Dr. Devang Solanki: December 2016

Divine Institute of Child Health Hospital

"We are the hope for the smallest feet to enter the new world"

Dr. Devang Solanki
Director & Head of Divine Institute of Child Health Hospital

Qualification
MD Paediatrics- BJMC Ahmedabad

FNNF - Intensive Neonatology SURYA Hospital NICU, Santacruz, Mumbai

Head of Neonatal & Paediatric Dept- Bajrangdasbapa Hospital [2 years experience]

Exclusive Neonatology Experience at HOPE NICU [5 years]

Presently: Director and Head of Dive Institute of Child Health Hospital, Memnagar, Ahmedabad, Gujarat, India

Special interest in Neonatal Transport, Neuro Sonography & Neurodevelopmental Assessment

Email Id: devang171086@gmail.com

Achievements:

Certified in “ Paediatric advance life support”
Certified in “Neonatal resuscitation programme course”
Runners up in the divisional round of NNF PG QUIZ in neonatology held on 1^st August 2010.

Our efforts and happy faces

Happy moment: Survived baby with wt 900 gm

Training sessions

itical cases handled at HOPE NICU

Series of very critical babies discharged from HOPE NICU with smiling faces of little ones and their families......

Case (1)

FT / M/ BW: 3.5 Kg/ Admission Weight: 2.9 kg/ Severe Hypernatremic dehydration with DIC with Sodium 190, potassium 10, Creat 12.5 and Urea 450....

Total 9 days of admissions.. Discharged with intact survival without complications...

Case (2).....

28 weeker/ BW: 900 grm/ Discharge Weight: 2.1 Kg/ total 81 days of admissions,

RDS with large PDA and CMV infection and Apnea of prematurity/

Ventilated for 10 days,

HHHFNC support for 38 days....

Discharged with Happy Faces..

Case (3)...

32 weeker/ M / 1.1 kg / Primi / Precious Baby/ Maternal pre eclampsia, antenatal USG shows reversal of diastolic flow in umbilical artery and severely compromised baby...

baby was stable for initial 48 hours,

Deteriorated like anything with Abdominal distension, sodium of 104 ( documented), Thrmbocytopenia and So more...

Ventilated for 16 days...

HHHFNC for 4 days....

NBM for 10 days....

Provided Complete Carbohydrate, protein and Fat nutrition with PICC line..

Ready to discharge...😀

Case(4)...

FT/ 2.4 Kg/ M/ Severe PPHN / Meningitis / Presented with saturation of 15 😳, Ventilated with High frequency ventilator for 10 days with full ionotropes and antibiotics coverage, HHFNC support for 7 days, admitted for 27 days...

Ready to Discharge..😊

Case (5)...

FT/ 3 kg/ M / Precious baby/ Meconium Aspiration Syndrome and severe PPHN with Multi drug resistant Sepsis / Ventilated for 21 days 😳🤔 with High frequency and conventional ventilators, with lots of ups and downs,

HHHFNC support for 5 days...

Admitted for 31 days...

Discharged with intact Survival...😊

Case(6)...

PT / 28 weeker/ 770 grams / IUGR / Precious Baby/ today 7th day of admission...

Doing fine with umbilical arterial and venous line with total Parentrral nutrition and minimal RT Feeding ( EBM )..😀😀😀

Case(7)...

27 weeker/ 1.050 kg/RDS / INSURE with CPAP and HHHFNC support for 12 days....Admitted for 45 days..

Discharged weight: 1.550 kg ..INTACT Survival...

: Key Points...

- Never loose HOPE...😊

- Prevention of sepsis is main part of treatment in NICU..

-Total parentral nutrition is very essential part for survival of babies < 1kg...

-High frequency ventilator have really proved life saving...

Case (8):

It's 40 days

Feeling proud to discharge a 27 week 900 grams birth weight baby after 6 weeks long and challenging fights for life.. with appropriate growth, intact brain growth, no ROP or no other complications of extreme prematurity...

Team HOPE feels proud to be a part of happiness in parents life...

Case (9):

One more milestone achieve in Critical case :

Chronic lung disease(CLD).
No specific treatment available.
Unfortunately HOPE NICU team have to face it
Continuously six month of such nightmares we dont lost rays of Hope.
So many down course but we fought for it and we made it.
Happy to discharge Extreme preterm, ELBW(700grams) newborn after 6 month of treatment.
For that we are thanks to our mentors for teaching us passion.
Thanks to their parents for every TRUST on us which become our HOPE and Finally MIRACLE happened.
Its happy ending journey of 180 DAYS from 700 grams to 4100 grams and of course Not just survival Its INTACT survival.

Efforts carried out and going on at

Divine Institute of Child Health Hospital, Ahmedabad

28 weeker (7 month baby-Low birth weight) 1.1 kg preterm discharged happily

Important aspects to note:

1. No use if antibiotics during the NICU stay

2. Preterm grows by its own... only need is Aseptic environment.

#Save preterm #Neonatologist #happy parents #Divine Institute of Child Health

The Journey from 900 to 1500 grams, 57 days of struggle, Death to life, taught us all about prematurity and complications as elderly primi, ELBW, RDS (Surfactants), EOS n SIRS, B/L Pneumothorax, NEC, luckily no CLD. ROP and intact survival.
#Fightergirl we called her and give us "Khushi"#Divine institute of Child Health #Lots of blessings counts😊

The journey from 750 grams to 1700 grams
Fought battle for 70 days but worth it
Intact survival
#happy parents # Divine Institute of Child Health

Travelling to Mumbai ..To shift patient in Divine Institute of child health, Ahmedabad

#Best PICU and NICU
#Best ICU on wheel Ambulance services
#Best critical care child hospital
#Divine Institute of child health
#Ahmedabad

Happy to Be part of Awareness about Adolescent vaccination Drive
Interview on Aj ki Bat TV gujarati channel#Mudda ni Vat#covid vaccination
For any queries about Adolescent vaccination, U can contact us on : 9512075758
Link for detail interview :https://youtu.be/Sdz7mBWrVas
#Dr Devang Solanki#Pediatrics and Neonatal Intensivist#Divine Institute of the child health

6 years old girl ..... Brought to 𝗗𝗶𝘃𝗶𝗻𝗲
      Hospital ...... 

 Brought in 
* 𝗣𝘂𝗹𝘀𝗲𝗹𝗲𝘀𝘀 𝗖𝗼𝗻𝗱𝗶𝘁𝗶𝗼𝗻
     * Peripheral 𝗖𝘆𝗮𝗻𝗼𝘀𝗶𝘀
     * Persistent Acidosis
     * Persistent Hyperammonemia 

◦✿ 𝗜𝗦𝗦𝗨𝗘𝗦 ✿◉

1) 𝗗𝗲𝗻𝗴𝘂𝗲  𝗦𝗵𝗼𝗰𝗸  𝗦𝘆𝗻𝗱𝗿𝗼𝗺𝗲
2) 🅐🅡🅓🅢
3) Left Sided 𝗘𝗺𝗽𝘆𝗲𝗺𝗮 
4) Sepsis
5) Septic Shock
6) Dengue Myocarditis
     ( Ejection fraction - ONLY 20 ℅ ) 
7) Disseminated Intravascular Coagulation
     ( 𝗗𝗜𝗖 ) 
 Acute Kidney Injury
9) Acute Liver Injury
10) Status Epilepticus
11) Dyselectrolytemia

 𝗧𝗿𝗲𝗮𝘁𝗲𝗱 with ..... 

 7 settings of 𝗜𝗡  𝗛𝗢𝗨𝗦𝗘  𝗛𝗘𝗠𝗢𝗗𝗜𝗔𝗟𝗬𝗦𝗜𝗦
 Ventilator care for 9 days
 Multiple inotropes support
 Empyema Drainage with decortication   
         ( almost 𝟭𝟵𝟬𝟬 𝗺𝗹 𝗽𝘂𝘀 drained out) 
 Multiple Blood products transfusion
 Raised ICP control measures
 Multiple Antiepileptics

 Discharged 𝗪𝗜𝗧𝗛𝗢𝗨𝗧 any 𝗡𝗲𝘂𝗿𝗼𝗹𝗼𝗴𝗶𝗰𝗮𝗹
      𝗱𝗲𝗳𝗶𝗰𝗶𝘁𝘀 ..... after 1&1/2 months of constant
      hardwork ..... 

 INTACT SURVIVAL 

Our NICU Graduate, born at 25 WEEKS 4 DAYS gestation age ( only 6 months) 

Birth weight :- only 680 GRAMS

Total Duration of Stay :- 84 days

No Retinopathy of Prematurity, 
Normal Hearing test
Antibiotics only for 1st week

Grown up baby was Cutting CAKE on his 1st BIRTHDAY 

No neurological deficits 

Feeling concerned, Thought to pen down .....

#PARENTS , please #BEALERT .....

 While the festival of kites ..... 11 years old child brought to #DivineHospital before 4 days ..... 

Child had history of  #ELECTRIC #SHOCK from 11,000 HIGH VOLTAGE LINE while flying kite ( line was passing nearer to terrace ).....

Child had  #CARDIORESPIRATORY #ARREST after electric shock ..... 

After 25-30 min CPR and intubation, child got revived ..... And after 4 days of constant hardwork of #DivineHospitalTeam ..... 

Child got extubated after #Stormy Course in PICU ( Reftactory raised ICP, Status epilepticus , Arrhythmias, poor cardiac contractility with shock, multiple Inotropes support ) ..... 

Now, #DoingBetter with improved sensorium and improved heart contactility ..... 

Still long way to go ..... Prayers for the child for speedy recovery .....

Please Be safe 

Sharing #CHALLENGING case managed at DIVINE Institute of Child Health ..... 

A 4 years old child presented with HUGE #BRAINTUMOR ..... 

 Child had - REFRACTORY RAISED ICP, 
                        - POOR GCS - 5/15,
                        - STATUS EPILEPTICUS .....

 Immediate Intervention done to release raised ICP - #EVD ( Extraventricular Drain ) within few hours of admission followed by #TumorRemoval after 3 days .....

It was again CHALLENGING for #PostOpCare as tumor was nearer to pituitary gland - required Steroids, thyroxin supplementation and Desmopressin .....

Ultimately #TEAMWORK  - ( INTENSIVIST TEAM, Ped. NEUROSURGON, Ped. ENDOCRINOLOGIST , Ped. NEUROLOGIST ) won .....

Discharged child #WITHOUT ANY NEUROLOGICAL DEFICITS ......

 Co ordinated aggressive team work #UnderOneRoof was the #KeyFactor gave intact survival .....
                         


Glad to share a challenging case TRANSPORTED and MANAGED by DIVINE INSTITUTE OF CHILD HEALTH TEAM .....     
Got the call  from remote periphery ( 160 KILLOMETERS away from AHMEDABAD  ) for 1 day old newborn baby having PULMONARY HAEMORRHAGE and VERY SICK NEWBORN ..... 
DIVINE HOSPITAL TEAM reached to the Spot and retrieved the baby ..... 
 ISSUES ( with baby ) :-
1) Massive Pulmonary Haemorrhage
2) DIC (Disseminated Intravascular Coagulation)
3) Meconium Aspiration Pneumonia
4) Severe Sepsis
5) Septic Shock
6) Severe PPHN ( TR jet = 98 )
7) RV Dysfunction
Required 
                 HIGH FREQUENCY VENTILATOR - 9 days
                 Conventional ventilator - 11 days
                 Multiple Inotropes support .....
Required Multiple blood products ( 2 blood transfusions, 3 plasma transfusions, 3 platelate transfusions) .....
Champion got discharged  after 28 days of bettle  WITHOUT ANY NEUROLOGICAL DEFICITS  .....
In this case,  #SAFETRANSPORT# BY VERY EXPERIENCED TEAM ( eventhough constant bleeding lungs while transport )   was the MAIN KEY FACTOR which saved the precious life .....



Glad to share our cute cute tiny tiny miracle at DIVINE Institute of Child Health  .....
Our NICU graduate - 25 WEEKS 4 DAYS (6&1/2 months) baby 
BIRTH WEIGHT - Only 605 GRAMS
Came for follow up after 4 months of discharge.....
UNIQUE ABOUT THE BABY  :-
No neurological deficits
Normal hearing test & BERA
No sepsis while long duration of stay
TOTAL DURATION OF STAY :- 3&1/2 MONTHS 
Really gives immense satisfaction and happiness  for the baby & parents .....
Very very thankful to the parents who kept constant faith in our 24*7 hard working team.....