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Pope Francis suffered two acute respiratory crises and was placed back on noninvasive ventilation due to excessive mucus in his lungs, the Vatican reported. Doctors performed bronchoscopies to clear his airways. The 88-year-old pope, battling pneumonia, remains under medical supervision as concerns grow over his prolonged health struggles.

Pope Francis is facing a renewed health challenge after experiencing two acute respiratory crises, requiring a return to noninvasive mechanical ventilation, the Vatican announced on Monday. The 88-year-old pontiff, who has been battling pneumonia for over two weeks, underwent two bronchoscopies to remove significant mucus buildup in his lungs.

Doctors at Gemelli Polyclinic in Rome emphasized that the mucus was not due to a new infection but rather his body’s ongoing response to the initial pneumonia. The Vatican stated that Pope Francis remains alert and responsive, though his prognosis remains cautious given his underlying chronic lung condition and history of lung surgery.

This latest setback comes after he suffered a previous episode on Friday, during which he inhaled vomit and required brief assisted ventilation. Medical experts warn that his inability to clear secretions naturally is concerning, indicating weakened lung function. Despite receiving respiratory physiotherapy, his condition remains fragile.

Francis has not made any public appearances since his hospitalization on February 14, marking his longest absence in 12 years as head of the Catholic Church. Some close aides have urged him to address the public, but the Vatican has defended his need for privacy during recovery.

While doctors work to manage his condition and prevent intubation, concerns persist about his long-term ability to recover fully. The Vatican has not provided details on potential treatment limits or end-of-life decisions, though Pope Francis has previously spoken about ethical medical care and avoiding excessive treatment.

As the world watches closely, the Pope’s health remains a delicate balancing act, with each step forward often met with new challenges.