Two female Covid-19 patients, including a 37-year-old woman, had to undergo ECMO intervention. Currently, there are 52 very serious cases of Covid-19 in the country.
On the afternoon of June 15, the medical team treating at the 101-bed Intensive Care Center (ICU) located at Psychiatric Hospital (Bac Giang) conducted ECMO (artificial cardiopulmonary) intervention for a patient. 37-year-old female infected with Covid-19 .
Accordingly, female patient HTH (37 years old) was admitted to Bac Giang Lung Hospital on May 26, receiving oxygen, but her disease progress was not good. By May 28, the patient was given HFNC (high-flow oxygen therapy through a nasal cannula). On 2-6, the patient was intubated, mechanical ventilation, dialysis, antibiotics. Treating severe Covid-19 patients in Bac Giang At 8 pm on June 14, the patient was transferred to the ICU Center and continued to receive mechanical ventilation, dialysis, and vasopressor use. However, the development of heart failure was very severe, requiring high-dose vasopressors, bilateral diffuse lung damage, and did not respond to optimal medical treatment. On the afternoon of June 15, the patient was assigned to conduct ECMO placement. As the person who directly treats the patient, Dr. Nguyen Tan Hung – Deputy Head of the Department of Intensive Care and Anti-Poison (Danang Hospital), Head of the Da Nang Medical Delegation in Bac Giang Hospital – said that after placing ECMO, vasopressors were discontinued and the blood oxygenation index improved. However, the prognosis for this 37-year-old female patient with Covid-19 is still severe because of damage to both her heart and lungs. Previously, on June 12, at this 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%, mechanical ventilation and dialysis. Medical facilities are having 117 Covid-19 patients with severe prognosis On June 12, the patient was transferred to the ICU in a very serious condition, unresponsive to the ventilator, so he was intubated, mechanically ventilated, but the patient’s lungs were badly damaged and spread to both sides. The patient was placed by the team of Danang Hospital and medical staff within the same day. According to Dr. Hung, the patient is now awake, still dependent on ECMO, and his lungs are on an improving trend. 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. According to the Treatment Sub-Committee, the National Steering Committee for Covid-19 Prevention and Control, so far, there are 117 Covid-19 patients with severe prognosis in health facilities nationwide, 52 cases with very severe prognosis, and 6 cases with severe prognosis. case is at risk of death. There are 13 cases of ECMO intervention in the whole country, especially in Ho Chi Minh City, there are 4 serious and critical cases requiring ECMO intervention. Assoc. Prof-Dr. Luong Ngoc Khue, Director of the Department of Medical Examination and Treatment Administration, has sent an official dispatch to the Department of Health of Ho Chi Minh City on actively strengthening the management and treatment of Covid-19 cases and daily case reports. . To ensure the best management, care and treatment for patients, the Treatment Subcommittee (National Steering Committee for Covid-19 Prevention and Control), directs medical examination and treatment facilities to focus as much as possible. all resources to prioritize management, treatment and comprehensive care for Covid-19 cases. Line up treatment of cases in accordance with the patient’s condition, closely monitor the progress of each case, organize inter-disciplinary and inter-institutional consultations, consult with the Professional Council of the Ministry of Health through the Center for Disease Control and Prevention. Manage and operate online to support the diagnosis and treatment of Covid-19, the Ministry of Health (when needed) to plan the best treatment for patients.