Vinmec Phu Quoc General Hospital has successfully treated a case of respiratory failure due to delayed pulmonary drainage in infants with surfactant pump therapy using Lisa - the latest method in the world. Despite the difficult conditions on the island, with the consensus of leading neonatal pediatrics experts at Vinmec, the baby patient recovered quickly and was discharged from the hospital early.
On the afternoon of May 20, 2020, Vinmec Phu Quoc International General Hospital welcomed baby Khai Uy, weighing 3,320 grams at birth. However, 1 hour after birth, the baby started showing abnormal signs of being cyanotic, moaning, and chest indrawing. Based on the clinical signs, the doctors determined that the patient had respiratory failure due to delayed clearance of pulmonary fluid. After 24 hours of continuous breathing through a nasal cannula with positive pressure ventilation, the patient's condition still did not improve.
The results of the chest X-ray were not positive. After consultation, the doctors decided that it was necessary to perform a surfactant pump on the patient immediately to avoid causing serious complications. The question then was whether to inject surfactant through the endotracheal tube or to follow the new Lisa method.
If pumping using the old method, the patient would need sedation, intubation and invasive mechanical ventilation, and parenteral feeding. That would expose the baby to a number of risks such as hypotension, decreased cerebral perfusion, pneumothorax, pulmonary bleeding, difficulty digesting breast milk, and enteritis later in life.
However, the Lisa method can solve the above problems. After remote consultation with pediatricians throughout the Vinmec system, the doctors decided to choose to perform a surfactant pump using the new Lisa method. Limited conditions on the island and the fact that Lisa was a new method were two great challenges for the medical team at Vinmec Phu Quoc. However, with the trust of the family and the remote support of Vinmec's leading pediatric experts, the patient was successfully treated.
During the treatment, the patient did not need mechanical ventilation and was able to eat by mouth soon later. After 4 days, the baby was able to enjoy breastfeeding and cry loudly. His respiratory function and circulation all recovered quickly, allowing his health condition to be in a stable state.
The Lisa method to pump surfactant is the most advanced technique in the world. It is difficult to perform, requiring a team of doctors proficient in techniques, full support facilities, and high-quality general care standards. Vinmec Phu Quoc International General Hospital has met all the above rigorous criteria and achieved success beyond expectations.
As a key area of the Vinmec Medical system, the Pediatrics Department is well-invested in personnel, technology, and equipment, to bring the most satisfaction to our patients.
- A team of leading pediatric experts: Experienced professors, associate professors, doctors, and masters, who have worked at major hospitals across the country. They are well-trained at home and abroad and understand child psychology.
- Comprehensive service: Vinmec provides a series of continuous medical examination and treatment services from those for newborns, and young children, to vaccines - all according to international standards to help parents take care of their children's health from birth to adolescence.
- Advanced techniques: Vinmec has successfully deployed many specialized techniques to treat cases of difficult diseases in pediatrics more effectively such as neurosurgery - skull surgery and hematopoietic stem cell transplantation in cancer treatment.
- Professional care: Understanding children's psychology, building a play space for children, helping them feel comfortable and familiarized with the hospital's environment, cooperating in treatment, and improving the efficiency of examination and treatment.
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