Aditya Birla Memorial Hospital the first hospital to install the Advance High Frequency Ventilator in PCMC, Pune
Aditya Birla Memorial hospital has installed an advance high frequency ventilator; A 17hr old baby girl who had passed faeces in womb, with fatal respiratory problem was given a new life this advanced lung protective ventilation
Tweet-- As the city is fast emerging as a major playerin providing various medical super specialties, the Neonatal Intensive Care Unit (NICU) at Aditya Birla Memorial Hospital, known for its most advanced and familyfocused services has further upgraded itself by installing an advance High Frequency Ventilator (HFV) which provides High Frequency Oscillatory Ventilation (HFOV) commonly referred toas lung protective ventilation.
One of its first kinds inPCMC, the advanced High FrequencyOscillatory Ventilation also known as the advanced breathing machine saved the life of Dr. Smita Dhule’scritically ill new born. The Baby wasborn by LSCS (Lower segmentCaesarean section) in view of dropping heart rate and passage offaeces in womb. The baby developedbreathing difficulty soon after birth and was transferred to a children’shospital. She was put on the ventilator at the children’s hospital. However,the condition worsened and Dr. Sachin Shah , Director Paediatrics andNeonatology, Aditya BirlaHospital, got a call when the babywas 17 hours old. She was diagnosed to have me-conium aspiration syndrome and pulmonary hypertension (a near fatalcondition where the lungs and heart both do not function normally). Aftermaking the diagnosis the baby was immediately transferred to the NICU of Birla by trained team ofdoctors. The transport incubator andventilator, which is one of its kinds in Maharashtra was used to transportthe baby. The stability of the babycould be maintained during the transport due to this ventilator.
At ABMH the baby was instantly put on the newly installed advanced high frequency ventilator andwas given nitric oxide gas to decreasepressure in the lungs and improve the blood supply. “The High Frequency Oscillatory Ventilation is usedwhen the regular ventilator fails as it is gentler on the lungs and avoidscomplications during treatment”, said Dr.Sachin Shah, under whose treatment the baby was admitted. The advanced HFV is available only in few centresin the world and can be operated only by doctors who are specifically trainedto do so. Dr. Sachin Shah and Dr. PankajBhide of Aditya Birla MemorialHospital has been extensively trained in the use of this machine/modalityin Australia and Canada.
Using such advanced machines the faeces in the lungs were cleared,the blood flow to the lungs was improved and also the pressure on the heart wasrelieved.As a result of the teameffort of Dr. Sachin Shah, Dr. Pushkar Bhide, Dr.Amita Kaul, Dr. Priya Mankare, Dr. Arti Patil, Dr. Sachin Admuthe, Dr.Ajay Walimbe and Dr Suhas the baby started showing improvements. She received suchintensive treatment for 6 days, but remained on the ventilator for 10 days. Shewas discharged after two weeks.
“The Oscillatory ventilationis characterized by high respiratory rates up to 15 hertz (900 breaths perminute). The rates used vary widely depending upon patient type and diseasecondition. HFOV generates very low tidal volumes that are generally less thanthe dead space of the lung. Different mechanisms of gas transfer come into playin HFOV compared to normal mechanical ventilation”, said Dr. Shah explaining the mechanism of the advanced HFV. He hasdone his DM in Neonatology. “Nowadays 10% of the babies are born with such problems.I have treated many such cases of babies born with respiratory problems in thepast. I am very happy that now we can save premature babies, the newborns andother children with acute lung diseases and other oxygenation issues such asacute respiratory distress syndrome or acute lung injury, who otherwise wouldnot survive on the regular ventilator”, headded.
Notes to Editor
Profile – Aditya Birla Memorial Hospital
Aditya Birla Memorial Hospital (ABMH) isa multi-speciality medical centre located at Pimpri-Chinchwad in the WestIndian state of Maharashtra. Easily accessible by road, rail and air thehospital is close to the Mumbai - Pune and Mumbai - Bangalore express highway. Thequaternary healthcare centre provides high quality and cost-effective medicalservices. The 500-bed medicity sprawled over 16 acres of land functions in afilmless and paperless digital environment, backed by cutting edge medicaltechnology and IT resources. The aim is to create a centre of life whereelements of nature augment the healing environment and offer holistichealthcare under one roof. The hospital has 24 x 7 accident and emergencydepartment with a well trained trauma team and medical staff, fully equipped127 ICU & HDU beds, 13 well equipped ultra modern operation theatre,diagnostic services equipped with cutting edge technology, a pathologylaboratory, pharmacy, 24 hour ambulance and chemist services, spacious atrium,one stop wellness assessment centre, and large outpatient clinics whichprovides preventive, curative and rehabilitative care.