My 2 month baby was admitted in ccu at fortis hospital in sick condition with tachypnea and congestive cardiac failure IV decongestIves and IV antibiotics were started . Patient was initially put on nasal CPAP, patient has LRTI and can't be taken up for surgery. However patient condition deteriorated and had to be supported on Invasive mode of ventilation. Patient was also started IV Dobut amine which was gradually tapered off . Subsequent chest x ray revealed worsening pneumonia and demand optimal ventilator setting for stabilisation. Patient has largely remained ventilator dependent repeat chest xray done yesterday show resolving consolidation. A CBC repeated on 23/03/2017 showed Hb=8.9 , TLS =12,400 with neutrophils 50% .A blood transfusion was given in view of that . Currently patient tolerates full RT feeds . USG cranium has been normal.