Seventh-grader Trevor Hensley spent 73 days hooked up to an ECMO machine, much of it in the prone position. His doctors are blown away by his bravery and resilience.
The X-rays showed that COVID had trashed Trevor Henlsey’s lungs, and the seventh grader was still struggling to breathe after nine days on maximum oxygen in a Missouri pediatric intensive care unit in early November.
At 9 a.m. on Nov. 9, Trevor was sedated and intubated. The doctors warned the Hensleys that if Trevor did not quickly improve they would have to attempt an even more invasive procedure.The ventilator might as well have been trying to pump air into concrete. Trevor’s blood oxygen level remained perilously low after the allocated time and he was wheeled into an operating room.
After several days, the team reduced the sedation and Trevor regained consciousness for the first time since he was intubated. The doctors explained that children often become agitated when they first awake and are placed in restraints so they do not dislodge the cannula. But Trevor remained almost serene, even though he now found himself with his blood running in and out of a big tube protruding from his neck.
Around Thanksgiving, the scans showed that a large clot had formed near where the cannula entered Trevor’s heart. After six weeks, Trevor was still not improving, so Miller decided to try something that had helped adults with COVID, but had not been attempted with a pediatric ECMO patient. Miller met with her team to figure out how they could begin “proning” Trevor without dislodging the cannula.Blankets were piled on Trevor’s chest as a cushion when at least seven team members slowly rolled him over.
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