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AIIMS-Bhubaneswar’s ECMO care gives new life to 22-month-old girl

By express news service

Bhubaneswar: The first patient placed on Extracorporeal Membrane Oxygenation (ECMO) at AIIMS-Bhubaneswar has successfully recovered. A 22-month-old girl from Dhenkanal, who was suffering from Pulmonary Alveolar Proteinosis (PAP), a rare lung disease, was discharged from the hospital on Saturday.

The girl, who claimed to be the youngest child in the country to undergo the procedure, had tested positive for COVID-19 along with other family members in June and was cured in the same month.

However, in July he developed fever with difficulty in breathing, for which he was treated at some hospitals in Cuttack and Bhubaneswar. When the condition of the girl did not improve, she was admitted to the pediatric department of AIIMS.

The patient was immediately shifted to the pediatric ICU due to difficulty in breathing with high oxygen requirement. After investigation, he was suspected to be suffering from PAP, in which proteins accumulate in both lungs.

As the only available treatment option for the disease is to clean both the lungs with saline, which is technically challenging in such a sick child, the AIIMS authorities constituted an expert team of doctors to treat the girl.

The team decided to do a complete lung wash by placing the child on ECMO support. “We conducted a bronchoscopy of the girl on August 30 and cleared the protein deposits in her lungs. It took a whole day to finish as the procedure was complicated,” said a doctor who treated her.

After the procedure, the girl’s condition improved dramatically. “We decided to do the same procedure once again on September 13 and it improved his condition. He was discharged with minimal oxygen requirement. He is fine now,” the doctor said.

The team included Professor of Pediatric Surgery Dr Manoj Mohanty, Pediatrician Dr Krishna Mohan Gulla, Dr Rashmi Ranjan Das, Dr Amit Satpathy, Anesthesiologists Dr Satyajit Mishra, Dr Bikram Kishore Behera and Cardio-Thoracic Surgeons Dr Siddhartha Saathiya and Dr Satyapriya Mohanty. Were.

AIIMS Director Prof Geetanjali Batmanbane said that the team did a tremendous job by going through the arduous process to save the girl’s life. AIIMS is the first institute in the state to have a pediatric flexible bronchoscopy facility, which was inaugurated in July. The girl child was given free ECMO treatment.

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