Aa
A
A
Close
Avatar universal
Post MV replacement ventilator dependence
85 yr old female. MV replacement 2002. On and off admissions for dyspnoea. Investigated for weight loss for the last six months. All negative.This admission with ?CAP. Fluid restricted in the ward went in for renal impairment and respiratory failure. Required ventilation and CRRT. ECHO transthoracic dilated left atrium smalll welll contracting ventricle LV. NO pulmonary HT and RV normal. ON CPAP5 with FiO2 0.3 Pressure support of 12. Tracheostomy because of failure to come offf the ventilator. ON Carvedilol,Nepro  feeds because her Urea goes upto 26mmols when she is not on CRRT for 3 days. At present HR 80s,MAP around 65. Bronchoscopy Normal. CT abdomen normal.
Every time tried for spontaneous breathing becomes tachypneic and hypercarbic and hypoxic. On ventilator with above support very comfortable. But for the Urea rise every 3-4 days requiring one day of CRRT all parameters normal.
Is she having Restenosis. Could it be Ottner's syndrome. TOE is organised but cardiologists feel TTE is OK.Could you help me. Patient is with us for nearly 2 weeks
Cancel
0 Answers
0 Answers
Page 1 of 1
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Blank
BloodPressure Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
17568 tn?1424977159
Blank
Cindy Is DISAPPOINTED!! Where a... Comment
Apr 28
Avatar universal
Blank
Jonreil72 M Comment
Mar 23
1363339 tn?1338774653
Blank
Congestive Heart Failure Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank