Jul
02
2021
Off
A Patient was admitted on 16th February 2021 with History of fever and shortness of breath in one of our Spoke Tele-ICU units in a peripheral area
Findings on Admission: -
First Line of Treatment
Base Line Investigations
Management Outcome
-
The close coordination and supportive management between the eNextICU Team and the spoke hospital team continued day after day and night after night. After initial stabilization an HRCT chest was done shows bilateral interstitial pneumonia of viral etiology with a CT severity index (10/25). Post intubation cultures sent were negative. Due to aggressive management and collaboration of eNext ICU and spoke ICU Team, vital parameters started stabilizing. With the progressive improvement in arterial blood gases and PO2, Ventilator support and oxygen requirements kept on coming down. After a successful weaning trial, the patient was Extubated to BiPAP (NIV support), on advice from eNext ICU Command Centre, Antibiotics were deescalated and patient continued to be managed on intermittent NIV and Non-Rebreathing Mask. Finally, after a total 3 weeks stay in ICU the patient was shifted to the ward and subsequently got discharged and went back home in a healthy condition with stable vital parameters.
Impact of Tele-ICU on This Management
The core of Tele –ICU is about collaboration, coordination, close monitoring, implementation of a common plan and Follow ups. This case is a testimony to the fact that if all these are followed diligently, good outcomes are a reality. The highlights of the case are as below:
Posted inClinical Case Study
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