10 Vietnamese people donated lungs to save British pilots, medical industry sourced from brain dead

By the morning of May 14, 10 people proposed to donate lungs to save this patient. This is currently the most severe patient COVID-19, who is completely dependent on ECMO (artificial heart lung).

Emergency department - active resuscitation against adults at Hospital for Tropical Diseases, where patient 91 is being treated - Photo: XUAN MAI

Today 12-5 is the second time in 3 days, leading doctors in organ transplant industry, intensive and respiratory treatment for the whole North, Central and South have consulted to find treatment for pilot patients. brother.

This is a very difficult case, the patient had difficulty breathing, had little food since the first days of hospital admission, was young (43 years old) but weighed up to 100 kg and belonged to the group at risk of complications.

Currently, the patient's lungs have almost completely frozen, the chance of recovering 2 lungs is very low. In this situation, a week ago, the professional board of the Ministry of Health proposed a lung transplant for the patient.

"The opinion of the professional council, the members of the consultation is still slapping water, not because of keeping the number of 0 deaths in this COVID-19 epidemic in Vietnam" - a member of the group experts participating in the consultation said.

Results of CT lung scan of patient 91 - British pilot showed that all 2 lungs were solidified with fibrosis, only about 10% of the lung was still active. With this condition, the patient will die if ECMO is terminated (oxygenation of blood through the outer membrane of the body, heart-lung replacement device), so the only way to save the patient is a lung transplant.

Mr. NGUYEN VAN VAN CHAU (Director of Ho Chi Minh City Hospital for Tropical Diseases)

Save people to the end because of professional conscience

"Information so far indicates that UK authorities have found the patient's aunt, unmarried and unmarried (for unknown reasons, or possibly no longer parents. ).

During the conference on May 12, the Ministry of Health contacted the airline and the airline also said that British pilots flew for the airline through an aviation manpower coordination company, not the pilot. company "- a representative of the Ministry of Health said, according to a reliable source, this British patient is orphaned and unmarried.

The patient was the deadliest patient, the lungs were almost clumped, tested negative but sometimes positive for COVID-19 (the last test result was negative), sometimes there was a blood clotting disorder that required replacement. The dialyzer has many times, not responding to the existing blood clotting disorder drugs, the hospital must import drugs from abroad for treatment and in the near future only the lung transplant option for the patient is the last hope.

Sources from brain dead people or relatives

Representative of the National Center for Organ Transplant Donation Coordination - the unit assigned by the Ministry of Health to participate as the focal point of transplant for patients tells the story of two Vietnamese people calling the center, ready to donate a part Your lungs for British aviators.

One of the two, a veteran in the Central Highlands, called the center twice to request this wish. And the other is a woman who has participated in many volunteer work, calling to the center to express her willingness to donate a part of a lung.

"We are very touched by the sincere request of these two volunteers, but under the current conditions, we cannot accept donated lungs from living donors, especially elderly veterans. is being searched from brain dead people. A few days ago there was such a donor lung, but the lung donor also had an infection, so it could not be as expected "- this representative said.

Doctors are still preparing the necessary conditions to be able to transplant the patient's lungs. Specifically, treatment to ensure corona virus negative, will transfer the patient to Cho Ray Hospital. When finding a donor lung suitable for the patient in terms of biochemistry, immunology, and lung size, the patient will be given a lung transplant by specialists from Viet Duc Hospital and many other hospitals at Cho Ray Hospital.

Symptoms of acute pneumonia from corona virus - Source: WHO Graphics: TUAN ANH

Patient 91's lungs were only 10% functional

According to information from the Hospital for Tropical Diseases of Ho Chi Minh City on May 13, CT lung scan results showed that patient 91 - British pilot had frozen fibrosis all 2 lungs, only 10% of the lung was still active. moving. The pleural drainage duct was yellowish, slightly pinkish, and no other bleeding was recorded. The patient is currently lying still, using sedatives.

The patient continued to ventilate and was tracheotomy on day 20, using ECMO machine until day 38, dialysis, use of antibiotics, antifungal, pleural flushing, poor prognosis. Before that, through the online consultation with the Ministry of Health, patient 91 had a lung transplantation indication. When the patient clears the virus, they will be transferred to Cho Ray Hospital to prepare for a lung transplant.

A leader of Cho Ray Hospital said that the direction of transferring patient 91 to Cho Ray Hospital is a direction of treatment for this patient. However, up to now, the patient is still being treated at Hospital for Tropical Diseases.

Patient 91, living in District 2, from March 13 to 18, staying in Ho Chi Minh City, has a number of dining and entertainment venues, including the Buddha bar in District 2. On March 17, the patient had a fever, cough. On the afternoon of March 18, the patient went to the Hospital for Tropical Diseases of Ho Chi Minh City to examine and was confirmed positive for COVID-19 and monitored and treated at this hospital.

The Ministry of Health of Vietnam invited the best doctors to do their best, "still slapping" to save a patient in a difficult and very critical period. Hopefully the British pilot - Patient 91 - will be safely back in the cockpit and the sky.

According to experts, if there is no lung transplant, there is no longer effective treatment. A lung transplant is your last chance. Lungs here can be from a brain dead donor or a living donor (must be a relative of the patient).

Evaluation of the effectiveness of the COVID-19 vaccine in Vietnam

According to Mr. Do Tuan Dat - Director of Vaccine and Biological Products One Member Company Limited, the Ministry of Health, today May 14, the company's COVID-19 vaccine research team will take a sample of mouse blood that has been vaccinated against COVID. -19 more than 2 weeks ago to transfer the National Institute of Hygiene and Epidemiology research on the effectiveness of antibodies to virus after injection.

There were 50 experimental mice that were vaccinated on April 26, now all of these mice are healthy, initially evaluated as safe vaccines. After taking blood samples, mice studying the antibody-producing efficacy will be able to further evaluate the preventive efficacy index of the vaccine.

By the end of this May, the team will continue to inject another batch of 30 mice to probe the vaccine. Currently, there are about 80 vaccine researchers around the world are testing vaccines at the same period as Vietnam, with 8 manufacturers conducting human trials.

LINEN

Patient 278 continued to breathe oxygen

On May 14, patient 278 (female, 50 years old) had an increase in lung X-ray results after 3 days from General Hospital of Bac Lieu province to the Hospital for Tropical Diseases of Ho Chi Minh City for treatment.

The patient is awake, has normal activities, has a cough, has no fever, pulse, normal blood pressure, and continues to breathe oxygen in the nose. Test for corona virus on May 12 showed positive results. Previously, due to pneumonia and respiratory failure, patient 278 was transferred to Hospital for Tropical Diseases of Bac Lieu Province by the General Hospital of Bac Lieu Province. In the morning of May 11, patient 278 had a lot of cough, high fever of 39oC, stable pulse and blood pressure. The patient was isolated for treatment, with nasal oxygen five times / minute.

Patient 278 was one of 17 patients returning home from Europe on a civil protection flight on March 3.

XUAN MAI

Source: tuoitre.vn

https://tuoitre.vn/10-nguoi-dan-viet-nam-hien-phoi-cuu-phi-cong-anh-nganh-y-tim-nguon-tu-nguoi-chet-nao-20200513214519451.htm