Pranamesh Paik (Name Changed), a 12-year-old child, had a high temperature, acute respiratory distress, and excruciating chest discomfort, which put him in a highly traumatic and serious state. Over 14 days, what had initially appeared to be a straightforward low-grade fever turned into a serious condition requiring urgent and sophisticated medical attention. The young boy’s life was saved by a novel pediatric operation and the Enhanced Recovery After Surgery (ERAS) technique at Narayana Hospital RN Tagore Hospital, where his parents took him due to his critical and deteriorating health condition. The boy is currently on his complete recovery route after a potentially fatal condition was prevented by the highly skilled personnel at Narayana Hospital RN Tagore.

The patient was receiving six liters of oxygen per minute when he was brought to the hospital’s emergency room due to a high fever and breathing difficulties. Tests such as cardiac scans, ultrasounds, and X-rays revealed a substantial quantity of fluid accumulation around and on the right side of the chest. In medical terms, these conditions are called Pyopericardium and Empyema Thoracic.

The patient was immediately brought into the operating room, where the doctors conducted a Video-Assisted Thoracoscopic Surgery (VATS) to drain pus from the surrounding heart, open the heart’s lining, and remove contaminated tissue from the chest.

The patient was successfully extubated on the operating table after the two-hour procedure, which was made possible by the Cardio-Thoracic team’s use of the Enhanced Recovery After Surgery (ERAS) protocol. After two hours of surgery, the kid was transferred to the Intensive Care Unit (ICU) and made an amazing recovery. The following day, he was mobilized with oxygen support, and all forms of respiratory support were gradually tapered off. The patient’s condition considerably improved over his six days in the hospital. He was given a prescription for oral antibiotics to guarantee a full recovery and was released in a stable state.

The outcome of this case is evidence of the medical team’s skill and dedication at Narayana Hospital RN Tagore.

Priyanka Dutta