Pope Francis in critical condition following asthmatic respiratory crisis

Pope received blood transfusions after tests showed condition associated with anaemia, Vatican said in a health update

A woman lays a rosary near candles adorned with pictures of Pope Francis outside the Agostino Gemelli Polyclinic in Rome where Francis is being treated for pneumonia. Photograph: Gregorio Borgia/AP
A woman lays a rosary near candles adorned with pictures of Pope Francis outside the Agostino Gemelli Polyclinic in Rome where Francis is being treated for pneumonia. Photograph: Gregorio Borgia/AP

Pope Francis is in a critical condition after he suffered a long asthmatic respiratory crisis that required high flows of oxygen, the Vatican said.

The 88-year-old, who has been in hospital for a week with a complex lung infection, also received blood transfusions after tests showed a condition associated with anaemia, the Vatican said in a health update.

“The Holy Father continues to be alert and spent the day in an armchair although in more pain than yesterday. At the moment the prognosis is reserved,” the statement said.

Earlier, doctors said that Francis was battling pneumonia and a complex respiratory infection that doctors say remains touch-and-go and will keep him in hospital for at least another week.

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The Vatican carried on with its Holy Year celebrations without the pope on Saturday.

In a brief earlier update on Saturday, the Vatican said Francis slept well overnight.

But doctors have warned that the main threat facing Francis would be the onset of sepsis, a serious infection of the blood that can occur as a complication of pneumonia.

As of Friday, there was no evidence of any sepsis, and Francis was responding to the various drugs he is taking, the pope’s medical team said in their first in-depth update on his condition.

“He is not out of danger,” said his personal physician, Dr Luigi Carbone. “So like all fragile patients I say they are always on the golden scale: In other words, it takes very little to become unbalanced.”

Francis, who has chronic lung disease, was admitted to the Gemelli hospital on February 14th after a week-long bout of bronchitis worsened.

Nuns and priests pray for Pope Francis at a hospital in Rome. Photograph: Alessandra Tarantino/AP
Nuns and priests pray for Pope Francis at a hospital in Rome. Photograph: Alessandra Tarantino/AP

Doctors first diagnosed the complex viral, bacterial and fungal respiratory tract infection and then the onset of pneumonia in both lungs. They prescribed “absolute rest” and a combination of cortisone and antibiotics, along with supplemental oxygen when he needs it.

Dr Carbone, who along with Francis’ personal nurse, Massimiliano Strappetti, organised care for him at the Vatican, acknowledged he had insisted on staying at the Vatican to work, even after he was sick, “because of institutional and private commitments”.

He was cared for by a cardiologist and infectious specialist in addition to his personal medical team before being admitted to hospital.

Dr Sergio Alfieri, the head of medicine and surgery at Rome’s Gemelli hospital, said the biggest threat facing Francis was that some of the germs that are currently located in his respiratory system pass into the bloodstream, causing sepsis. Sepsis can lead to organ failure and death.

“Sepsis, with his respiratory problems and his age, would be really difficult to get out of,” Dr Alfieri told a news conference on Friday. “The English say ‘knock on wood’, we say ‘touch iron’. Everyone touch what they want,” he said as he tapped the microphone. “But this is the real risk in these cases: that these germs pass to the bloodstream.”

“He knows he’s in danger,” Dr Alfieri added. “And he told us to relay that.”

Deacons, meanwhile, were gathering at the Vatican for their special Jubilee weekend.

Francis got sick at the start of the Vatican’s Holy Year, the once-every-quarter-century celebration of Catholicism. This weekend, Francis was supposed to have celebrated deacons, a ministry in the church that precedes ordination to the priesthood.

In his place, the Holy Year organiser will celebrate Sunday’s Mass, the Vatican said. And for the second weekend in a row, Francis was expected to skip his traditional Sunday noon blessing, which he could have delivered from hospital if he were up to it. — AP