11/06/2024
*QUATERNARY NEONATAL CRITICAL CARE @ DMICC*
At the moment we are dealing with a variety of neonatal diseases that require different types of procedures and interventions and it is very amusing and satisfying to serve these tiny human beings.
1. ELBW *severe RDS* needed mechanical ventilation and now improving without complications
2. **1250 gm preterm CDH **(congenital diaphragmatic hernia) successfully managed pre-op and operated, now hypoplastic lung gradually improving (day 22)
3. Symptomatic PDA in an ELBW not closed after 2 cycles of pharmacotherapy required *surgical ligation of PDA* and post-procedure hemodynamic improv and chamber size reduced to normal size
4. ELBW with unknown aetiology of intestinal obstruction required re**al biopsy followed by colostomy and because of prolonged hospitalization no vascular access so *right IJV in a 1250 gm* tiny ELBW( day of life 38)
5. Unknown aetiology anuric renal failure with urea of 300 and creatinine of 9.5 required *peritoneal dialysis (PD)* for 5 days, metabolic screen positive for organic academic, clinically improving now
6. Tiny ELBW was admitted for a prolonged period for HMD and shifted to us for BPD, *tracheostomy was done in 1200 gm* baby after more than one month of mechanical ventilation, now on HFNC and improving
This happened because of the blessings of god and continued support from the respected seniors and colleagues.
Thanks so much for your blessings and wishes 🙏
