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AMELIA YEO
Tuesday, September 2, 2008
NAME: AMELIA YEO
DOB : 01.02.2002
PLACE OF BIRTH: GLENEAGLES HOSPITAL, SINGAPORE
MUMMY NAME: JEANNIE
ADMISSION DATE: 14.01.2008
DISCHARGE DATE: 05.05.2008
DURATION STAY AT KK WOMEN'S AND CHILDREN'S HOSPITAL: 112 DAYS
AMELIA IS A 6 YR OLD WITH CTGA, SEVERE VALVULAR AND SUBVALVULAR PS AND AV SPETAL DEFECT POST OP BCPC AND LIGATION OF LSVC.
SHE ADMITTED TO KK HOSPITAL WITH C/O SHORTNESS OF BREATH, FEVER, GENERALISED SWELLING. THERE NO URI OR MURINARY SYMPTOMS. HER BASELINE SATURATION WAS 70-80%. SHE WAS INTUBATED ON THE DAY OF ADMISSION. SHE WAS PLANNED FOR AV VALVE REPAIR BUT SURGERY WAS POSTPONED BECAUSE OF THROMBOCYTOPENA AND ABNORMAL COAGULATION PROFILE.
ON 23.01.08 SHE COUGHED OUT HER ET TUBE BECAME BRADYCARDIA AND ASYSTOLE. ECM WAS STARTED INTUBATED. SHE RESPONDED TO RESUSCITATIVE MEASURE AND WAS RETURNED OF HEART RATE 40 MIN POST ARREST.
ON 30.01.08 AV VALVE REPAIR AND ANNULOPLASTY WAS DONE BY MR SHANKAR. IMMEDIATE POST OP HER HAEMODYNAMICS WERE MAINTAINED WITH ADRENALINE, DOBUTAMNE AND MILRINONE. SHE WAS ON BIPAP ASB HIGHEST SETTING 22/5 RATE 22, FIO2 100%.
ON 04.03.08 UNDERWENT RT DECOTICATION BY MR.SHANKAR. SHE WAS MAINTAINED ONOTROPES FOR 5 DAYS.
ON 07.03.08 IN VIEW OF PROLONED INTUBATION TRACHOSTOMY WAS ONE WITH 5.5 UNCUFFED TUBE. TRAHEOSTOMY WAS CHANGED TO SIZE 6 TUBE. HER SEDATIN AND PARALYSING AGENTS WERE WEANED OFF GRADUALLY. VENTILATORY SETTINGS WERE WEANED GRADUALLY AND SHE WAS CONVERTED FROM BIPAP TO CPAP +7 ON 18.03.08
SHE HAS BEEN UNDERGOING NEUROHABILITATION IN THE WARD AND SEEN BY OCCUPATIONAL THERAPIST, PHYSIOTHERAPIST FOR LIMB SPLINT AND LIMB PHYSIO.
SHE HAD LOTS OF SECRETIONS THROUGH TRACHEOTOMY TUBE WHICH WAS SUCKED OUT. AND MUMMY WAS TRAINED BY HOME CARE NURSE'S TO TAKE CARE OF HER AND SUCTION TOO.
(See below photographs)
Angels Of HEART♥ 9/02/2008 03:40:00 PM
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