British pilot with coronavirus in Vietnam wakes from coma

I mean he woke up but I would not say he is in a “great” position:

Tran Thanh Linh, the deputy head of Ho Chi Minh City-based Cho Ray hospital’s intensive care unit, told local media the man was able to perform simple gestures such as moving fingers and toes, yet breathing issues, organ damage and limb weaknesses remain.

The pilot is on an extracorporeal membrane oxygenation machine (ECMO), a form of life support used when a person’s heart or lungs are unable to fully function, and is being treated with antibiotics, according to a report posted on the government’s official news portal early in May.

Linh added that, by the end of this week, an official decision would be announced on whether or not doctors would gradually wean him off ECMO, or even stop the treatment altogether. His lungs are currently functioning at about 20-30%, an increase from 10% a few weeks ago.

The man is no longer receiving kidney dialysis treatment and has repeatedly tested negative for Covid-19. Yet after experiencing cytokine storms, an overreaction of the immune system, his organs have been so severely damaged he remains in a poor condition.

Todd Pollack, a Hanoi-based infectious diseases specialist at Harvard medical school, said the situation was worrying. “A quick review of the medical literature shows that use of ECMO in Covid-19 patients is associated with very high mortality rates of 50-82%, based on early reports from China, so his general prognosis is not good based on the long-term requirement for ECMO.” ... Earlier in May, reports suggested the man could receive a double lung transplant if a suitable donor was found. Last week, Vietnam’s health ministry said it was considering repatriating the man to the UK for further treatment if his condition allowed.

“A lung transplant would obviously only be considered if there were no other options,” Pollack said. “There are case reports from China of successful lung transplants being performed for patients with respiratory failures.”

/r/Coronavirus Thread Parent Link - theguardian.com