{"id":15505,"date":"2019-05-07T15:58:28","date_gmt":"2019-05-07T15:58:28","guid":{"rendered":"http:\/\/faceinews.com\/?p=15505"},"modified":"2019-05-07T15:58:28","modified_gmt":"2019-05-07T15:58:28","slug":"complex-icu-liver-support-therapy-at-apollo-childrens-hospitals-saved-a-three-year-old-from-fulminant-liver-failure-without-a-transplant","status":"publish","type":"post","link":"https:\/\/www.faceinews.com\/?p=15505","title":{"rendered":"Complex ICU Liver-support therapy at Apollo Children\u2019s Hospitals Saved a Three-Year-Old from Fulminant Liver Failure without a transplant"},"content":{"rendered":"

\"VJ__9216<\/a><\/h1>\n

\u00a0\"Faceinews<\/a><\/p>\n

While Liver transplant remains as the epitome of the many momentous ways that can guarantee survival in a patient with liver failure, Specialist at Apollo Children\u2019s Hospitals, Chennai saved a three-year-old boy, Radhesh from Fulminant Liver Failure without a liver transplant.<\/p>\n

\u00a0Children with sudden catastrophic liver failure (also called fulminant liver failure) do not have enough time to wait for a favorable donor. In most of the cases, they suffer from malignant brain swelling, torrential bleeding, or galloping infections. If a liver transplant is not performed within the stipulated time gap of a day or two patients might lose their life waiting for a suitable liver for transplantation.<\/p>\n

Recently, Three-year-old Radhesh developed a sudden fever, which almost took his life. Hailing from a middle class background his parents were distressed by their son\u2019s deteriorating health.\u00a0\u00a0When he was brought to Apollo Children\u2019s Hospital Emergency Room for treatment,Dr Priyavarthini, Senior Consultant in the PICU ,\u00a0<\/strong>diagnosed him with Fulminant Liver Failure.<\/p>\n

Dr Suchitra Ranjit, Senior Consultant, Chief of Pediatric ICU<\/strong>,\u00a0Dr Vasanth Kumar, Dr Priyavarthini and Dr Rajeswari<\/strong>N\u00a0and team of doctors at Apollo Children\u2019s Hospital were worried for his life and sought the advice of the liver-transport team and he was listed for emergency liver transplant. Meanwhile, the team decided to try out all possible ways to bring back the child\u2019s condition to normalcy. The child was under the complex ICU Liver-Support Therapy that serves mainly as a bridge to support life until a liver transplant is completed. The ICU Liver Support Therapy supports the entire body-system and perform the functions of the liver until the liver is totally recovered.<\/p>\n

The liver transplant team including\u00a0Dr Elankumaran, Liver Transplant Surgeon, Apollo Children’s Hospitals\u00a0<\/strong>screened the patient\u2019s parents and family members to enable a living donor transplant, unfortunately, none had a suitable liver.<\/p>\n

Speaking about the case\u00a0Dr Suchitra Ranjit, Senior Consultant, Chief of Pediatric ICU<\/strong>, Apollo Children\u2019s Hospital, said,\u00a0\u201cWithin 24hrs, he worsened further and his life was in a delicate balance. Liver failure has detrimental effects on many important organs, including the brain, kidney, circulation, and blood clotting: he quickly became deeply comatose with a dangerously swollen brain on CT scan, his urine output stopped, and his blood clotting mechanisms failed with very high risk of hemorrhage. We were worried that he would lose his life waiting for a suitable liver, and he was listed for a super-urgent cadaveric liver transplant so that the first available O+ liver in the whole of Tamil Nadu would be rushed for Radhesh. The patient\u2019s story went viral on a Crowd-funding site and sufficient money was gathered for the procedure, while the patient was still awaiting the organ.\u201d<\/p>\n

She also added,\u00a0\u201cOur aim was to sustain Radhesh until a liver was made available. We placed him on complete life-support utilizing the same high-end technology that is available in the best liver-units across the world. He was ventilated, placed on chemically-induced coma, and provided Continuous Renal Replacement Therapy (CRRT\u00a0\u2013\u00a0a technologically advanced form of dialysis) and also a dose of daily plasma-exchange (a form of blood purification therapy), in addition to continuous brain monitoring and circulatory support. These therapies are temporary, highly risky, and invasive and meant as a bridge to transplant. No donor was suitable- and miraculously Radhesh pulled off the most unlikely and marvelous feat and started functioning normally.\u201d<\/p>\n

Radhesh\u2019s liver which was totally necrotic (destroyed) started showing recovery. As his liver recovered his brain swelling decreased, and kidney function improved. All the tests started to improve, and on 20 April 2019 (nine days after admission), he was removed from ventilator and other life-support systems were discontinued.<\/p>\n

10 days after discharge, Radhesh is playing cricket with his brother and sister and looking forward to joining school. This was an ordinary family of the street with no-one to speak for them, and we at Apollo Childrens Hospital could offer the child and his family the full might of Apollo\u2019s formidable technology and support. Apollo\u2019s motto is to touch lives, and this little life was truly touched with fantastic help from powers above.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 While Liver transplant remains as the epitome of the many momentous ways that can guarantee survival in a patient with liver failure, Specialist at Apollo Children\u2019s Hospitals, Chennai saved a three-year-old boy, Radhesh from Fulminant Liver Failure without a liver transplant. \u00a0Children with sudden catastrophic liver failure (also called fulminant liver failure) do not […]<\/p>\n","protected":false},"author":2,"featured_media":15506,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"class_list":["post-15505","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/15505","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15505"}],"version-history":[{"count":1,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/15505\/revisions"}],"predecessor-version":[{"id":15507,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/15505\/revisions\/15507"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/media\/15506"}],"wp:attachment":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15505"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15505"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}