Dr. Sivji Ramachandra Hedgon
M. D. Paediatrics Fellow...- Everyday (Except on Sun...
- 20 Years completing thi...
Neonatology
Overview & Features
The Infant Jesus Neonatal unit, having 14 beds include one incubator and two beds in the septic room. The unit is maintained well in A/C and positive pressure from inside to avoid infection. Strict axptive precautions are maintained. Only 35% of our NICU admission receive antibiotics, even if they inside on HHFNC/CPAP and 85% it is amprecillin and gentamycin. Only 10% of the babies, who have shown less response to primary level antibiotics receive prperacillin/meropenum according to drug sensitivity or lab parameters. We have two ventilation one dragger babylog which is having volume guarantee and one SLE 5000 which can provide high frequency oscillatory ventilation.90% of our babies have shown very good response to HHFNC non-invasive respiratory support and we insure babies directly to AirVO HHFNC system. We have high intensity LED phototherapy system to treat hyperbilirubinaemia in neonates. We use air-oxygen blenders to provide minimal oxygen while resuscitating the baby both in labour room & gynec OT.
We are well supported by an ROP evaluation team from Giridhar eye institute, by paid cardiology, paid surgeon and audiometry team who are in –house.
Diseases/Conditions Treated
- Prematurity down to 28 weeks of gestation
- RDS
- Congenital Diaphragmatic Hernia
- Preneumonia
- Neonatal sepsrs, pyogenic meningitis
- ELBa & IUGR babies
- Hypoglycaemia
- Hyperbilirubinaemia(IVIG & Exchange transfurron)
- Necrotising Enterocolitis
- Hypocalcaemia,Hypomagnesia
- Neonatal Seizures
- Neonatal Meningritis
- Meconium aspiration syndrome
- PPHN
- Neonatal post operative cases
- Hypoxre Ischemic Sreephotopathy
- Relayed transition at birth and perinatal depression
- Feeding difficulties
- Pulmonary haemorhage
- Neonatal polycythemia
- Neonatal apnoea evaluation & management
- Pneumothorax
- Hypo Natremia, Hyper Natremia
- Broncho-pulmonaup dysplasia
- Respiratory failure
- Cardiac Arrest
- Multiple Congenital Anomalies
- Congenital diaphragmatic hernia
- Trachio-esophageal fistula
- Meningo- myclocele
- Omphalocele, Gastroschisis
- Hemolytic disease of newborn
- Inborn error of metabolism
- Complex heart disease
(cyanotic & acyanotic heart diseases) with pediatric cardiology support
Treatments
Respiratory:- Caffeine citrate
Surfactant therapy
Invasive Ventilation Support:-
-High frequency oscillatory ventilation
-Volume guaranteed ventilation- to reduce lung trauma not added
-Synchronized Intermittent Mandatory Ventilation
-Patient Triggered Ventilation
-Continuous Mandatory Ventilation
-Pressure support ventilation
Non invasive Ventilation:- HFNC (AirVO) x4
-CPAP (Bubble CPAP) x 2
Cardiac isotropes : Dopamine, Dobutamine,Adrenaline,Non-Adrenaline
Blood Pressure Monitoring-NIBP
IBP
Saturation assessment- Continuous ECG monitoring
Feeding
-Intra Gastrive gave feeding
-Pallada Feeding
-Assisting direct breast feeding
Sepsis
IV cannulation & parenteral
UVC placement - antibiotic treatment
Long live placement depending the lab results
Inhouse
-Intermittent blood gas analysis of sick babies
-Photo therapy units
-Exchange transfusion
-Blood transfusion
-Partial exchange transfusion
Neonatal Seizures → Antiepileptic drug therapy
Neuro sonogram
Facilities Available: (Rooms, Technology, ICUs)
- ICU
- Vein detector
- Portable USG(Shared)
- Portable 2D Echo(Shared)
Achievements
- Survival of extreme premature babies
- Low birth weight, IUGR
- Survival of Asphyxiated, HIE babies
Inpatient Rounds Policy
ICU rounds starts @ 8.30 to 8.45 am
Finish according to the number of sick babies in NICU
ICU procedures 10.45 to 11.45 am
Bystander/Parental Counseling 11.45 am to 12.30
Ward rounds by 12.30 to 1pm
Meet Our Doctors
Dr. Sivji Ramachandra Hedgon
M. D. Paediatrics Fellow...