SGGPO
On the morning of June 9, at the Pediatric Center of Hue Central Hospital, the health of patient TH (11 years old, Vy Da, Hue City) gradually recovered after being treated by doctors using extracorporeal membrane oxygenation (VA-ECMO).
Previously, patient TH was brought to the Department of Intensive Care - Pediatric Emergency, Hue Central Hospital in a state of pain in the area behind the sternum, electrocardiogram showing ventricular arrhythmia, myocardial ischemia, tests reflecting damaged heart muscle. The patient was diagnosed with fulminant myocarditis, with a very high risk of death. The patient was treated with intensive internal medicine in the direction of fulminant myocarditis and was closely monitored for vital functions.
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Doctors try to save patient TH |
After one day of treatment, the disease progressed more severely, ventricular fibrillation, decreased consciousness, and pulselessness appeared. Doctors performed cardiopulmonary resuscitation, electric shock twice, and used intravenous ventricular antiarrhythmic drugs. The ventricular arrhythmia persisted, and the patient continued to experience shock with low blood pressure, pulselessness, no urine output, and myocardial contractility decreased to 32%.
It was determined that this was a case of cardiogenic shock due to acute myocarditis with ventricular fibrillation, with a 100% risk of death if extracorporeal circulation support was not indicated. Doctors urgently held an interdisciplinary consultation throughout the hospital to come up with the best solution. After the consultation, the patient was immediately treated with extracorporeal membrane oxygenation (VA-ECMO) combined with invasive mechanical ventilation and intensive medical treatment.
After 6 days of treatment, cardiac contractility improved, myocardial injury index decreased, vital function and cardiac function parameters improved, the patient was weaned off VA-ECMO support and mechanical ventilation.
According to Prof. Dr. Pham Nhu Hiep, Director of Hue Central Hospital, this is the first case of ECMO technique being deployed at the hospital's Pediatric Center. Thereby, improving pediatric resuscitation techniques and improving professional capacity, significantly contributing to improving the quality of care and treatment of severe and critical pediatric patients at Hue Central Hospital.
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