PAT’s & IAP- ICC: Ventilation and ECMO in Pediatric Covid 19 disease -Case Based Discussion (23rd June 2021)

6 replies on “PAT’s & IAP- ICC: Ventilation and ECMO in Pediatric Covid 19 disease -Case Based Discussion (23rd June 2021)”

We understand the basics of iNO effect but one thing is very important that it’s not only improvement after iNo but deterioration after removing iNO is important.
Means you started iNo improvement is partial but after stopping there is rapid deterioration then it becomes important to continue the iNo in these patients.
Same thing happened in this patient as we managed this child with ECMO

Pneumomediastinum will always come along airways bifurcation if it’s alone.
Pneumomediastinum with pneumothorax comes from interstitium and alveoli.
Isolated pneumomediastinum will never come from interstitium and alveoli

As we are talking about Pulmononary Thromboembolism as reason of Hypoxic lung in L type Lung, how Agressive CPR would help to get desired PBF.
Routinely in adults most of the units deferring CPR unless ECMO at standby.
So physiology is complex than we say

What do you think about Pneumothorax & Pneumomediastinum in COVID, Having air leak at minimum pressure.
One hand we are taking about L type compliant hypoxic lung and they are highly prone for Airleak.
Hoe you explain this?

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