30 days to save a Japanese baby with a traumatic brain injury

15 minutes after the accident, the baby fell into a coma and was taken to Hospital E, on July 3. The doctor diagnosed a traumatic brain injury, with a subdural hematoma in the right hemisphere of the brain. The baby received emergency surgery to remove hematoma, two days later transferred to the National Children’s Hospital.

Doctor Dang Anh Duong, deputy head of the Department of Surgical Intensive Care, National Children’s Hospital, said that the patient was admitted to the hospital in a state of mechanical ventilation. Doctors continue to resuscitate, ensure vital functions, control intracranial pressure, continue to treat brain edema. After 2 days, the patient was stable and was weaned from the ventilator.

“However, drainage of the patient’s incision produced a lot of fluid,” said Dr. Duong. The tests and consultations showed that the baby had a cerebrospinal fluid leak and had surgery again on July 8 to stitch the dura. On July 30, the patient underwent surgery to reassemble the skull fragment. One week later, the health is stable, awake, active, eating well.

The baby is cared for in isolation conditions to monitor Covid-19, at the Department of Surgical Intensive Care, on August 7. Photo: Hospital provided.

Head nurse Bui Thanh Huong, Department of Intensive Care Surgery, said that this is a rather special case because in addition to professional problems, the hospital has some difficulties when taking care of children. The first is that upon admission, children and their families are in the isolation period after entry, and the factor of Covid-19 infection has not been ruled out. Caring doctors and nurses must always strictly follow the epidemic prevention process, from the preparation of the isolation room, the special operating room, to the care in the ward.

Baby is a foreigner, when he was admitted to the hospital, he did not have relatives to accompany him. All information exchanged between the doctor and the family must be through an interpreter, so it is difficult to exploit the information to come up with a suitable treatment regimen and care plan for the child.

All procedures on admission and child care are completely taken care of by the nurses. “The aunts and uncles take turns both taking care of the baby in terms of medical care, while taking care of the baby on behalf of the parents in daily activities,” nurse Huong shared.

After 30 days of treatment, she was just discharged from the hospital and reunited with her family.


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