0431-2258738,0431-2258739

PEDIATRICS – ACHIEVEMENTS

Achievements

Double Volume Exchange Transfusion 

S.No Date Title and place /activities Faculties Participated Place Beneficiaries Indication
1 11.03.2019

3.30.pm to 5.30 pm

Double volume Exchange transfusion,NICU, DEPT OF PAEDIATRICS

 

DR.C.CHANDRABABU.Asst prof

DR.K.SWAMINATHAN. SR

DR.S.PRASANTH.  SR

Under the guidance of DR.D.SAMINATAHAN.PROF&HOD

DR.C.GUNASEKARAN PROF

TRICHY SRM MCH &RC,

DEPT OF PAEDIATRICS

MALE B/O KIRUTHIKA,

6 DAYS OLD,

NICU

 NEONATAL HYPERBILIRUBINEMIA/?HEMOLYTIC DISEASE OF NEWBORN

 

B/O  KIRUTHIKA  –  MALE  BABY

Late preterm / 35+2 wks / 2816 gms / AGA/ respiratory distress –EONS / ? congenital pneumonia / neonatal hyperbilirubinemia ( ABO incompatibility / hemolytic disease of new born )

A male baby born to the mother of  non – consanguineous marriage – delivered on 9/3/19 @ 11.30 am through LSCS in labour in view of previous LSCS. @ 35+2 wks of gestational age with  birth weight of 2816 gms which is appropriate for gestational age .Baby cried immediately after birth with APGAR of 7/10 and 8/10 on 1ST and 5th minute. Requiring no resuscitation .No external congenital malformation.

CLINICAL EXAMINATION;

RS:  RR – 60 – 80/Min  ,Mild Retractions + ,Spo2-> 95 % @ Npo2 2L / min BAE + – NVBS ,No added sounds.

CVS: H/R : 120-130/ min ,CFT – 2-3 Sec,S1 S2 +, No murmur

ABD; Soft, palpable spleen 1 cm below Lft costal margin, BS +

CNS:Tone – N; Cry – N , consolable ;Mental status – N ;BIND SCORE – zero

 

ISSUE AND COURSE IN HOSPITAL

Baby had respiratory distress since birth hence started on NPO2 @ 2L/Min and  chest x-ray was taken.

FINDINGS;   Prominent bronchovascular markings + ; ? right upperzone heterogenous opacity ;  ? patchy hyperinflation

In view of Early onset neonatal sepsis / Congenital pneumonia, IV antibiotics was started (Inj.TAXIM 150 mg/kg/day BD & Inj.AMIKACIN 15mg/kg OD) and upgraded to ( Inj.VANCOMYCIN and MEROPENAM)

Since mother had O- POSITIVE blood group, considering the risk of ABO incompability, Cord bilirubin was taken  which is 4.9 mg / dl. Baby blood group A- POSITIVE , DCT – Negative No family H/O suggestive of hemolytic disease

Baby Was Icteric up to thigh with serum bilirubin of 13.6mg / dl . @ 24 hrs of life which is over the phototherapy range. ( PT > 7 mg /dl @ 24 Hrs  ) , Hence Baby Was Started On Intensive phototherapy.Inspite of DS-PT,the serum bilirubin is on increasing trend. @ 43 hrs of life – 17.7 mg / dl  and @ 47 hrs of life  – 18.8mg /dl is noted [ range for PT > 11: DVET > 17 ]

Hence double volume exchange transfusion is started. Post transfusion vitals stable.

Serial values of Ser.Bilirubin are as follows;

@51 hrs of life 7.5 mg/dl

@59 hrs of life10.2 mg/dl

@68 hrs of life 13.5 mg/dl

@76 hrs of life  9.0mg/dl

@100 hrs of life 6.3 mg/dl

This is the first of its kind in the history of Trichy SRM Medical College Hospital

S.No Dr. Name Award District/State Year
1 Dr.D.Saminathan 1.Mangalambigai Gold Medal in O & G College Level 1982
2.Tamilnadu Orthopedic Association Gold Medal State 1982
3.Savithri Nageshwaran Gold Medal State 1982
4.Balambigai Alias Rajambal Gold Medal State 1982
5.Dr.K.A.Krishnamoorthy award certificate State 2013
6. Cash award for having rendered 25 years of unblemished service
State 2016
7.Certificate of commitment by central vigilance commission National
8.Certificate of appreciation for working as professor & HOD State
2 Dr.K.Muthukumar 1.Dr.V.Balagopala Raju State 1998
Best chapter award
2.Dr.V.Balagopala Raju State 1999
Active member Award
3.Dr.V.Balagopala Raju
Best District award State 1999
4. Certificate of Appreciation Award for best member, Advisory board IAP State 2004
5. Certificate of Appreciation for noble service more than 25 years State 2008
6.Certificate of Honour State 2011
President IAP TNSC
7. Best Doctor Awards State 2013
S.No Dr. Name Recognition District/ State Year
1 Dr.D.Saminathan 1.Vice principal at KAP
Viswanathamgovt medical college State 2014
2.Director and Professor at ICH, MMC
State 2016
3.Member in Inspection Commission
University 2015
4.Adolescent health academy lifetime membership
National 2010-2012
5.IAP lifetime member National
2 Dr.K.Muthukumar 1.IAP Life member National
2.IMA life member National 1994
3.Member of respiratory chapter,IAP National 2003
4. Member of Growth and development chapter,IAP National
5. Member of dermatology chapter,IAP National
6. Member of Inspection chapter,IAP National
7. Member of Adolescent Chapter National
8. Member of Allergy Chapter National
4 Dr.M.Subbiah IAP Life member National 2008
IMA life member
5 Dr. S.Bharathi 1.IAP Life member National 2011
2.IMA life member National 2012-2013
6 Dr.S.Padmapriya 1.IAP Life member National
2.IMA life member National
Number of awards Number of recognitions
S.No Name State/ Univ Nati-onal Level Inter-national Level Total State/ Univ Nati-onal Level Inter-national Level Total
Level Level
1 Dr.D.Saminathan 7 1 8 3 2 5
2 Dr.K.Muthukumar 8 8 8 8
3 Dr.M.Subbiah 2 2
4 Dr.S.Bharathi 2 2
5 Dr.S.Padmapriya 2 2
6 Students 3 3