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Dr. Vinay Joshi

Consultant - NICU, PICU and Cardiac ICU
MBBS, MD (Pediatrics), DM (Neonatology)

Fellowships

  • Fellowship in Neonatal and Perinatal Medicine (Australia and Canada)
  • Fellowship in Pediatric and Cardiac Critical Care  (Australia and Canada)
  • Fellowship in Neonatal and Pediatric Transport Medicine  (Canada)

Expertise

Neonatal Intensive Care, Paediatric Intensive Care, Paediatric Cardiac Critical Care, Expertise in High Frequency Ventilation, Nitric Oxide administration and inter-hospital transport (air and road), Expertise in the management of organ transplant children: kidney, liver, heart, lungs and gut.

Services Offered

Management of xtremely small infants (~500gms), Management of critically ill medical and surgical children

Languages spoken

Hindi, English, Marathi, Gujarati

  • Total experience in field of Neonatal and Paediatric Intensive Care 14 years
  • Experience in Australia and Canada for over 7 years
  • Managed more than 2000 post-op cardiac patients and gained expertise in use of Extracorporeal Life Support (ECMO), Ventilator Assiste Device (VAD)
  • Renal Replacement Therapy (Dialysis, CVVH, CVVHD).
  • Dr. Joshi's previous attachment was as a Consultant and Senior Staff Specialist at Red Cross Children's Hospital, Cape Town, South Africa.

KDAH Experience

Neonatal Intensive Care Unit:

  • Established a 20 bed Tertiary Level NICU setup
  • Managed more than 1500 high-risk babies (inborn and out born) and the survival rate in the neonatal ICU is ~ 98.2% (at par with leading NICUs in the US and West).
  • Attending Neonatologist for over 3000 deliveries
  • Neurological abnormalities (abnormalities of movement, vision, hearing and speech) in the preterm survivors was less than 0.5%.
  • Successfully discharged 4 of the quintuplet premature babies (average weight 800gms), which is a national record. They are now 5 years old and thriving well.
  • Successfully managed more than 50 babies with severe respiratory failure using High Frequency Ventilation and inhaled Nitric Oxide Therapy with 98% survival rate.
  • Handled transport of more than 100 critically sick newborns and around 50 babies with complex surgical problems

Pediatric Intensive Care Unit:

  • Kokilaben Hospital's PICU (10 bed) is a Tertiary Care Referral centre for various PICUs across Mumbai and surrounding region.
  • Successfully handled more than 2000 critically ill children with various problems
  • Skillfully handled more than 50 children with severe respiratory failure (pneumonia) using High Frequency Ventilation, Nitric Oxide Therapy and ECMO.
  • Expert management of children with head injuries, brain surgeries and neurological problems (brain infections)
  • Successful management of severe infections like malaria, dengue, sepsis and shock using advanced therapies (dialysis)

Pediatric Cardiac Critical Care:

  • Kokilaben Hospital’s Pediatric Cardiac ICU has 18 beds catering to all types of complex cardiac surgeries
  • The Unit has managed more than 2500 children with complex cardiac problems
  • Successful transport, pre-op stabilization and discharge follow-up of cardiac babies
  • Managed ~ 10 children requiring extracorporeal membrane oxygenation (ECMO), an advanced form of heart-lung support in extremely sick cardiac patients
  • Outpatient clinic:
  • Follow up of preterm babies with neurodevelopmental assessment
  • Follow up of babies discharged from the pediatric and neonatal ICU

Doctor'sScorecard

  • Disease No. of cases treated International success rate KDAH success rate
    High-risk babies (inborn and out-born) >2000 At par with leading NICUs in the US and Europe 98.2%
    Complex surgical problems (congenital diaphragmatic hernia, gut anomalies, lung anomalies, nervous system and urinary tract). >200 - -
    Critically sick newborns >200 - -
    Respiratory failure >90 - 98%

Academic Achievements:

  • 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)
  • Work Of Ventilation in Postoperative Cardiac Babies
  • 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, Australia)

Chapter:

< Newborn Intensive Care Handbook.
  • Pediatric, Neonatal Intensive Care Textbooks
  • Anesthesia Textbooks
  • Nursing Textbooks

Associations:

  • Honorary Consultant in NICU at Nowrosjee Wadia Hospital, Mumbai
  • Associate Professor in NICU at LTMGH, Mumbai
  • Executive Board Member of Indian Academy of Pediatrics (Mumbai Branch)
  • Fellowship Teacher for Pediatric and Neonatal Intensive Care (IAP- Indian Academy of Pediatrics)
  • Examiner for Neonatal and Pediatric Critical Care Fellowship
  • Life Member of Indian Academy of Pediatrics and National Neonatology Forum
  • ECMO Society of India
  • Society of Critical Care Medicine

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.

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