Pune: “I like playing and eating chocolate,” Prem said, grinning from the ear to ear.
It’s hard to believe that only 10 days ago, a four-year-bubbling player had overcome severe covid pneumonia with acute respiratory pressure syndrome (ARDS) which made him tied to a 45-day invasive ventilator.
The doctor said Prem recovery following a period of mechanical ventilation for so long in all possible first cases in the world.
“Ventilator support 41 days after the severe Covid form is documented in adults.
But this is probably the first case in the world where a child has resisted the adult Covid-Like Ards for 45 days in the support of the ventilator and recovered,” said Dr.
Sagar Lad, Prem’s Treating Doctor and intensive child Jehangir Hospital.
Lad also became a member of the Pediatric Covid task force in Pune.
Prem was received at the hospital on November 11, 2021, and was released to attend complete lung recovery after 67 days on January 18, 2022.
These include 45 days on high-frequency ventilators invasive, advanced version of mechanical ventilation.
“We initially claimed to be a small private hospital in Moshi because fever did not respond to the treatment and chest congestion.
The bed was next to a teenager recovering from post-covid symptoms.
After five days, Prem began panting,” said the boy’s father.
Prem blood oxygen saturation has dropped to 42%, very low oxygen level in the blood indicates severe respiratory pressure.
A patient with blood oxygen saturation below 93% requires oxygen therapy and a very low level in the Prem case requires aggressive care with the support of invasive ventilators.
The family began looking for a children’s ventilator bed in a different hospital and finally found it at Jehangir Hospital.
“Prem landed here with extreme covid-pneumonia.
Tomography tomography score (HRCT) high resolution is 21, indicating the severity of acute covid-penumonia which is rarely seen in children,” Lad said.
He immediately used the support of invasive ventilator but there were not many improvements.
Therefore, a special type of ventilator, called a high frequency invasive ventilator, is used to treat covid pneumonia complications called ARDS.
“Boys have many my courses in the pediatric ICU.
Every day challenging.
He needs high ventilation settings to increase oxygen levels in the blood.
He also has the accumulation of the air around the lungs and requires a tube to suck air out,” Lad said.
Prem is treated with drugs, including steroids and antivirus remedies.
Because of prolonged mechanical ventilation requirements, small holes are made in the throat.
“Technically, it is challenging because the oxygen tends to fall during the procedure (tracheotomy),” said the senior pediatric surgeon of the hospital, Dr.
Dasmit Singh.
Another member of the team who took care of a plum included an infectious disease expert Dr.
Piyush Choudhari and Senior Pediatrician Dr.
Sanjay Bafna.
His condition began to improve and the doctors began to wean him from mechanical ventilation after 45 days of living support in the ventilator.
“Prem now often recalls his visit at the hospital.
We are happy to see him back with his smile and joy,” his father said.
Pune: 4-year-old boys beat Covid-Ards like an adult
