Inamdar Hospital

Patient Case Studies

Successful NICU Journey at Inamdar Multispeciality Hospital for Preterm Baby Delivered by Emergency LSCS

Successful NICU Journey at Inamdar Multispeciality Hospital for Preterm Baby Delivered by Emergency LSCS

A male baby was delivered by emergency LSCS due to Placenta Previa, causing bleeding PV, to a first-time (Primi) mother at 30 weeks of gestation. The baby was very preterm with a low birth weight of 1.6 kg and required immediate medical attention. NICU Care and Challenges: Upon delivery, the baby was shifted to the NICU due to the following critical conditions: 1. Severe Respiratory Distress Syndrome (RDS): • Required intubation and mechanical ventilation. • Administered 2 doses of surfactant to aid lung function. 2. Shock: Required inotropes for cardiovascular support. 3. Anemia: Required PCV transfusion. 4. Apnea: Required prolonged NICU stay and continuous monitoring. 5. Urinary Tract Infection (UTI): Treated with prolonged antibiotics. 6. Additional Interventions: • ROP Screening: Conducted and results were normal, indicating no retinal issues. Outcome: After receiving comprehensive and intensive care at the IMH NICU, the baby made a remarkable recovery. The baby was discharged with a weight of 2.2 kg and showed no sequelae. The parents left the hospital with smiles on their faces, grateful for the exceptional care provided. Inamdar Hospital NICU Facilities: Our tertiary care NICU features a 6-bed unit equipped with both conventional and high-frequency ventilation. The unit is overseen by senior consultants and neonatologists, with full-time intensivist support provided by the Cloud Physician team. We adhere to the latest protocols, ensuring excellent outcomes and intact survival rates for premature babies.

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A Life-Saving Morning at Inamdar Multispeciality Hospital

Patient Details: Name: Mr. Dilip Ambegaonkar Age: 70 years Gender: Male Medical Record No.: 338104 Admit Date & Time: 15th May 2024 at 8:30 AM History of Present Illness: On the morning of 15th May 2024, Mr. Dilip Ambegaonkar experienced a sudden onset of uneasiness and sweating while on his routine morning walk. Recognizing the severity of his symptoms, he immediately contacted his son, who promptly brought him to the Emergency Room (ER) at the Institute of Medical Health (IMH) at approximately 8:30 AM. Initial Assessment and Diagnosis: Upon arrival, Mr. Ambegaonkar was quickly assessed by the clinical team. An Electrocardiogram (ECG) was performed, which indicated that he was suffering from a Myocardial Infarction (Heart Attack). Counseling and Immediate Action: The patient’s relatives were immediately informed about the critical nature of his condition. The importance and urgency of the situation were emphasized, and the appropriate treatment protocol for Acute Coronary Syndrome (ACS) was initiated. A loading dose of medication was administered as per the ACS protocol. Dr. Krishna Dhoot, the on-call cardiologist, was informed of the situation over the phone. Given the severity of the myocardial infarction, the relatives were counseled on the necessity of performing Primary Angioplasty in Myocardial Infarction (PAMI) without delay. Initially, the patient’s relatives were panic-stricken and struggled to make an immediate decision. However, further counseling reassured them of the importance and life-saving potential of the procedure. Procedure and Outcome: Mr. Ambegaonkar was promptly transferred to the Coronary Care Unit (CCU), and by 10:00 AM, the PAMI procedure was successfully completed. Following the procedure, he was returned to the CCU for recovery. Post-Procedure: The patient’s relatives expressed their gratitude to the ER team and the attending physician for the swift and efficient care provided, which was instrumental in ensuring a positive outcome for Mr. Ambegaonkar. Timely Intervention and Teamwork Lead to Successful Heart Attack Recovery: Mr. Dilip Ambegaonkar received timely and effective medical intervention for a myocardial infarction, resulting in a successful recovery. The coordination and prompt actions of the ER team, along with the guidance of Dr. Krishna Dhoot, were pivotal in managing this critical case. The family’s relief and gratitude towards our dedicated ER team were immense. We’re honored to have been able to provide life-saving care.

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A Night of Survival – The Resilient Journey of a Gunshot Victim

𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐁𝐚𝐜𝐤𝐠𝐫𝐨𝐮𝐧𝐝 ● Age: 34 years ● Health Status: Previously healthy ● Incident: Attempted robbery with gunshot wounds 𝐈𝐧𝐜𝐢𝐝𝐞𝐧𝐭 𝐎𝐯𝐞𝐫𝐯𝐢𝐞𝐰 On the night of November 8, 2023, at approximately 10 PM, the Patient was brought to Inamdar Multispeciality Hospital, Fatimanagar, by his father and brother. The patient had sustained three gunshot wounds during an attempted robbery: 1. Left Calf – Entry and exit wounds 2. Right Thigh – Entry and exit wounds 3. Left Side of Face – Entry wound destroying the mandible with an exit wound 𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐑𝐞𝐬𝐩𝐨𝐧𝐬𝐞 𝐚𝐧𝐝 𝐈𝐧𝐢𝐭𝐢𝐚𝐥 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 Upon arrival, the Patient was in critical condition, with clothes soaked in blood. The emergency team quickly performed an initial assessment, primary fluid resuscitation, and dressing of wounds to stabilize him. Immediate imaging included a face CT and a contrast CT of both lower limbs. 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐈𝐧𝐭𝐞𝐫𝐯𝐞𝐧𝐭𝐢𝐨𝐧𝐬 The patient underwent emergency surgery the following day, November 9, 2023: 1. First Surgery: Performed by Dr. Mustafa Shakir ● Procedure – Exploration and debridement of wounds on the right thigh and left leg, hemostasis, muscle repair, and primary closure under general anesthesia. 2. Second Surgery: Performed by Dr. Mateen Sayyed ● Procedure – Open reduction and internal fixation (ORIF) of the left para symphysis, right para symphysis, and left the body of the mandible. Dentoalveolar wiring, intermediate fixation, and closure of the oral floor. An elective tracheostomy was also performed to secure the airway. 𝐏𝐨𝐬𝐭𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐂𝐚𝐫𝐞 𝐚𝐧𝐝 𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 Following the surgeries, the Patient was transferred to the Intensive Care Unit (ICU) for close monitoring and postoperative care. Key steps in his recovery included: ● Hemodynamic Monitoring – Despite experiencing hypotension during surgery, which required intravenous norepinephrine (norad) for support, the patient name’s blood pressure stabilized postoperatively. ● Metabolic Acidosis Correction – Patient arterial blood gas (ABG) analysis indicated metabolic acidosis, which was promptly corrected. ● Blood Transfusion – Patient. received two bags of packed cell volume (PCV) on November 9, 2023, to manage blood loss. The transfusion was uneventful. ● Sedation and Paralysis – The patient was kept sedated and paralyzed overnight to facilitate recovery. Norepinephrine was gradually tapered off. ● Weaning Off Ventilation – Once the Patient regained consciousness, he was transitioned to pressure support (PS) ventilation and successfully weaned off. He began maintaining oxygen saturation on room air (RA). 𝐏𝐫𝐨𝐠𝐫𝐞𝐬𝐬 𝐚𝐧𝐝 𝐃𝐢𝐬𝐜𝐡𝐚𝐫𝐠𝐞 ● Oral Intake – The patient tolerated oral liquids well, and his nutritional intake was managed accordingly. ● Hypokalemia Correction – Electrolyte imbalance was corrected, ensuring stable potassium levels. ● Drain and Tracheostomy Decannulation – The tracheostomy was removed on November 12, 2023, and the patient name began ambulating well. ● Suture Removal and Dressing Care – Sutures from the facial wounds were partially removed on November 16, 2023, under aseptic precautions (AAP), and the same was done for the left calf and right thigh wounds. Dressing changes were managed meticulously to prevent infection. By the time of discharge, the Patient was hemodynamically stable, conscious, oriented, and ambulating well. He exhibited no signs of fever, and his wounds were healing adequately with no soakage. patient name’s liquid diet was well-tolerated, and his overall condition was significantly improved. 𝐀 𝐍𝐞𝐰 𝐁𝐞𝐠𝐢𝐧𝐧𝐢𝐧𝐠 The patient was discharged with normal vital signs and no fresh complaints. His recovery journey was marked by resilience and the comprehensive care provided by the medical team at Inamdar Multispeciality Hospital. This case underscores the importance of timely emergency response, effective surgical interventions, and diligent postoperative care in trauma management.

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Successful Left Hip Replacement in a Cardiac Patient

𝐁𝐚𝐜𝐤𝐠𝐫𝐨𝐮𝐧𝐝 Mrs. Supriya Chaubal, a 53-year-old woman, had been suffering from persistent left hip pain for over six months. Seeking relief, she consulted Dr. Anil De Souza, who diagnosed her with left hip osteoarthritis. Given the severity of her condition, Dr. De Souza recommended a left total hip replacement (THR). However, the surgery posed significant challenges due to Mrs. Chaubal’s pre-existing medical conditions, namely congenital heart disease (CHD) with dextrocardia and hypertension (HTN). 𝐏𝐫𝐞𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 Dr. De Souza conducted a comprehensive preoperative assessment, acknowledging the complexities introduced by Mrs. Chaubal’s cardiac malformation and high blood pressure. To mitigate potential risks, a multidisciplinary team was assembled, including Dr. Barve, an experienced orthopedic surgeon, and Dr. Gujar, a cardiologist with expertise in managing complex cardiac conditions. 𝐓𝐡𝐞 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 On January 10, 2023, Mrs. Chaubal underwent left hip replacement surgery at the hands of Dr. Desousa and Dr. Barve. During the procedure, her blood pressure spiked due to her hypertension. The surgical team promptly administered the necessary antihypertensive medications to stabilize her condition. Despite these challenges, the surgery was completed. 𝐏𝐨𝐬𝐭𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐂𝐚𝐫𝐞 Following the surgery, Mrs. Chaubal was transferred to the Intensive Care Unit (ICU) for close monitoring. In the ICU, she required supplemental oxygen and a blood transfusion to address perioperative blood loss. Given her dextrocardia and ongoing hypertension, Dr. Gujar provided specialized cardiac care. He diagnosed Mrs. Chaubal with cardiac failure and initiated treatment with diuretics to manage her condition effectively. 𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐚𝐧𝐝 𝐑𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧 With diligent medical attention and appropriate interventions, Mrs. Chaubal’s condition gradually stabilized. Her hemoglobin levels improved, and her need for oxygen support diminished. Intensive physiotherapy played a crucial role in her recovery, helping her regain strength and mobility. By January 13, 2023, Mrs. Chaubal had made significant progress: her blood pressure was stable, and she no longer required oxygen support. She was subsequently discharged in a stable condition, able to ambulate well and resume her daily activities. 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐒𝐮𝐜𝐜𝐞𝐬𝐬 Mrs. Supriya Chaubal’s case underscores the importance of a multidisciplinary approach in managing complex surgical patients with pre-existing conditions. The successful outcome of her left hip replacement, despite the challenges posed by her cardiac malformation and hypertension, highlights the efficacy of coordinated care, meticulous planning, and postoperative management. This case also illustrates the critical role of physiotherapy in enhancing patient recovery and overall quality of life post-surgery.

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