This is pioneering, as newborns sometimes have to be transferred from one hospital to another higher center for advance care. To ensure that babies do not get sick during transport, there is a need for a neonatal emergency transport service ‘ICU on Wheels’ so that they have access to doctors, nurses and all ICU equipment. fan in the ambulance.
According to a press release shared with indianexpress.comSo far, seriously ill children low oxygen levelThose who are not able to maintain it with normal ventilators were not taken away. These infants will need high-frequency ventilation and inhalation of nitric oxide.
According to the release, Rainbow Children’s Hospital is the first in the country to have installed HFOV and Nitric Oxide Support System in an ambulance to transfer such children.
A healthy 2.7 kg baby boy named Mehreen Fatima was born in the district hospital, the release said. But, a few hours after the birth, she started having trouble breathing. Doctors suspected a heart problem and referred the child to a cardiac center in Hyderabad, where cardiologists found that the right side of the baby’s heart was working poorly, causing oxygen levels to drop.
The child was then diagnosed with a serious condition called persistent pulmonary hypertension of the newborn (PPHN). The child had ‘holes’ in both lungs.
The release explains that PPHN is a common problem in newborns that makes them “very sick.” Sometimes, they do not recover from a normal (conventional) ventilator, and require special HFOV and nitric oxide.
For the unversed, a typical ventilator delivers 40-60 breaths per minute, while a high-frequency oscillating ventilation machine delivers 600-900 breaths per minute. However, there are not many NICUs in India that have these life-saving devices.
In Mehreen’s case, she needed an advanced level 4 NICU unit with round-the-clock neonatologist support, which was provided to her at the hospital in Banjara Hills, Hyderabad. Fortunately for her, after successful transportation, she was treated with surfactant, HFOV, given nitric oxide for 3 days along with two chest drains to help her lungs.
She began to show improvement, while also requiring critical care monitoring, regular cardiac assessments and multiple inotropes (to maintain normal blood pressure) for the next 5 days.
By the 8th day, she had recovered, and on the 11th day, she left the hospital. healthy baby,
The hospital’s biomedical team and doctors assembled ventilators and nitric oxide delivery systems for the ambulance. Later, he received calls to move children even over long distances. One such case was of a newborn suffering from PPHN, who was treated in the local ICU by a pediatrician in Nanded, Maharashtra. A road transport ambulance facility with HFOV and Nitric Oxide was launched which, as per the release, became the world’s longest journey with HFOV and Nitric Oxide support in an ambulance for around 5 hours from Nanded to Hyderabad.
The Rainbow Children’s Hospital Neonatal team has now carried out nine such transports – six out of town and three within the city.
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