A case of viral pneumonia / Atrial Septal defect / PAPVC / ARDS on Ventilator for the past 5 days. Not able to wean from ventilator at present. Baby needs prolonged ventilator support. One week back baby presented with high grade fever with severe respiratory distress. Not improved with oxygen, nebulisation and HFNC. So the baby intubated and ventilated . On mechanical ventilation now. Blood investigations, X ray, USG Chest and Abdomen done. ECHO also done which showed ASD / PAPVC / Enlarged right atrium. X ray showing diffuse bilateral haziness ( Pneumonia ). Because of the congenital heart disease , Pneumonia , ARDS we are not able to wean the baby from ventilator. Further baby needs surgery for cardiac problem ( ASD / PAPVC ). Baby needs prolonged ventilator support followed by investigations for cardiac problem followed by cardiac surgery . Since the parents are not affordable for further treatment we request help from helping hands .