Calcutta: A young woman who spent 100 days on ventilation and won her battle with serious health complications at RG Kar Medical College and Hospital is about to return home without the many tubes and catheters that were part of her system for more than three months.
Moumita Mali, 34, however, was not infected with the Covid but had a miscarriage at home which resulted in serious complications forcing her to resort to resuscitation. Bhadrakhali’s housewife was rushed to the obstetrics and gynecology department on March 11 with abdominal pain and vaginal bleeding. She had a history of spontaneous abortion. Doctors on the ward immediately performed a CPR (evacuation of retained conception products) under general anesthesia, a procedure to remove pregnancy tissue from the uterus after a miscarriage.
Further evaluation revealed that the patient was then severely infected (sepsis) and presented with multiple organ dysfunctions, including acute renal failure. Doctors also discovered that she was suffering from severe pneumonia, causing acute respiratory failure. Mali was transferred to the hospital’s intensive care unit (USC) and was put on a ventilator on March 11 himself.
“She started to recover from kidney failure after 13 dialysis sessions. But ventilation had to be continued due to problems with intratracheal bleeding due to the formation of granulation tissue in the trachea and unresolved pneumonia, ”said Professor Sugata Dasgupta, CCU physician, who heads the CCU .
Due to the patient’s complex condition, apart from the CCU team led by Dasgupta and the gynecology-obstetrics team led by gynecologist Aparna Mondal, the treatment required the involvement of an ENT team led by Indranath Kundu and the anesthesiologist Rajib Ganguly.
Repeated endoscopic and open ENT surgeries were performed under ventilation to manage the tracheal problem (granulation tissue and bleeding) and the tracheostomy problems. The patient had also developed deep vein thrombosis in the legs which complicated the problems of anticoagulant therapy because at the same time there were problems with bleeding from the trachea (airways).
Ventilation continued while the patient underwent repeated imaging, multiple ENT surgeries, and management of repeated secondary infections caused by prolonged ventilation. The perseverance of the medical team finally brought cheers. Doctors began the procedure of gradually removing her from the ventilation and tracheostomy on June 21.
“I had lost hope. The doctors, especially Saugata Dasgupta and her team at CCU, were very patient and went out of their way to get my wife back to me. I am in debt, ”said her husband Abhijit Mali, a fish seller.