Monday, June 8, 2020

India's first Covid-19 patient on ECMO support for 12 days defeats virus


Although she did not have any co-morbidity, doctors feel her obesity could be a reason behind her severe condition.


A 24-year-old highly obese woman claimed to have become the first coronavirus patient in the country to defeat Covid-19 and survive after being put on Extracorporeal Membrane Oxygenation (ECMO) support for the past 12 days, sources in the private hospital that treated her said on Monday.

It is not always possible to clinically manage respiratory distress in Covid-19 patients with ventilator support and ECMO is the last option for them, an official of the hospital said adding that three coronavirus infected persons in New Delhi and Chennai, who were put on ECMO, did not survive.

The woman, who is from Kolkata's Kalighat area and weighs around 100 kilogram, got admitted to the hospital on May 17 with high fever and severe breathing distress, a senior official of the facility said.

"When she was first brought to the emergency department at the AMRI, Dhakuria, doctors noted that her oxygen saturation had gone down to 34 per cent, causing serious concern," he said.

Although she did not have any co-morbidity, doctors feel her obesity could be a reason behind her severe condition.

"She was suffering from high fever and sore throat since May 10. Though her fever subsided but it again shot up and she started having severe respiratory distress. She was put on ventilation, and the next day she was put on ECMO support after her condition started deteriorating," the official said.

"She came out of both ECMO and ventilator and her survival is an important step in clinical management of COVID-19," ECMO specialist at AMRI Hospital Dr Soham Majumdar said, pointing out that two patients at the AIIMS, New Delhi, and another patient at a private hospital in Chennai, who were put on ECMO support, succumbed to the virus within a few days.

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