Covid-positive 9-month-old saved with ECMO

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Hyderabad: Doctors at KIMS hospitals in Hyderabad saved the life of a nine-month-old child infected with Covid-19 thanks to a successful ECMO.

The Pediatric Intensive Care Team (PICU) led by Nanda Kishore, at KIMS Hospitals, Secunderabad and PICU team at KIMS Cuddles, Kondapur led by Parag Shankarao Dekate successfully performed extracorporeal membrane oxygenation (ECMO)

Shreeyash from Adilabad was brought to KIMS Cuddles with a fever, cough and difficulty breathing which progressed rapidly, requiring admission to intensive care and support from a breathing apparatus (ventilator). His condition continued to deteriorate and was placed on maximum respiratory support (HFOV) and inhaled nitric oxide (iNO).

More younger patients, including children, were severely affected in the second wave of Covid which wreaked havoc across India with increased mortality and morbidity.

According to doctors, Shreeyash from Adilabad was brought to KIMS Cuddles with a fever, cough and difficulty breathing which progressed rapidly, requiring admission to intensive care and a respirator (ventilator). His condition continued to deteriorate and was placed on maximum respiratory support (HFOV) and inhaled nitric oxide (iNO). In addition, the child developed an air leak from the lungs (pneumothorax), which made ventilator therapy more difficult.

“At this point, ECMO support was initiated there and transferred to KIMS Hospitals, Secunderabad for further prosecution. The child was released from ECMO after 12 days and ventilator support after another 3 days. the child is doing well, he is breastfeeding and does not need oxygen. He returned home after a month of hospitalization, “the hospital said on Thursday.

“This is the first ECMO in India for children with Covid-19 disease. Although many children have Covid-19 disease, the majority is asymptomatic to mild disease. , only a minority of children needing hospitalization and intensive care treatment. Among children requiring intensive care very few worsen to the point of needing ECMO. It is also considered in post-Covid-19 multisystem inflammatory syndrome (MIS-C) which is mainly seen in children with poor heart function, ”said Nanda Kishore.

ECMO can be used in any disease where lung or heart function is worse or conventional modes of treatment have failed. ECMO is not considered first-line treatment due to the inherent complications associated with it, but should be initiated early when indicated, added Nanda Kishore.

PICU in KIMS hospitals, Secunderabad has been doing ECMO for children since 2013 with good results and has made maximum number in Telugu states. Now we have added the newest and fully equipped ECMO facility for children with experienced doctors at KIMS Cuddles, Kondapur.

Senior Physicians including Kishore, Consultant Pediatric Intensivist, Parag Shankarrao Dekate, Consultant Pediatric Intensivist, Sandeep Janardhan, Consultant, Cardiothoracic Surgeon, Nisarg, Senior Consultant Cardiothoracic Surgeon, Pediatric Cardiac Anesthesiologist Nagarajan and Kiran Kumar, Consultant Pediatric Pulmonologist and Intensivist the pediatric intensivist. procedure to be successful.



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