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How Long Will Intubation Take And May I Know The Prognosis Of This Level Of Treatment?
My mother has been suffering from ILD for more than 10 years. She used to regularly take methyl prednisolon and Azathioprin tables in fixed doses as adjusted by specialists at Apollo Hospital in New Delhi. Also underwent an angioplasty of left coronaries in March 2012. Around 40 days ago she developed symptoms of sever respiratory infection and increased hypoxia, the medical doctors prescribed her braod spectrum anibiotic (ceftriaxon) to be taken with her routine drugs. However, her infection and hypoxia not treated and she found weakness in her lower part of her body and became unable to walk. Following this we transfered her from My country (Afghanistan) to Apollo Hospital in India on 20 Nov 2012. In the hospital she was admitted at ICU ward and received the treatment for infection, hypoxia and swelling in her legs and hands. she recovered after some five days and she was about to be shifted to general ward, but the medical doctors requested her further stay at ICR. Following this she got another sever infection (called Aseno Bacter). Then her health condition worsened, although she received new courses of antibiotics. Last night she got sever respiratory distress and then the doctors did intubation of her, now she is under intubation. Could you please kindly let me on the prognosis of this level of treatment and how long it may take that she may need intubation?
Fri, 25 Apr 2014
The condition of the patient is of course serious. About intubation which is life supportive measure that must have been done because of the life theratening hypoxia.
As the patient is known case of ILD ( interstitial lung disease) which itself reduces the diffusion capacity of lung with resultant hypoxia, & the super added infection whcih further deteriorates lung diffusion capacity worsens the situation.
The decision of the extubation ( removing the endotracheal intubation tube ) can only be taken considering multiple parameters such as patients conciousness, her capacity of maintaining Oxygen saturation ( SPO2) , readings of the ABG ( arterial blood gas reports), whcih is some what difficult & cumbersome process to make you understand.
Considering the symptoms provided by you there are 50 - 50 % chances of recovery as wella s deterioration.
But lets hope for the better & expect improvement in her health in a day or two which will lead to extubation. But excact days can not be said at this moment.
As the patient is known case of ILD ( interstitial lung disease) which itself reduces the diffusion capacity of lung with resultant hypoxia, & the super added infection whcih further deteriorates lung diffusion capacity worsens the situation.
The decision of the extubation ( removing the endotracheal intubation tube ) can only be taken considering multiple parameters such as patients conciousness, her capacity of maintaining Oxygen saturation ( SPO2) , readings of the ABG ( arterial blood gas reports), whcih is some what difficult & cumbersome process to make you understand.
Considering the symptoms provided by you there are 50 - 50 % chances of recovery as wella s deterioration.
But lets hope for the better & expect improvement in her health in a day or two which will lead to extubation. But excact days can not be said at this moment.
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