Dr. Preetha Joshi
Consultant: Neonatal, Pediatric and Cardiac Intensivist
MBBS, DCh, FCPS, DNB (Pediatrics)
- University of Sydney- Royal North Shore Hospital, Royal Hospital for Women
- McMaster University, Canada
Pediatric Intensive Care Fellowship
- University of Sydney- Sydney Childrens’ Hospital
- University of Toronto
Pediatric Cardiac Critical Care Fellowship
University of Toronto (Pediatric Cardiac Critical Care and Critical Care Transport)
- Bayley Development (BSID III)
- Clinical Epidemiology (McMaster University and University of Sydney)
Neonatal Intensive Care, Pediatric Intensive Care, Pediatric Cardiac Critical Care
Specialised Services in Intensive Care:
- Very Preterm Babies (completed 6th months of pregnancy or less than 1000 gms)
- Special types of Ventilation like High Frequency Ventilation & use of Nitric Oxide
- Postoperative Cardiac Critical Care
- Post operative Organ Transplant care ( Liver, Kidney, Lung and Heart)
- Ventricular Assist Device
- Peritoneal and Hemodialysis including Hemofiltration
- Extracorporeal Membrane Oxygenation (ECMO) –in Cardiac or Respiratory Failure
Neonatal Intensive Care Unit:
- Established a 20 bed Tertiary Level NICU.
- Attending Neonatologist for more than 3000 deliveries
- Care of extremely and very preterm babies (born in the 6th month)
- Managed more than 1500 critically ill newborns with a survival of 98.2% (at par with 97-98% survival rates in U.S and Canada)
- Transport of Critically Ill Newborns
- Involved in the care of Preterm Quintuplets, 4 of the 5 babies survived and are thriving well at 5 years.
- Successfully treated more than 50 babies of Severe Respiratory Failure with High Frequency Ventilation and inhaled Nitric Oxide with 99% survival rate.
- Managed over 40 abies with complex surgical problems
- Managed 6 babies with Congenital Diaphragmatic Hernia
- Follow up program for preterm babies- normal neurological outcome including vision and hearing in 99% patients.
Pediatric Intensive Care Unit:
- Tertiary level 10 bed PICU
- Managed 2000 critically ill children in the last 6 years
- Managed patients with Severe Malaria, Dengue
- Managed more than 50 cases of Acute Respiratory Distress Syndrome
- Specialised in Management of Traumatic Brain Injury
- Postoperative care after Neurosurgery (Tumor, VP shunt, Neurointervention), Gastrointestinal Surgery
- Postoperative care in Renal and Liver Transplants
- Management of Kidney Failure in snake bite poisoning & accidental poionings
- Managemnent of Severe Infections with Multiple Organ Failure
- High Frequency Ventilation and inhaled Nitric Oxide in ARDS
- Treatment of Severe Pediatric Trauma especially Head Injury in children
- Renal Replacement Therapy- Peritoneal Dialysis & Hemofiltration
Pediatric Cardiac Critical Care:
- 19 bed tertiary Pediatric Cardiac ICU
- The unit has taken care of more than 2000 Post Cardiac Surgery patients
- Preoperative Stabilization of babies with Complex Cardiac Anomalies
- Postoperative care of Complex Cardiac Surgery for TGA, TOF, TAPVC
- Postoperative care in Complex Cardiac Surgery in Neonates- more than 400 babies
- ECMO in Cardiac and Respiratory Failure-10 children.
- Follow up of Preterm Babies with Neurodevelopmental Assessment
- Follow up of babies discharged from the pediatric and neonatal ICU
- Started Indian Academy of Pediatrics Fellowship in Neonatology
- Institute Fellowship in Neonatal and Pediatric Critical Care
- Nursing Fellowship in Neonatology and Pediatric Critical Care
Research: Presented more than 20 papers in National and International Conferences
Publications in 15 National and International Journals and Textbooks
- Published- Work Of Ventilation in Preterm Babies (APRV)
- Case Series of severe H1N1 Infection cases in Pediatric ICU (World Critical Care Congress, Sydney 2011)
- Presentation at Society of Pediatric Research. Complex Congenital Heart Surgery outcomes in Newborns and 4 papers
- Presented Transfusion Related Lung Injury in Newborns (Canadian Pediatric Society and World Pediatric Critical Care Congress, Geneva, 2007)
Presented several papers at World Pediatric Critical Care Congress (Sydney,
- Newborn Intensive Care Handbook.
- Pediatric, Neonatal Intensive Care Textbooks
- Anesthesia textbook
- Nursing textbooks
- Executive Board Member of Indian Academy of Pediatrics (Mumbai Branch)
- Executive Board Member of Indian Academy of Pediatrics (Critical Care Division)
- Visiting Consultant in Pediatric ICU (Lokhmanya Tilak Municipal Medical College)
- Fellowship Teacher for Pediatric and Neonatal Intensive Care ( Indian Academy of Pediatrics)
- Examiner for Pediatric Critical Care Fellowship
- Life member of Indian Academy of Pediatrics
- National Neonatology Forum
- ECMO Society of India
- Society of Critical Care Medicine
Dear Mr. Narain,
I am writing to you to express my wife's and my gratitude for the wonderful care and attention provided to our darling daughter Avika during the 2 months she was in the NICU at your hospital.
At no time did we feel concerned about the well-being of our baby, since the exceptional staff at the NICU were always on hand to care for our little one. You will agree, as parents, this goes a really long way in re-assuring us that our little angels are in very safe hands.
I take this opportunity to congratulate you for having such a professional Unit in your hospital.
Our special thanks are due to Dr. Preetha and Dr. Vinay Joshi for managing this Unit so wonderfully and for constantly raising the bar for the treatment of its little inmates.
As a small token of our gratitude, I am attaching a card to thank all the doctors, nurses and support staff who made a difference and were responsible, either directly or indirectly for our darling Avika's well-being.
We just want to say a very special thanks to DR. PREETHA AND DR. VINAY JOSHI whom we will always be indebted to for saving the life of our child VIHAAN PRAMOD (diagonised with PPHN on birth) and giving him a new lease of life. When all hopes were lost Dr. Joshi & his team were always there to support us in every way possible. Each day as we look at the smile of our precious boy who is 3 years old we say a 'Thank You' prayer to bless Dr. Joshi and his entire NICU team. We owe this to you all......GOD BLESS
Manish Shrimani, Mumbai
I and Ajita, my wife, both want to thank you very sincerely for the life saving treatment given to our 33 weeks old pre mature born daughter. During her treatment at the hospital, we have witnessed the expertise, sincerity, openness, kindness of the whole NICU team.
In 2009 my elder son was critical while we were in the UK. He was admitted in the Great Ormand Street Hospital, London, for a month. Due to this, we always had that as a comparison in our minds while our daughter was being treated here at Kokilaben Dhirubhai Ambani Hospital. We were pleasantly surprised to see that the treatment standards followed here were no less than what was followed in GOSH. Although we do not have much medical knowledge and background, we could see that the systems followed here are very much similar. The hygiene level maintained is the same. The same level of openness is shown about the treatment and the path forward actions. In addition to the medical expertise we could also relate the support systems are also very much comparable.
No words can express our happiness and gratitude towards the NICU team. We congratulate both of you for maintaining such high standards at the reasonable price and wish you a great success ahead.
Dr. Suchitra Pandit, Dr. Vinay Joshi and Dr. Preetha Joshi | Gynaecologist & NICU Team
Mrs. Shreya Singh Jitan delivered a healthy baby boy (2.8 Kgs) today at 5.35 pm. She was with us in the hospital for 3 months (since Feb, 2011). She had presented with a pregnancy of six months (26 weeks - 600 gms) with a very short cervix and funnelling of internal os with bulging membranes (mouth of the womb was very short and open with the membranes bulging into it). This meant she would deliver very soon. At this stage one can put a stitch on the cervix called as a rescue cerclage of the internal os but due to the funnelling and bulging of membranes the water bag could easily burst, infection chances and a premature delivery are extremely high. Results with these cerclages are not very promising at such a stage. Maybe we could pull on for a few days only. The baby being extremely small (600gms) would have to spend many weeks in the ICU and dangers of prematurity like respiratory distress syndrome (breathing problems), hemorrhages (bleeding in the brain), feeding problems are possible and good outcome cannot be promised.
As against this we counselled her and her family, offered her a conservative management a stay in the hospital, antibiotics, head low position, uterine relaxants, Inj Betnesol inj (2) and vigilant care from the team which could carry on the pregnancy as far as possible.
We had done a similar plan for a patient Mrs ABC, last year and were successful. Since we are in a hospital with an excellent NICU team we were assured of the fact that we could do our best in case of a premature delivery. Our team of doctors headed by Dr Suchitra Pandit, Dr. Vinay & Dr. Preetha Joshi (baby doctors), Staff nurses, Radiologist Dr.Shefali Sardar, our junior doctors Jatinder, Deepali, Dimple were all very vigilant and offered reassurance at every visit. The family was told about the entire plan and they were very supportive.
We scanned her every fifteen days. The cervix got shorter & uterine pain was there but with medication we could avert labour.
It was only when we crossed 34 weeks ( 8 months) that we breathed a sigh of relief as lungs by then are mature. On 20th May, 2011 she was term and she was in early labour on 21st May. Short and sweet labour, a vacuum delivery - 2.8kgs baby boy.
What was very rewarding was the cooperation from the patient, the entire family. The family agreed and believe me as each week passed by we would pray that we sail through another week successfully.
Dr. Preetha Joshi | Dr. Vinay Joshi: ECMO Treatment to treat 2.5 month old infant
Extracorporeal Membrane oxygenation (ECMO) is the only life-saving technology available to support and rest organs in case of organ failure- heart, lungs etc
Last month, we treated an infant 2 and a half month old- on ECMO-first of its kind in the country and the baby is going home.
We are at present treating a 9 yr old with ECMO and CRRT in a case of ARDS with multiorgan failure.
This has been achieved due to team effort by the entire PCICU, PICU team and especially Pediatric Cardiac surgeons, Perfusionists (who are working round the clock), the intensivists and the nursing team.