Cardinal Angelo De Donatis replaced Pope Francis in Ash Wednesday celebrations.
LONDON and ROME — Pope Francis “remained stationary” on Wednesday, “without showing any episodes of respiratory failure,” according to the Vatican.
The pope, 88, received “high-flow oxygen therapy during the day, and noninvasive mechanical ventilation will be resumed during the night,” the Vatican’s press office said in its evening update.
No episodes of respiratory failure means no urgent episodes with significant difficulty breathing, according to doctors. Noninvasive mechanical ventilation refers to a high-pressure mask that provides oxygen, doctors say.
“The Holy Father increased his respiratory physiotherapy and active motor therapy,” the Vatican’s press office, the Holy See, said.
Respiratory physiotherapy includes a range of various techniques to improve breathing and clear mucus, according to doctors, and active motor therapy includes physical movement. Doctors say it’s not unusual for a patient’s condition to change from day to day.
Pope Francis spent his 20th day in hospital in an armchair, participated in the “ritual blessing of the Holy Ashes that were imposed on him by the celebrant” and received the Eucharist, the Vatican said.
“During the morning he also called Father Gabriel Romanelli, parish priest of the Holy Family in Gaza. In the afternoon he alternated rest with work,” the Vatican said.
The pope “rested well during the night” and woke shortly after 8 a.m. Wednesday morning, as his condition remains stable and his prognosis remains reserved, according to the Vatican.
A drawing with a message that reads “Get well soon Pope Francis” is placed near the statue of late Pope John Paul II outside Gemelli Hospital where Pope Francis is admitted for treatment, in Rome, Italy, March 5, 2025.
The pontiff had needed medical intervention amid two episodes of “acute respiratory failure” on Monday, Vatican sources told ABC News.
The pope did not have any episodes of respiratory failure or bronchospasm on Tuesday, according to the Vatican.
Pope Francis has remained “alert, cooperating with therapy and oriented,” the Vatican’s press office said. He underwent “high-flow oxygen therapy and respiratory physiotherapy” on Tuesday, the Vatican said.
He resumed noninvasive mechanical ventilation overnight into Wednesday morning “as planned,” according to the Vatican.
The pope was taken off noninvasive mechanical ventilation and resumed receiving supplemental oxygen through a nasal tube, Vatican sources said Tuesday. He was no longer wearing a mechanical ventilation mask, a device that pumped oxygen into his lungs, the sources said.
Wednesday marks Ash Wednesday, the first day of Lent, which is a 40-day season of prayer, fasting and giving. It concludes with Holy Week, which leads to Easter Sunday, the most important day in the Christian calendar.
The Vatican said last week that Cardinal Angelo De Donatis, major penitentiary and delegate of the pope, will replace Pope Francis at Wednesday’s liturgical celebration for Ash Wednesday in Rome.
Francis, who has led the Catholic Church since 2013, was admitted to Rome’s Gemelli Hospital on Feb. 14 and was diagnosed with bilateral pneumonia.