He was transferred to All Children’s hospital that day. At the point he arrived at all children’s hospital he was very sick. He was intubated with nitric oxide inhaled through the ventilator. It was found that this was not working for him they placed him on Extracorporeal membrane oxygenation [ECMO]. He was on extracorporeal membrane oxygenation [ECMO] for a total of 19 hours. He was removed from extracorporeal membrane oxygenation [ECMO] then placed on a ventilator to further his treatment. It was found that he had an occluded BT shunt. He was intubated with a 4mm ETT tube taped at 10cm.
He had no medical history except for his heart defect and surgeries. At the time he was evaluated by me for his treatment. He is 6.4 KG. He had a B/P 110/50, RR 50, HR 114, SpO2 97%, 36.9 degrees C. He had upon auscultation they were course in all lobes. He had good Palpations and percussion.
He had CBG’s done while he was being seen by me. Here they are PH 7.40, CO2 52, PaO2 36, HCO3 29 and BE 6.3. – SIMV / PRVC / PS – rate 30, VT 60, peep 5, 40% and PS of 10. PH 7.36, CO2 55, PaO2 33, HCO3 27.8 and BE 4.6. – SIMV / PRVC / PS – rate 30, VT 60, peep 5, 40% and PS of 10. PH 7.37, CO2 52, PaO2 31, HCO3 27.1 and BE 3.9. – SIMV / PRVC / PS – rate 30, VT 60, peep 5, 40% and PS of 10. PH 7....
... middle of paper ...
...aby. This system provides heart-lung bypass support outside of the baby’s body” [Jobe, 2010]. He was hooked up to the ECMO by the way of the VA [vein and artery].
This will help his heart and lungs heal from the trauma of having the BT shunt occluded. He was only on the ECMO for a total of 19 hours. It really depends on the patient how long they will be on the ECMO. To wean the ECMO they do a trial off period. When off ECMO they are on a conventional ventilator. If they pass the trial off then it will be disconnected from the child. The infant or child will be on the ventilator after ECMO to keep recovering from what they went through.
This was a lot of good information. This child has been through a lot. It looks like he is going to be going through a lot more in the future. He has some big challenges to go through to be able to leave the hospital.
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