Nagpur: Anand (name changes) Fifteen years conscious after remaining on mechanical ventilator support for 107 days in the Medical College and Hospital (GMC).
He was released by the ventilator and moved to a general ward of the ICU from the Medical Department on November 12.
“He retains oxygen 2 liters and will gradually be made to breathe himself,” said Associate Professor Dr.
Milind Vyawahare, who led the team.
Dr.
Prashant Patil, Head of the Department, said this was one of the many success stories from the Ministry of Medicine.
“We work tirelessly with limited resources,” he said.
This team consists of Dr.
Vyawahare (ICU in-Charge), Dr.
Archana Aher, Dr.
Abhishek Pande, Dr.
Riya Saboo, Dr.
Shristan Khandelwal, Dr.
Suraj Hiwarkar, Dr.
Saurabh Meshram, Dr.
Tushar Khadase, Dr.
Pooja Borlepawar, Dr.
Pradnya Gavit, DR Pradnya, Dr.
Prad, Dr.
Saurabh Sharma, Dr.
Healthy Bharsad and Sister In-Charge Geeta Kannake.
Gadchiroli’s Anand where he was treated at a local hospital after a fever due to the drug reaction given to the treatment of epilepsy in July.
His fever released control and he developed a blister all over his body, besides shortness of breath.
He shifted to GMCH on July 29.
“He was leased when his skin disappeared because of the merger of blisters.
This is called Stevens Johnson Syndrome (SJS) / Toxic Epidermal Necrolysis (ten, skin disorders) overlapping.
He also has mucosal lesions (in the mouth),” said Dr Vyawahare.
Since the skin, which protects from external organisms, peeled, it changes the source of the entry for organisms that lead to infection (sepsis).
“Anand developed the sepsis that caused multiors’ failure.
The lungs were affected because of Ards (acute respiratory distress syndrome).
He could not breathe when the lungs were swollen.
His kidney was injured and BP was low,” said Dr.
Vyawahare.
Anand also has thrombosis on the cereber venous sinus.
He experienced continuous seizures.
“Anti-conculsion drugs may have worsened SJS.
So, we have limitations.
We manage it on controlled ventilators and sepsis, ards, convulsions, and kidney function,” he said.
Dr.
Vyawahare said that before this, they had provided prolonged ventilation support for multiorgan dysfunction patients almost up to 5 months but those patients could not be saved and died.
“This time, we saved this patient and managed to wean it from the ventilator after 107 days with the normal functional function,” he added.
On a ventilator for 107 days, the GMCH document saves the patient’s multiorgan failure
