By writer to www.thehindu.com
A 26-year-old kabaddi participant battling COVID-19 lately underwent liver transplant at a metropolis hospital. His brother donated part of his liver. The affected person has since recovered and been discharged, hospital authorities mentioned.
Ragul Gandhi, a national-level kabaddi participant, was introduced from Puducherry to MGM Healthcare in a important stage. He had developed fulminant liver failure and jaundice that worsened his situation. Inside two days, he slipped right into a coma.
The medical doctors did a 12-hour process on Could 21, barely 24 hours after his admission. “Ragul was referred to us with only one or two days’ life in him. He was struggling even within the ambulance. We have been all scared however sprang to motion,” mentioned Thiagarajan Srinivasan, director of the hospital’s Institute of Liver Illnesses, Transplant and Hepatobiliary Surgical procedure. The affected person was intubated within the ambulance and transported to a particular remoted intensive care unit. He underwent steady plasma purification, toxin filtration and liver dialysis. A CT scan of his lung revealed no viral an infection.
Two of his relations who have been good matches for Ragul examined optimistic for the an infection. With no cadaveric liver obtainable, the medical doctors scouted inside his household for donors. His brother, Kathiravan, was transported from over 200 km within the hope of discovering an identical liver. Fortunately he examined detrimental for the an infection.
COVID-19 exams on Ragul returned detrimental for lung involvement, indicating that with essential protecting measures a transplant was potential.
In the meantime, Ravi R., tutorial director, liver ailments, mentioned the problem with Liver Transplant Society of India secretary and reached a consensus that an emergency liver transplant was the one possibility to save lots of the sportsman’s life.
The hospital created two bio bubbles – one for the donor and one other for the recipient. Round 50 healthcare staff, together with a crew of 13 medical doctors, together with two anaesthesiologists, in addition to paramedic and nursing employees, have been deployed.
Ragul was discharged on June 7. The crew remained in isolation for 15 days after the process. None of them examined optimistic for the an infection, mentioned Dr. Thiagarajan, including Ragul could be match to play khabaddi inside six months.
Docs mentioned Ragul’s situation was introduced on by an overdose of medicine. Necrosis of liver is feasible as a result of infections comparable to Hepatitis A, C or as a result of anti-TB medication.
In keeping with them such a feat was uncommon and solely 4 such transplants have been reported world over. The hospital was the primary to carry out a reside liver transplant in a COVID-19 optimistic affected person, they added.
Senior advisor anaesthetists Dinesh Babu and Nivesh mentioned they used a scavenging system for airflow from the ventilators in addition to hepa filters to maintain the air clear within the ICU and the operation theatres.
— to www.thehindu.com