Weaned off ventilator after 2 months of treatment

On November 15, specialist doctor 2 Nguyen Minh Tien, Deputy Director of City Children's Hospital, said that after nearly 2 months of treatment, baby D. was saved thanks to the "dual" V-VA ECMO extracorporeal membrane oxygenation technique.

Medical history revealed that before the day of hospitalization, two brothers T. (5 years old) and D. (3 years old), along with their cousin M. (8 years old), were playing in the backyard when suddenly the wind blew and the beehive on the tree fell down. Wasps flew out and stung the children on the head, face, body, arms, and legs. Family members discovered and took the two children to the local hospital. M. was stung only a few times and managed to escape in time, so her condition is stable.

At the local hospital, the two brothers T. and D. showed signs of drowsiness, hematuria, difficulty breathing, cold hands and feet, and were given emergency treatment, then transferred to the City Children's Hospital. T. was stung 28 times by bees, had severe liver damage, and respiratory failure. He was intubated, ventilated, given intravenous fluids, and received liver support treatment. The children gradually improved, were taken off the ventilator, were alert, and had a good urination.

Baby D. was in the most serious condition: lethargic, cardiovascular collapse, difficulty breathing, cyanosis, jaundice, little urine, hematuria (hemoglobinuria), about 55 bee stings on the head, neck, back, arms, and legs. The baby was intubated to help him breathe, prevent shock, and underwent emergency testing.

The results showed that baby D. had severe lung damage, severe liver failure, severe kidney failure, blood clotting disorder, metabolic acidosis, and hyperkalemia.

Bé trai suy đa tạng do ong đốt được cai máy thở sau 2 tháng điều trị - Ảnh 1. — Child was taken off ventilator after 2 months of treatment

Baby D. was quickly transferred to the Intensive Care Unit and received continuous blood filtration. After two rounds of blood filtration, baby D.'s condition improved, with less jaundice, but then complicated developments, with symptoms of severe respiratory failure, manifestations of severe ARDS, circulatory failure - shock, and increased inflammatory response. Therefore, the doctors decided to place an additional intravenous line to increase blood oxygenation through the oxygen exchange membrane to provide enough oxygen to the tissues (according to the V-VA ECMO method). In addition, the baby was monitored for liver and kidney damage, and inflammatory response combined with adsorption and continuous blood filtration.

After nearly 2 months, baby D. gradually recovered, improved consciousness, improved breathing, circulation, improved liver and kidney function, the child was weaned off ECMO, ventilator, breathing fresh air, and urinating well...

Quick view 12:00 on November 15: Panorama news

Dr. Tien said that the wasp family (smooth hair) includes hornets, wasps, and yellow jackets. This group has a smooth, barbless stinger that can sting multiple times. Wasps are insectivores and spider larvae eaters. Only worker bees sting humans and animals in self-defense when their nests are disturbed or threatened. Wasps are attracted to people wearing colorful clothes, wearing perfume, or running away after disturbing their nests.

If stung by a bee, remove the stinger if present by gently picking it out, using tweezers to remove it, avoid squeezing it with your hands as this can spread the venom; wash the stung area with soap and warm water; apply a cold compress to the bite to relieve pain and reduce swelling; take the victim to a medical facility if hives, fatigue, cold hands and feet, red urine, little urine, or more than 10 wasp stings occur.

"Prevent bee stings by avoiding wearing brightly colored clothes when going on excursions in the countryside or in the forest, avoid climbing to pick fruit as you may have accidents due to falling and bee attacks due to accidentally or intentionally disturbing the beehive, and control and clear beehives around the house and in the garden," Dr. Tien recommends.

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