R. Ramakrishna1, P. V. Kalyankumar2, M. Venu3, G. Nageswara Rao4
Treatment of Type II Respiratory Failure in a COPD patient is a difficult task for the ICU and Pulmonary physician. Multi factorial and multi-disciplinary approach is required. Our experience of two cases treated recently in Katuri medical College Hospital have common features. One is a male of 54 years age and the other is a female of similar age. Both of them were obese and were nonsmokers. Both were poor and could not afford any ICU treatment on their own. Both were rescued by State sponsored Arogyasree programme. Both of them had the advantage of support from their families. Aided by Arogyasree programme, dedicated staff of ICU, Pulmonology, ENT departments, timely interventions with electrolyte balance, balanced antibiotic therapy, Noninvasive and invasive ventilator strategies, Nutritional support, Blood transfusions, Timely Tracheostomy and excellent nursing care and drug administration in ICU both patients recovered back to normalcy. Initially both required home oxygen therapy and both were subsequently seen maintaining normal oxygenation status even without oxygen causing happiness to family members and the treating physicians
