The Vatican described his condition as critical for the first time on Saturday, reporting that the 88-year-old Francis needed supplemental oxygen and blood transfusions after a "prolonged asthma-like respiratory crisis.

ROME — Pope Francis remained in critical condition Sunday and blood tests show early kidney failure but he remains alert and “well-oriented,” and attended Mass, the Vatican said, as the 88-year-old pontiff battles pneumonia and a complex lung infection.

The announcement on Saturday evening indicated that Francis’ medical condition had become more complicated since an update from his doctors on Friday.