While taking her 8-month-old child to the doctor, the mother suddenly felt tired and had difficulty breathing. She was rushed to the emergency room and fell into critical condition. Her heart stopped for 10 minutes, and doctors had to perform an electric shock 10 times.
On November 4, specialist doctor Pham Thanh Phong, Deputy Director of Can Tho Central General Hospital, said that doctors had just saved a case of myocarditis with complications of cardiogenic shock - multiple organ failure, cardiac arrest for about 10 minutes using ECMO technique (extracorporeal membrane oxygenation).
Previously, female patient NTYN, 26 years old, residing in Vinh Long province, was taking her 8-month-old child to the Can Tho Children's Hospital for a medical examination when she suddenly felt tired and had difficulty breathing. Afterwards, the family took the patient to the local hospital in a critical condition with difficulty breathing, ventricular arrhythmia, and cardiac arrest for about 10 minutes. Immediately, the patient was treated with continuous cardiopulmonary arrest, electric shock 10 times, antiarrhythmic drugs, and quickly transferred to Can Tho Central General Hospital.
After ECMO intervention, the patient was saved and gradually recovered.
Upon admission, the patient was transferred directly to the Intensive Care - Anti-Poison Department with a diagnosis of acute myocarditis complicated by ventricular arrhythmia - cardiogenic shock, cardiac arrest, successfully resuscitated - multiple organ failure.
At the same time, two teams were mobilized to install a temporary pacemaker; at the same time, deploy ECMO-VA (extracorporeal membrane oxygenation) technique for the patient to support the recovery of heart and circulatory function for the patient.
Here, the patient continued to use a ventilator, maintained vasopressors, adjusted acidosis, sedated, received antibiotics, treated arrhythmias, increased myocardial contractility, and performed continuous blood filtration... After 45 minutes of performing the techniques, the patient's arrhythmia and hemodynamics improved significantly.
Due to severe liver failure and biliary obstruction, the patient also received plasma exchange and intensive medical treatment... After the 5th day of ECMO intervention, the patient's condition gradually improved and was successfully discontinued from the ECMO system, was weaned off the ventilator, and had the endotracheal tube removed...
Currently, the patient is awake, responsive, vital signs are stable, heart rate and myocardial contractility have returned to almost normal, and organ tests are gradually stabilizing.
Doctors perform ECMO technique to save the patient
According to specialist 2 Duong Thien Phuoc, Head of the Department of Intensive Care - Anti-Poison, Can Tho Central General Hospital, the patient was fortunately saved first thanks to the initial emergency efforts, safe and timely transfer to another hospital, then the synchronous coordination between specialties, especially the effective implementation of ECMO technique.
According to Dr. Phuoc, ECMO, or extracorporeal life support, is a method of supporting circulation and respiration when the heart or lungs or both cannot function normally. This method helps replace the heart or lungs or both in a short period of time.
Source: https://thanhnien.vn/dua-con-di-kham-benh-nguoi-me-tre-bong-kho-tho-roi-ngung-tim-10-phut-185241104171645355.htm
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