THIS IS THE STORY OF A JUST BORN BABY OF 4 HOURS OF AGE.FEMALE CHILD NAMED
KHUSHBU.BORN NORMAL WITH APGAR SCORE10/10 AT 5 MINUTES.(DELIVERY AT CSI HOSPITAL ERODE).I DID THE NEONATAL RESUSSITATION.WARD SISTER CALLED ME TO SEE THE CASE AS THE CHILD IS DEVELOPING CYANOSIS(BLUE COLOUR).AS THE CHILD WAS EXTREMELY PINK, BLUE COLOUR WAS VERY OBVIOUS(RAJASTHANI)'
I EXAMINED THE CHILD THOUROUGHLY &COULD NOT COME TO ANY CONCLUSION.IN THE MEAN TIME THE CYANOSIS IS SLOWLY GOING FROM PERIPHERY TO CENTER.IN THOSE DAYS THERE WAS NO PULSE OXYMETER 25 YEARS BACK.I CALLED THE PEDIATRIC SURGEON &ANAESTHETIST TO EXAMINE TO GIVE THEIR OPENION.THEY COULD NOT CONTRIBUTE ANY THING FOR ME TO PROCEED FURTHER.CHEST WAS CLINICALLY NORMAL&X RAY CHEST WAS ALSO NORMAL I WAS IN A DIALEMA WHETHER THIS IS A MEDICAL OR SURGICAL CASE..IN MEDICINE "FIND OUT THE CAUSE & TREAT THE CAUSE" IS THE GENERAL PRINCIPLE.IN THIS CASE I TREATED THE CASE FIRST &MADE A RETROSPECTIVE DIAGNOSIS!
I PUT IN A FINE POLYTHENE CATHETER INTO THE TRACHEA &RIGHT MAIN BRONCHUS THROUGH AN ENDOTRATRACHEAL INTUBATIONWITH LARYNGOSCOPE..I CONNECTED THE OUTER END OF CATHETER TO BECLAMETHASONE INHALER IN AN IMPROVISED METHOD &PRESSED THE INHALER WHILE I ASKED THE NURSE TO SQUEEZE THE CHEST OF THE BABY AS SHE DID NOT DO IT WELL ,I DID CHEST COMPRESSION ASKING HER TO PRESS INHALER ON MY COMMAND. IN ABOUT 20 MINUTES THE MIRACLE HAPPENED.
THE BABY BECAME 100% PINK THEN WE REMOVED THE TUBES THE BABY WAS FINE.
ON QUESTIONING THE MOTHER THE HISTORY WAS SPINE CHILLING.THEY HAVE GIVEN THE CHILD "THULASI WATER FROM TEMPLE& THAT GOT ASPIRATED(CHOKING).JUST ONE DROP IF ASPIRATED COULD KILL THE CHILD.LUCHILY THE CHILD'S TRACHEAWAS SUCKED OUT NICELY BY A MACHINE PRIOR TO INTUBATION PROCEDURE
DIAGNOSIS;--ASPIRATION BY THULASI WATER
DISCUSSION;--THE MINIMAL ASPIRATION IN A 2 HOURS OLD BABY HAD PRODUCED SEVERE BRONCHOSPASM INTERFERING WITH ITS PULMONATY OXYGEN- CO2 DISSOSIATION .BECLAMETHASONE HAS PRODUCED ENOUGH BRONCHODILATATION&PRODUCED A CLINICAL CURE APPLICATION OF MACHINE SUCTION HAS SUPPORTED THE PROCEDURE.
KHUSHBU.BORN NORMAL WITH APGAR SCORE10/10 AT 5 MINUTES.(DELIVERY AT CSI HOSPITAL ERODE).I DID THE NEONATAL RESUSSITATION.WARD SISTER CALLED ME TO SEE THE CASE AS THE CHILD IS DEVELOPING CYANOSIS(BLUE COLOUR).AS THE CHILD WAS EXTREMELY PINK, BLUE COLOUR WAS VERY OBVIOUS(RAJASTHANI)'
I EXAMINED THE CHILD THOUROUGHLY &COULD NOT COME TO ANY CONCLUSION.IN THE MEAN TIME THE CYANOSIS IS SLOWLY GOING FROM PERIPHERY TO CENTER.IN THOSE DAYS THERE WAS NO PULSE OXYMETER 25 YEARS BACK.I CALLED THE PEDIATRIC SURGEON &ANAESTHETIST TO EXAMINE TO GIVE THEIR OPENION.THEY COULD NOT CONTRIBUTE ANY THING FOR ME TO PROCEED FURTHER.CHEST WAS CLINICALLY NORMAL&X RAY CHEST WAS ALSO NORMAL I WAS IN A DIALEMA WHETHER THIS IS A MEDICAL OR SURGICAL CASE..IN MEDICINE "FIND OUT THE CAUSE & TREAT THE CAUSE" IS THE GENERAL PRINCIPLE.IN THIS CASE I TREATED THE CASE FIRST &MADE A RETROSPECTIVE DIAGNOSIS!
I PUT IN A FINE POLYTHENE CATHETER INTO THE TRACHEA &RIGHT MAIN BRONCHUS THROUGH AN ENDOTRATRACHEAL INTUBATIONWITH LARYNGOSCOPE..I CONNECTED THE OUTER END OF CATHETER TO BECLAMETHASONE INHALER IN AN IMPROVISED METHOD &PRESSED THE INHALER WHILE I ASKED THE NURSE TO SQUEEZE THE CHEST OF THE BABY AS SHE DID NOT DO IT WELL ,I DID CHEST COMPRESSION ASKING HER TO PRESS INHALER ON MY COMMAND. IN ABOUT 20 MINUTES THE MIRACLE HAPPENED.
THE BABY BECAME 100% PINK THEN WE REMOVED THE TUBES THE BABY WAS FINE.
ON QUESTIONING THE MOTHER THE HISTORY WAS SPINE CHILLING.THEY HAVE GIVEN THE CHILD "THULASI WATER FROM TEMPLE& THAT GOT ASPIRATED(CHOKING).JUST ONE DROP IF ASPIRATED COULD KILL THE CHILD.LUCHILY THE CHILD'S TRACHEAWAS SUCKED OUT NICELY BY A MACHINE PRIOR TO INTUBATION PROCEDURE
DIAGNOSIS;--ASPIRATION BY THULASI WATER
DISCUSSION;--THE MINIMAL ASPIRATION IN A 2 HOURS OLD BABY HAD PRODUCED SEVERE BRONCHOSPASM INTERFERING WITH ITS PULMONATY OXYGEN- CO2 DISSOSIATION .BECLAMETHASONE HAS PRODUCED ENOUGH BRONCHODILATATION&PRODUCED A CLINICAL CURE APPLICATION OF MACHINE SUCTION HAS SUPPORTED THE PROCEDURE.
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