Patient V.H.T (49 years old) was admitted to Thong Nhat Hospital in a state of deep coma, cyanosis, repeated respiratory arrest, with a very high risk of death.
According to the family, the patient has had bronchial asthma for many years, self-purchased sprays for treatment at home. About a week before being hospitalized, the patient had a fever, numbness, and gradually increased shortness of breath but did not go for examination.
On January 9th, the family discovered that the patient was in a coma, calling for help did not respond, so they called for emergency care. When the outpatient emergency room approached, the patient had stopped circulating and breathing, was given intensive resuscitation, intubated and quickly transferred to Thong Nhat Hospital for emergency treatment.
BS.CKII Nguyen Thuy Trang - Head of the Emergency Department, Thong Nhat Hospital said: "At the Emergency Department, the patient continued to have multiple circulatory arrests, severe contractions on both sides of the lungs, very poor ventilation, not responding to the initial intensive respiratory support measures. The patient fell into a state of prolonged respiratory distress, extremely severe prognosis, the risk of death and brain damage after cardiac arrest is very high. However, we have persisted, determined not to let go of the opportunity to live, even the most fragile for the patient.
The patient received mechanical ventilation, combined antibiotics, central venous catheterization, monitoring of invasive hemorrhage, and also considered performing command hypothermia to protect the brain after prolonged circulatory arrest.
After a period of treatment at the Intensive Care - Poison Control Department, the patient gradually showed positive signs. Sensitivity improved significantly, the patient was awake again, successfully removed from the ventilator, no neurological sequelae were recorded. Currently, the patient's health condition is stable, and he was transferred to the Department of Internal Respiratory Medicine for further treatment.
MSc.BS. Vu Trung Hieu - Department of Intensive Care - Poison Control said: "This is a case of circulatory arrest multiple times on the basis of very severe bronchial asthma, with a bad prognosis from the beginning. However, the principle of resuscitation is that if there is still an opportunity, then try. We have closely coordinated from the initial emergency stage to intensive resuscitation, racing every minute to protect the brain, maintain circulation and breathing for the patient.
Doctors of Thong Nhat Hospital recommend that people, especially patients with bronchial asthma and chronic respiratory diseases, should comply with treatment and periodic re-examination as prescribed by doctors; do not arbitrarily buy or abuse drugs without a doctor's prescription. When there are signs of fever, gradually increasing shortness of breath, and sore throats, they need to go to a medical facility early for examination and timely treatment.
