Table 1.
The treatment timeline of this patient
Date and time | Event |
Oct 17th at 22:43 | Admitted to the emergency department |
Oct 18th at 6:30 | Administered high-flow oxygen, still exhibited shortness of breath and palpitations, heart rate 135 beats/min, respiratory rate 32 breaths/min |
Oct 18th at 10:35 | Transferred to the EICU |
Oct 18th at 13:30 | Provided with a noninvasive ventilator assist, but restless and unable to achieve mask fit, still exhibiting shortness of breath and palpitations |
Oct 18th at 17:00 | Orotracheal intubation and invasive ventilator assist (pressure-controlled synchronized intermittent mandatory ventilation [P-SIMV], positive end-expiratory pressure [PEEP] 8 cmH2O, PEEP+ 10 cmH2O, FiO2 = 80%) |
Oct 18th at 17:30 | Heart rate and blood pressure dropped, norepinephrine and vasopressin administered |
Oct 18th at 18:05 | Cardiac arrest, return of spontaneous circulation after approximately 1 min of cardiopulmonary resuscitation |
Oct 18th at 18:30 | Patient experienced anuria. Central venous catheter placement and left lower extremity artery catheterization for haemodynamic monitoring, bedside ultrasound assessment |
Oct 18th at 20:15 | Right femoral artery and vein catheterization, VA-ECMO initiated |
Oct 18th at 23:30 | Catheterization of the left femoral artery to initiate the IABP |
Oct 23rd at 16:30 | Weaning off VA-ECMO |
Oct 24th at 10:30 | Withdrawal of the IABP |
Oct 25th at 14:45 | Removal of the endotracheal tube, high-flow oxygen provided |
Nov 2nd at 9:30 | Nasal cannula for oxygen |
Nov 4th | Discharged from the EICU |
Dec 2nd | Laparoscopic bilateral adrenal tumour resection |
Jan 19th | Bilateral thyroidectomy, bilateral central cervical lymph node dissection, and bilateral parathyroidectomy |
Jan 22nd | Discharged from the hospital |