ROME — Pope Francis was conscious but still receiving high flows of supplemental oxygen Sunday following a respiratory crisis and blood transfusions, as he remains in critical condition with a complex lung infection, the Vatican said.

The brief statement early Sunday didn’t mention if Francis was out of bed or eating breakfast, which it had on previous days. “The night passed quietly, the pope rested,” it said.

The Vatican later said Francis was conscious, continuing to receive supplemental oxygen and that further clinical tests were being conducted. A more detailed medical update was expected later Sunday.

On Saturday, doctors said the 88-year-old pope, who had part of one lung removed as a young man, was in critical condition after suffering a prolonged asthmatic respiratory crisis while being treated for pneumonia and a complex lung infection.

The pope received “high flows” of oxygen to help him breathe through a nasal tube. He also received blood transfusions after tests showed low counts of platelets, which are needed for clotting, the Vatican said in a late update.

The Saturday statement also said that the pontiff “continues to be alert and spent the day in an armchair although in more discomfort than yesterday.” Doctors said the prognosis was “reserved.”

Doctors have said Francis’ condition is touch-and-go, given his age, fragility and pre-existing lung disease. His condition has revived speculation about what might happen if he becomes unconscious or otherwise incapacitated, and whether he might resign.

Prayers for pope at Vatican

Francis was supposed to have celebrated Mass on Sunday morning in St. Peter’s Basilica and ordained deacons as part of the Vatican’s yearlong Holy Year commemoration.

The organizer of the Holy Year, Archbishop Rino Fisichella, celebrated the Mass in his place and offered a special prayer for Francis from the altar before delivering the homily the pope had prepared.

“Even though he is in a hospital bed, we feel Pope Francis close to us, we feel him present among us,” Fisichella told the hundreds of white-robed deacons. “And this compels us to make even stronger and more intense our prayer that the Lord will assist him in his time of trial and illness.”

A pre-written message that Francis had prepared for his Sunday noon prayer but did not deliver said he was “confidently continuing my hospitalization at the Gemelli Hospital, carrying on with the necessary treatment; and rest is also part of the therapy!” The message noted the upcoming anniversary of Russia’s invasion of Ukraine, “a painful and shameful occasion for the whole of humanity.”

The main threat facing the pope is sepsis

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 the pope’s condition.

Saturday’s blood tests showed that he had developed a low platelet count, a condition called platelopenia or thrombocytopenia. Platelets are cell-like fragments that circulate in the blood that help form blood clots to stop bleeding or help wounds heal. Low platelet counts can be caused by a number of things, including side effects from medicines or infections, according to the U.S. National Institutes of Health.

Francis, who has chronic lung disease and is prone to bronchitis in winter, was admitted to Gemelli hospital on Feb. 14 after a weeklong bout of bronchitis worsened.

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.

Vatican hierarchy tamps down speculation Francis might resign

Meanwhile, the Vatican hierarchy went on the defensive to tamp down rumors and speculation that Francis might decide to resign. There is no provision in canon law for what to do if a pope becomes incapacitated. Francis has said that he has written a letter of resignation that would be invoked if he were medically incapable of making such a decision.

The Vatican secretary of state, Cardinal Pietro Parolin, gave a rare interview to Corriere della Sera to respond to speculation and rumors about a possible resignation. It came after the Vatican issued an unusual and official denial of an Italian media report that said Parolin and the pope’s chief canonist had visited Francis in the hospital in secret. Given the canonical requirements to make a resignation legitimate, the implications of such a meeting were significant, but the Vatican flat-out denied that any such meeting occurred.

Parolin said such speculation seemed “useless” when what really mattered was the health of Francis, his recovery and return to the Vatican.

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