doctors performed cardiopulmonary resuscitation, electric shock, and antiarrhythmic drugs, but the patient continued to experience shock with low blood pressure, no pulse, no urine output, and a severe reduction in heart muscle contractility to 32%.

It was determined that this was a case of cardiogenic shock due to acute myocarditis with ventricular fibrillation, with a high risk of death if extracorporeal circulatory support was not indicated. Doctors urgently held an interdisciplinary consultation throughout the hospital to come up with the most optimal solution.

After the consultation, the doctors immediately performed extracorporeal membrane oxygenation (VA-ECMO) to support circulation, combined with invasive mechanical ventilation and intensive medical treatment for the child.

After 6 days of treatment, H.'s heart contractility function improved, the index reflecting myocardial damage decreased, and vital signs and heart function parameters showed good signals...

As of today (June 9), this child patient is awake, responsive, has pink lips, can eat and drink, has stable blood pressure... and is expected to be discharged early next week.

According to Professor Pham Nhu Hiep, Director of Hue Central Hospital, the VA-ECMO technique was first successfully performed by doctors at the unit in Vietnam in March 2009, mainly in resuscitation for patients with myocarditis and cardiogenic shock after cardiovascular surgery.

To date, this technique has saved the lives of many critically ill patients. This is also the first case of ECMO being deployed at the Pediatric Center, thereby perfecting the technique of resuscitation of pediatric patients and improving professional capacity, contributing significantly to improving the quality of care and treatment of severe and critically ill pediatric patients at Hue Central Hospital.

Source link: https://thanhnien.vn/benh-vien-tu-hue-cuu-song-benh-nhi-bi-viem-co-tim-toi-cap-1852306090946329.htm