- Neonatal Intensive care Unit [NICU]
- Pediatric Intesive Care Unit [ PICU]
- Pediatric ward
- Semi-Deluxe rooms
- Deluxe rooms
Neonatal Intensive care Unit
What is the neonatal intensive care unit?
When newborn babies fall ill, they require specialized care, with equipments and drugs in ways much different from the way adults are treated. Not only are minute doses of medicines required, the equipments like ventilators, etc., are designed specially to suit the small lungs of the babies. When babies are born in much advance of the date on which they were due, they are all the more smaller, demanding more care, and more prone to infections.
One of the Best NICU’s in Rajasthan
15 bedded NICU-
- 15 bedded Level III NICU capable of caring sick and premature newborn infants as tiny as weighing 600 gms or delivered in 6th month of pregnancy.
- Designed as per National Neonatology Forum [ NNF ] and International guidelines
- Separate intensive care area, isolation area, level I, II and III care, KMC and breast feeding area
Laminar flow chamber for preparing parenteral nutrition and drugs
- Neurosensory stimulation for high risk babies and developmental supportive care
- Manned by skilled , dedicated, highly accomplished Neonatologists, senior Doctors and trained nurses.
- Personalized support for parents and families in times of stress
Level III/II/I care-
Level I care
Neonates weighing more than 1800 grams or having gestational maturity of 34 weeks or more are categorized under level I care. The care consists of basic care at birth, provision of warmth, maintaining asepsis and promotion of breastfeeding. This type of care can be given at home, subcenter and primary health centre.
Level II care
Neonates weighing 1200-1800 grams or having gestational maturity of 30–34 weeks are categorized under level II care and are looked after by trained nurses and pediatricians. The equipment and facilities used for this level of care are include equipment for resuscitation, maintenance of thermoneutral environment, intravenous infusion, gavage feeding, phototherapy and exchange blood transfusion. This type of care can be given at first referral units, district hospitals, teaching institutions and nursing homes.
Level III care
Neonates weighing less than 1200 grams or having gestational maturity of less than 30 weeks are categorized under level III care. The care is provided at apex institutions and regional perinatal centers equipped with centralized oxygen and suction facilities, servo-controlled incubators, vital signs monitors, transcutaneous monitors, ventilators, infusion pumps etc. This type of care is provided by skilled nurses and neonatologists.
Advanced Ventilation- High frequency ventilation ( HFO)-
High frequency ventilation is a type of mechanical ventilation which utilizes a respiratory rate greater than 4 times the normal value (>150 (Vf) breaths per minute) and very small tidal volumes.
High frequency ventilation is thought to reduce ventilator-associated lung injury (VALI), especially in the context of ARDS and acute lung injury. This is commonly referred to as lung protective ventilation
HFO is lifesaving in babies with severe respiratory problems where conventional mechanical ventilator fails.
Conventional ventilation/ Bubble CPAP-
Jivanta Children’s Hospital believes in the “Gentle ventilation [ GENTILATION]” philosophy. Top of the line Drager- Babylog 8000 Plus and SLE Neonatal Ventilators are used to support respiration to small babies without harming the lungs. Bubble CPAP units are available for providing non-invasive respiratory support to babies .
Bedside echo-cardiography machine is available with high frequency cardiac and sonographic probes which helps in detection of structural heart diseases and functional parameters of heart.
Bedside sonography machine is available . Expert radiologists trained in neonatal neuro-sonogram carry out the sonography as per protocol.
Surfactant therapy is the medical administration of exogenous surfactant typically instilled directly into the lungs. Premature babies have immature lungs and insufficient surfactant. Exogenous surfactant replacement therapy is effective in reducing RDS mortality and morbidity in preterm infants.
Total parenteral Nutrition [TPN]
The supply of nutrients to preterm neonates—especially extremely low-birthweight (ELBW) infants—is rarely adequate, and these infants accumulate major deficits in early postnatal life . A high proportion of ELBW infants exhibit poor growth in the neonatal intensive care unit (NICU), with those at the lowest gestational age and birthweight at greatest risk .However, growing evidence indicates that early use of parenteral nutrition may minimize protein losses and improve growth outcomes
Newborn babies are very much labile and require very close and continuous monitoring. The neonatal team continuously supervises the various parameters including the baby's vital signs like heart rate, respiratory rate, blood pressure, oxygen saturation, and how hard the baby is working to breathe, using an array of monitoring equipments like multi Para monitors, pulse-oxymeters, ECG monitors, NIBP ( Non Invasive Blood Pressure Monitoring) and IBP ( Invasive Blood Presuure ) monitors.
Transcutaneous Bilirubinometer ( TcB)
This is hand held, portable and rechargeable instrument used to asses degree of jaundice in newborn without prick
Major surgeries like Tracheo-esophageal fistula repair, intestinal perforation, intestinal obstruction, hydrocephalus, etc.
Minor surgies like hernia repair, hydrocoele repair, umbilical granuloma, etc
All high risk babies are screened for ROP in our unit and those who require further follow up are examined in high-risk follow up clinics.
All high risk babies are subjected to hearing screening ( OAE- otoacoustic emission) and followed up.
Kangaroo Mother Care
KMC is skin to skin contact between mother and baby provides warmth, improves oxygenation, helps in weight gain and decreases the chances of infection; thus, dramatically increasing the chances of the baby’s survival.
We have a separate unit dedicated strongly to maintain parents’ involvement in intensive care, thus creating a nurturing environment for the preemies’
We have separate area for breast feeding where mother can feed her baby with ease. We support the mothers in every way and encourage them to breast feed the baby. We have adequate breast pumps that help the mother easily express breast milk. Expressed breast milk is stored and made available to the babies.
High risk follow up clinic
NICU graduates are followed up regularly and evaluated for early diagnosis and treatment of various disorders.
Conselling is provided to pregnant mothers whose fetus is diagnosed to have to certain structural and congenital problems or who are likely to deliver premature babies or those who have high risk factors like high BP, diabetes etc . The planning of such high risk deliveries, transport of such babies to our NICU and their subsequent treatment is discussed in detail.
Newborn screening programme
Some illnesses are “ Hidden” and if not detected on time can lead to serious health problems. Newborns can look healthy but may have a number of serious diseases that can not be detected without screening. Neonatal screening programme to detect hidden abnormalities of heart, brain, kidney & metabolic disorders.Early diagnosis and treatment can prevent these serious problems to a large extent.
Neonatal Retrieval services – Fully trained Medical team with state of art Ambulance designed for neonatal transfers.
Pediatric Intensive Care Unit [Picu]
15 Bedded State-of-art PICU-
The Pediatric Intensive Care Unit (PICU) is a 15-beded unit equipped with hitech ventilators, multipara monitors with ETCo2 and IBP monitoring.
The unit is manned by highly skilled and qualified Pediatric Intensivists, well trained Doctors and dedicated nurses round the clock.
- Advanced Ventilation- HFO
- Conventional Ventilation
- Invasive Hemodynamic Monitoring
- Emergency & Critical Cas