Vatican City, Mar 4: Pope Francis suffered two new acute respiratory crises Monday and was put back on noninvasive mechanical ventilation, in another setback to his battle to fight pneumonia, the Vatican said.Doctors extracted ācopiousā amounts of mucus from his lungs during two bronchoscopies, in which a camera-tipped tube was sent down into his airways with a sucker at the tip to suction out fluid. The Vatican said the mucus was his body’s reaction to the original pneumonia infection and not a new infection, given laboratory tests don’t indicate any new bacteria.
Francis remained alert, oriented and cooperated with medical personnel. The prognosis remained guarded. Doctors didn’t say if he remained in stable condition, though they referred to the crises in the past tense, suggesting they were over.
The crises were a new setback in what has become a more than two-week battle by the 88-year-old pope, who has chronic lung disease and had part of one lung removed, to overcome a complex respiratory infection.
Dr. John Coleman, a pulmonary critical care doctor at Northwestern Medicine in Chicago, said the episodes were more concerning than the last one on Friday, in which Francis had a coughing fit, inhaled some vomit that needed to be extracted and then was put on the noninvasive mechanical ventilation for a day and then didn’t need it anymore.
The use of bronchoscopies reflects a worrying level of mucus and phlegm in the lungs, Coleman said.
āThe fact that they had to go in there and remove it manually is concerning, because it means that he is not clearing the secretions on his own,” he said.
He’s taking little steps forward and then steps back,ā said Coleman, who is not involved in Francis’ care.
In a late update, the Vatican said the episodes were caused by a āsignificant accumulationā of mucus in his lungs and bronchial spasms. “Copious secretions,ā were extracted during the bronchoscopies and the pope was put back on noninvasive mechanical ventilation, a mask that covers his nose and mouth and pumps oxygen into the lungs, the Vatican said.
Francis, who is not physically active, uses a wheelchair and is overweight, had been undergoing respiratory physiotherapy to try to improve his lung function. But the accumulation of the secretions in his lungs was a sign that he doesn’t have the muscle tone to cough vigorously enough to expel the fluid.