Doctor Profile

Dr. Preetha Joshi

Consultant, Neonatal, Pediatric and Cardiac Intensivist

MBBS, DCh, FCPS, DNB (Pediatrics)

  • GENDER: Female
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AREA(S) OF INTEREST:

Neonatal, Paediatric Critical Care and Paediatric Cardiac Critical Care

TREATMENTS/PROCEDURES OFFERED:

Specialised Services in Intensive Care Neonatal, Paediatric and Cardiac, Management and Treatment of Very Preterm Babies (completed 6 months of pregnancy or less than 1000 gm), 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 Haemodialysis including Hemofiltration, Extracorporeal Membrane Oxygenation (ECMO) –in Cardiac or Respiratory Failure

FELLOWSHIPS:

    Fellowships: 2001-2007

    Neonatal Fellowship:

    • 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)

    Certificate Training:

    • ECMO

Dr Preetha has pursued Post graduation degree in Paediatrics from Lokmanya Tilak Municipal Medical College-Sion. She also has experience of training and working in Australia and Canada for 7 years. She was the Chief Fellow in the Department of Paediatric Critical Care at Hospital for Sick Children, Toronto.

At KDAH, she manages Neonatal and Paediatric ICU which has Transport facility of Critically Ill Newborns and children up to 18 years. She was Involved in the care of Preterm Quintuplets, 4 of the 5 babies survived and are thriving well at 7 years. She also looks after postoperative cardiac surgery patients in the Paediatric Cardiac ICU which sees 500 postoperative children per year.

KDAH Experience :

Neonatal Intensive Care Unit at KDAH has 17 beds which admit :

  • Premature babies as young as 24 weeks of gestation
  • Extremely low birth weight infants as low as a birth weight 500 gm
  • Respiratory failure in premature and term newborns requiring advanced ventilatory modes such as High Frequency Ventilation and Inhaled Nitric Oxide therapy like severe hyaline membrane disease, meconium aspiration syndrome etc.
  • Babies with complex surgical problems like congenital diaphragmatic hernia, intestinal atresia, Hydronephrosis, congenital hydrocephalus etc.
  • Babies with septicaemia

This unit has looked after 2,400 sick newborns in the last 7 years with mortality rates less than 2.5 per cent

Paediatric Intensive Care Unit is a quaternary level unit with 10 beds. The care offered by the ICU is :

  • Treatment of Severe Malaria, Dengue, Septic shock
  • Respiratory failure: High Frequency Ventilation and inhaled Nitric Oxide in ARDS
  • Postoperative care after Neurosurgery (Tumour, VP shunt, Neurointervention), Gastrointestinal Surgery, Urological surgery
  • Postoperative care in Renal and Liver Transplants
  • Management of Kidney Failure in snake bite poisoning & accidental poisonings
  • Management of Severe Infections with Multiple Organ Failure
  • Treatment of Severe Paediatric Trauma especially Head Injury in children
  • Renal Replacement Therapy- Peritoneal Dialysis, Continuous Renal replacement therapy, Haemodialysis & Hemofiltration
  • ECMO in Cardiorespiratory failure

This unit has Managed 3,000 critically ill children in the last 7 years

Paediatric Cardiac Critical Care :

  • 25 bedded tertiary Paediatric Cardiac ICU
  • The unit has taken care of more than 3000 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-25 children.

Transport of critically ill newborns and children:

She has been involved in the setting up of a state-of-the-art transport service for critically ill children. There is a dedicated neonatal and paediatric ambulance with neonatal transport incubators and neonatal and paediatric ventilators. Children are picked up from many peripheral hospitals and nursing homes in the outskirts of Mumbai.

Outpatient Clinic :

  • Follow up of Preterm Babies with Neurodevelopmental Assessment up to 5 years of age.
  • Follow up of babies discharged from the paediatric and neonatal ICU

Academic Achievements :

  • Speaker at international and National Conferences of Critical Care
  • Conducts training workshops in Neonatal, Paediatric and Cardiac Critical Care all over India.
  • Teacher for Indian Academy of Paediatrics- Fellowship in Neonatology
  • Institute Fellowship in Neonatal and Paediatric Critical Care
  • Nursing Fellowship in Neonatology and Paediatric Critical Care
  • Research: Presented more than 20 papers in National and International Conferences
  • Publications in 15 National and International Journals and Textbooks
  • Published- Work On Ventilation in Preterm Babies (APRV)
  • Case Series of severe H1N1 Infection cases in Paediatric ICU (World Critical Care Congress, Sydney 2011
  • )
  • Presentation at World Congress at Sydney (2012) and Toronto (2016). The latest presentation was on Complex Congenital Heart Surgery outcomes in Newborns and 4 papers
  • Presented Transfusion Related Lung Injury in Newborns (Canadian Paediatric Society and World Paediatric Critical Care Congress, Geneva, 2007)
  • Presented several papers at World Paediatric Critical Care Congress (Sydney, Australia)

Chapter :

  • Newborn Intensive Care Handbook.
  • Paediatric, Neonatal Intensive Care Textbooks
  • Anaesthesia textbook
  • Nursing textbooks

Association :

  • Executive Board Member of Indian Academy of Paediatrics (Mumbai Branch)
  • Ex-Executive Board Member of Indian Academy of Paediatrics (Critical Care Division)
  • Visiting Consultant in Paediatric ICU (Lokmanya Tilak Municipal Medical College)
  • Fellowship Teacher for Paediatric and Neonatal Intensive Care ( Indian Academy of Paediatrics)
  • Examiner for Paediatric Critical Care and Neonatal Critical care Fellowships
  • Life member of Indian Academy of Paediatrics
  • National Neonatology Forum
  • ECMO Society of India
  • Society of Critical Care Medicine
  • 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. 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.

  • Sandhya Pramod

    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.

  • Sujeet Jayant

    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.

Conditions/Procedures No. of cases treated International success rate KDAH success rate
Critically ill newborns > 2400 97-98 per cent survival rate 98.2 per cent survival rate
Severe Respiratory Failure managed with High Frequency Ventilation and inhaled Nitric Oxide >50 60-70 per cent survival rate 80 per cent survival rate
Acute Respiratory Distress Syndrome >100 70-80 per cent survival 80 per cent
Complex surgical problems >300 80-90 per cent 80 per cent
Congenital Diaphragmatic Hernia >10 80 per cent 90 per cent
Post Cardiac Surgery patients >3000 80-90 per cent 97 per cent

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.

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