On the afternoon of June 15, the medical team at the 101-bed Intensive Care Center located at the Psychiatric Hospital (Bac Giang) conducted ECMO (artificial cardiopulmonary bypass) for a 37-year-old female patient.
According to information from the largest intensive care center in the North, female patient HTH (37 years old) admitted to Bac Giang Lung Hospital on May 26 received oxygen, but her disease progress was not good. On May 28, the patient was given HFNC breathing. On June 2, the patient was intubated with mechanical ventilation, osiris dialysis, and used antibiotics. At 20:00 on June 14, the patient was transferred to the 101-bed ICU Intensive Care Center and continued to receive mechanical ventilation, dialysis, and vasopressor use. However, the state of right heart failure is very severe, must use high-dose vasopressors, diffuse bilateral lung damage, does not respond to optimal medical treatment. Therefore, at 4 pm on June 15, the patient was assigned to conduct ECMO placement. As the person who directly treats the patient, Doctor Nguyen Tan Hung – Deputy Head of the Intensive Care and Anti-Poison Department (Da Nang Hospital) – Head of the Da Nang Medical Delegation at Bac Giang Hospital said: “After placing ECMO , the patient was able to stop vasopressors and improve the blood oxygenation index. However, the prognosis remains severe because of damage to both the heart and lungs. Previously, on June 12, at the 101-bed ICU Intensive Care Center, ECMO was also placed for NTT patients (67 years old). The patient tested positive for SARS-CoV-2, then was admitted to Bac Giang Lung Hospital for treatment from June 3 with shortness of breath, cough, SpO2 85%, HFNC breathing and dialysis. At 12 o’clock on June 12, the patient was transferred to the 101-bed ICU Center in a very serious condition, unresponsive to HFNC, so he was intubated, mechanically ventilated, but the patient’s lungs were severely damaged and diffused. On both sides, P/F is lower than 60. The patient was ordered by the team of Danang Hospital and friends to place an ECMO on 12/6. With this case, up to now, according to Dr. Nguyen Tan Hung: “The patient is awake, still dependent on ECMO, the lungs are tending to improve, wish all the best for the patient”. It is known that as of the afternoon of June 15, there are 60 patients at the 101-bed ICU Intensive Care Center. In which, the good news is that more than 25 patients have been successfully weaned from HFNC; Eight patients tested negative for SARS-CoV-2 for the first time and two patients had a negative test for SARS-CoV-2 for the second time.