CSR

KIMS Cardiologists performs Rare Minimally Invasive Procedure for Stroke Prevention

A rare minimally invasive procedure for stroke prevention was performed successfully at KIMS Hospital Trivandrum for an 80 Year old patient from Trivandrum. The patient was having Irregular Heart beat and was diagnosed with Atrial Fibrillation. People with Atrial fibrillation are 5 to 7 times more likely to have a stroke than the general population. The patient was also in a condition where bleeding occurred when medication was administered for stroke prevention.

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A rare minimally invasive procedure for stroke prevention was performed successfully at KIMS Hospital Trivandrum for an 80 Year old patient from Trivandrum. The patient was having Irregular Heart beat and was diagnosed with Atrial Fibrillation. People with Atrial fibrillation are 5 to 7 times more likely to have a stroke than the general population. The patient was also in a condition where bleeding occurred when medication was administered for stroke prevention. In this patient, the electrical impulses that control the heartbeat did not travel in an orderly fashion through the heart. Instead, many impulses begin at the same time and spread through the atria. The fast and chaotic impulses did not give the atria time to contract and/or effectively squeeze blood into the ventricles. The Left Atrial Appendage (LAA) is a little pouch, blood collects there and can form clots in the LAA and atria. When the blood clots are pumped out of the heart, they can cause a stroke.The Interventional cardiology team lead by Dr. Praveen SV, Interventional Cardiologist performed LA Appendage closure. A catheter was inserted through the vein in leg and the closure was done. The patient has recovered and responded well. Even though the procedure is common in other countries, this is rare in India particularly Kerala.


Kerala’s First ‘TARE’ Procedure with Iodine-131 successfully done at KIMS Hospital

For the first time in Kerala, Trans Arterial Radio-Embolisation (TARE) with Iodine-131 Lipiodol for liver tumor was carried out in a 74-year-old male with liver cancer in KIMS Hospital, Trivandrum. This novel approach of treating liver cancers is carried out in patients with inoperable liver tumors. The TARE procedure was opted since the patient responded poorly to targeted chemoembolisation of the Liver tumour. KIMS has directly procured Iodine-131 from Bhaba Atomic Research Centre (BARC).

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For the first time in Kerala, Trans Arterial Radio-Embolisation (TARE) with Iodine-131 Lipiodol for liver tumor was carried out in a 74-year-old male with liver cancer in KIMS Hospital, Trivandrum. This novel approach of treating liver cancers is carried out in patients with inoperable liver tumors. The TARE procedure was opted since the patient responded poorly to targeted chemoembolisation of the Liver tumour. KIMS has directly procured Iodine-131 from Bhaba Atomic Research Centre (BARC). In this procedure the radioactive material (Iodine-131 Lipiodol) was delivered into the tumor cells directly through a small catheter which is inserted into the patient’s body from the groin area. The radioactive material emits radiation into the tumor cells and thereby killing the tumor cells. There is very little effect of radiation on the rest of the body since the material is directly delivered into the tumor tissue. The procedure is well tolerated by patients with no associated side effects similar to the ones we see with chemotherapeutic drugs. This type of treatment for liver cancer is very popular in developed countries. The TARE procedure with Iodine-131 is cost effective by, 1/8th the cost when compared to the cost incurred when the procedure is done with Yttrium-90 or Rhenium 188. A multidisciplinary team of experts including Dr. Madhavan Unni, Dr. Manish Kumar Yadav, consultants in Interventional radiology; Dr. M.R. Pillai, Dr. Bindu, consultants in Nuclear medicine; Dr. Venugopal B, Dr. Shabeerali TU, Dr. Shiraz Ahmad Rather, liver transplant surgeons; the cathlab and nuclear medicine teams were involved in the treatment and care of the patient.Following the procedure the patient was discharged safely.


Life Saving Minimally Invasive Procedure at KIMS saves life of 28 year old

A path – breaking minimal invasive procedure at KIMS Hospital, Trivandrum, saved the life of a 28 year old lady who had excessive bleeding following the delivery. The bleeding turned out to be life threatening. Contemplating the danger to the mother due to excessive bleeding the doctors at the local hospital which she was getting treated decided to remove the uterus to save the patient’s life and control the bleeding. However in spite of the surgery the patient continued to bleed internally and the patient was referred to KIMS hospital for further treatment.

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A path – breaking minimal invasive procedure at KIMS Hospitall, Trivandrum, saved the life of a 28 year old lady who had excessive bleeding following the delivery. The bleeding turned out to be life threatening. Contemplating the danger to the mother due to excessive bleeding the doctors at the local hospital which she was getting treated decided to remove the uterus to save the patient’s life and control the bleeding. However in spite of the surgery the patient continued to bleed internally and the patient was referred to KIMS hospital for further treatment

The bleeding was successfully controlled by a specialized minimally invasive procedure by Dr. Manish Kumar Yadav and Dr. Madhavan Unni, Interventional Radiologists at KIMS Hospital. The patient was saved through endovascular embolisation which is an alternative to open surgery. This procedure blocks blood vessels to cut off blood flow to an affected area and helps to stop bleeding. As the patient was profusely bleeding continuously for hours its made the procedure extremely risky and complicated. However the highly experienced team of interventional radiologists at KIMs were able to successfully stop the bleeding and save the life of the patient.

Endovascular embolisation is also highly effective in treatment of other uterine conditions like uterine fibroids which can be treated without surgery or removal of uterus.

Salivary Gland Endoscopy facility at KIMS

The Centre for Laryngology at KIMS Trivandrum has introduced comprehensive Sialology unit with Salivary Gland Endoscopy (Sialoendoscopy) for the diagnosis and treatment of all salivary gland infections and disorders. Salivary gland stones are becoming common and are one of the major causes of Salivary gland infections. The other leading cause of salivary gland infections is due to Stricture (an abnormal narrowing of a bodily passage) and adhesions (fibrous bands that form between tissues and organs).

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The Centre for Laryngology at KIMS Trivandrum has introduced comprehensive Sialology unit with Salivary Gland Endoscopy (Sialoendoscopy) for the diagnosis and treatment of all salivary gland infections and disorders. Salivary gland stones are becoming common and are one of the major causes of Salivary gland infections. The other leading cause of salivary gland infections is due to Stricture (an abnormal narrowing of a bodily passage) and adhesions (fibrous bands that form between tissues and organs).

The diagnosis through Sialoendoscopy can identify disorders without any complex radiological interventions. This being a minimal invasive procedure can remove blocks and stones in salivary glands without general anesthesia or any open surgery procedures. The procedure is effective for gland washing in the case of recurrent salivary gland infections. The most interesting aspect of Sialoendoscopy is that the patient has no scar post procedure and can be discharged the same day of procedure. The conventional methods of treatment for salivary gland disorders usually require hospital stay for 2 – 3 days.

The Sialology unit also offers treatment for Drooling of saliva, salivary gland tumours and salivary fistulae.

View the report in:

Deepika

Keralakaumudi

Mangalam


The boy who walked away from a broken neck

The 18th of September, 2016 would have been another regular day in the lives of many, but for 15 year old Master Thameem, it changed his life forever. Thameem was travelling as a pillion rider on his friend’s bike. At Pottavilla, Trivandrum they negotiated a steep bump at a high speed, which completely threw Thameem off the seat.

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The 18th of September, 2016 would have been another regular day in the lives of many, but for 15 year old Master Thameem, it changed his life forever. Thameem was travelling as a pillion rider on his friend’s bike. At Pottavilla, Trivandrum they negotiated a steep bump at a high speed, which completely threw Thameem off the seat.He landed on his back, injuring his spine. When he regained consciousness, he was shocked to realize that he could not move his left upper and lower limb at all, and had only minimal power on the right. The tremendous impact of the fall had literally broken his neck into two, causing multiple fractures of his spine and haemorrhage into his spinal cord. In spite of having paralysed all four of his limbs, he held on, breathing and fighting to survive.

He was rushed to KIMS hospital at Trivandrum where he was admitted in the Neurosurgery ICU. He was evaluated by the Neurosurgical team and immediately taken up for emergency surgery. The neurosurgery team, which comprised of Drs Santhosh George Thomas, Biji Bahuleyan and Girish K M, performed an 8 hour long surgery on Thameem by operating from both the front and back of his neck, thus establishing a 360 degree fixation. During the anterior approach, the large blood clot in front of his spinal cord along with broken fragments of bone that were compressing his spinal cord were removed and the neck was kept upright with a titanium cage. This was secured in place with a plate and screws. He was then turned over and operated from the back to decompress the spinal cord from behind. The cervical vertebrae were fixed with multiple screws, rods and bone grafts. Post operatively, Thameem woke up determined not to give up. He tried his best to co-operate with the ICU team, physiotherapists and rehabilitation specialists who worked tirelessly with him though multiple sessions. Over the next week, his limb functions started to return. It has now been a month since the accident, and Thameem is now able to walk with support.

The Neurosurgery team at KIMS- the neurosurgeons who did a fantastic job of fixing a totally shattered spine, the ICU staff, the physiotherapists- all agree that its Thameem’s indomitable spirit and God’s grace that will carry him forward on the road to recovery. Thameem, who continues to wear a cervical collar,is now able to nod in response.

View the report in:

Huntnews

TheHindubusinessline

Business-standard

Zeenews


Unique Reverse Shoulder Replacement Surgery done at KIMS

KIMS Hospital successfully performed a unique Reverse Shoulder replacement surgery for a man whose right shoulder bone was affected by a tumor. The 49 year old man, working in the Middle East was suffering from acute pain on the right shoulder. The investigations done at KIMS revealed a tumor on the right shoulder bone. Tumors on the bone can spread to other parts of the body. Hence these tumors have to be removed at the early stage itself or else, can be fatal

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KIMS Hospital successfully performed a unique Reverse Shoulder replacement surgery for a man whose right shoulder bone was affected by a tumor. The 49 year old man, working in the Middle East was suffering from acute pain on the right shoulder. The investigations done at KIMS revealed a tumor on the right shoulder bone. Tumors on the bone can spread to other parts of the body. Hence these tumors have to be removed at the early stage itself or else, can be fatal

In such cases, usually the conventional Joint replacement surgery or a Bone fusion is done but Bone fusion may result in full immobility of the shoulder while conventional joint replacement might result in partial or limited mobility of the shoulder.

The team of doctors at KIMS, Trivandrum led by Dr.Mohammed Nazeer, instead opted for a different procedure where the Socket of the shoulder was replaced by the ball of the shoulder bone and the ball of the shoulder bone with the socket of the shoulder. This innovative Reverse shoulder replacement procedure allowed the patient to have full mobility of the hand and shoulder.

Post surgery, the patient regained full health and returned to his work place.

View the report in:

Manorama

Keralakaumadi

WebIndia

UNIIndia


Rare Splenic Artery Partial Embolisation Performed

The patient, a 28 year old female from Marthandam in Kanyakumari district, Tamilnadu was brought here for treatment of an acute medical condition. She was diagnosed of a condition called as Idiopathic Thrombocytopenic Purpura (ITP).A condition where the platelet gets destroyed in the spleen due to problem with Immune Response.

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The patient, a 28 year old female from Marthandam in Kanyakumari district, Tamilnadu was brought here for treatment of an acute medical condition.

She was diagnosed of a condition called as Idiopathic Thrombocytopenic Purpura (ITP).A condition where the platelet gets destroyed in the spleen due to problem with Immune Response. The normal functioning of platelets is required to prevent spontaneous bleeding in the body. Her Platelet count rarely increased above 50,000 over the last 4 years in spite of best medical therapy including steroids.

Since the standard therapy of steroids and medicine were unable to increase the Platelet count, Dr.Manish Kumar Yadav, Dr. Madhavan Unni and Dr Mathew Thomas planned for splenic artery embolisation? Wherein blood supply of 60 – 70% to the spleen had to be blocked. The procedure was done through a small puncture in the groin Artery under local anaesthesia.

Splenectomy is extremely risky in ITP cases due to increased possibility of significant bleeding during surgery. Further more, Spleen helps to fight infection from certain bacteria that cause Pneumonia and Meningitis. So removal of Spleen would increase chances of bacterial infection.

Post procedure patient’s platelet count started increasing at a steady manner and reached upto 1,83,000 at the time of discharge. Even though this procedure is done frequently in western countries, this is rarely performed in India. Team of Interventional Radiologists from KIMS, Dr. Manish Kumar Yadav, Dr. Madhavan Unni and Haematologist Dr. Mathew Thomas were part of this rare achievement.


Maldivian Woman gets a new lease of life

It’s a twenty eight old Maldivian woman who benefitted from a novel method of treatment at KIMS Hospital. The patient for the past ten years was suffering from frequent occurrences of vertigo which led to unconsciousness. With these symptoms the patient was finding it difficult to manage her daily chores.

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It’s a twenty eight old Maldivian woman who benefitted from a novel method of treatment at KIMS Hospital. The patient for the past ten years was suffering from frequent occurrences of vertigo which led to unconsciousness. With these symptoms the patient was finding it difficult to manage her daily chores.

Earlier investigations and treatment done on her, was not able to improve the condition of the patient. She was then referred to Dr. Meera, the Electro physiologist at KIMS Hospital. She was initially administered various medicines, since her symptoms were typical for irregular heartbeats After that a small microchip was implanted on the patient’s heart through a minimally invasive procedure to monitor the heartbeat.

The chip does not have any side-effects and can remain in the body for three years. The chip not only monitors the heartbeat, but can also record it. The device alerts the doctor remotely through a wireless sensor, to any change in their condition, even before they experience symptoms.. “On the basis of the study we will be able to do the exact diagnosis and the heartbeat can be corrected ” said Dr.Meera.

According to Dr.G.Vijayaraghavan, Head Department of Cardiology, KIMS Hospital, “with such novel methods of treatment for heart diseases, the disease can be diagnosed at the initial stage itself and the patient can be given the right treatment at the beginning stage itself.”


A Rare Form of Embolisation treatment for Prostrate Enlargement Done

An Omani patient with urinary retention and on catheter for more than 50 days was sucessfully treated at KIMS Hospital, Trivandrum through a radiological procedure called ‘Prostratic Artery Embolisation.’ This procedure done by KIMS is the first ever performed in Kerala and one of the first few cases in the country. In Prostratic Artery Embolisation the blood supply to the prostrate gland is blocked by a minimal invasive procedure done through a small groin puncture. This leads to shrinkage of prostrate over a period of time.

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An Omani patient with urinary retention and on catheter for more than 50 days was sucessfully treated at KIMS Hospital, Trivandrum through a radiological procedure called ‘Prostratic Artery Embolisation.’ This procedure done by KIMS is the first ever performed in Kerala and one of the first few cases in the country. In Prostratic Artery Embolisation the blood supply to the prostrate gland is blocked by a minimal invasive procedure done through a small groin puncture. This leads to shrinkage of prostrate over a period of time.

The patient was admitted in KIMS with inability to pass urine normally and was dependent on catheter for his urine drainage. He was suffering from a condition called benign hypertrophy of prostrate. Prostrate is a gland situated under the urinary bladder and the urinary passage (urethra) travers through this gland. The prostrate gland is known to enlarge in size in old age leading to symptoms of urinary retention and increased frequency to pass urine. The most common way of treating this condition is either through medicine or through a surgical procedure.

This Omani patient was in a condition wherein a surgery was impossible due to his poor heart condition. So the patient was advised on this new form of treatment, Prostratic Artery Embolisation’, a procedure done without general anaesthesia. The patient was off the catheter the next day of the procedure and was able to pass urine normally. After two days of post procedure stay at the hospital the patient was discharged. Such type of a procedure is rarely done at hospitals. The procedure which lasted for two hours was conducted by interventional radiologists, Dr. Manish Kumar Yadav and Dr.Madhavan Unni.

View the report in:

Uni India

Article WN

Nyoooz


Rare Cervical Surgery Performed

A 55-year-old Omani woman has successfully undergone a rare cervical surgery on her neck at the private KIMS hospital here. The three-hour-long surgery was successfully completed by a team of surgeons at the hospital.

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A 55-year-old Omani woman has successfully undergone a rare cervical surgery on her neck at the private KIMS hospital here. The three-hour-long surgery was successfully completed by a team of surgeons at the hospital

Salma Abdullah, who had approached the hospital with pain in the neck, shoulder and arms, was diagnosed with cervical disc prolapse. Subsequently, a disc replacement was done in which the damaged disc was replaced with an artificial disc.

As conventional surgical methods limit the freedom of movement, forcing the patient to wear a collar, an innovative procedure was done by doctors at KIMS, where no plates and screws were used during the surgery.

Salma is now able to move her neck and is free of pain and has been discharged from the hospital, it added.

View the report in:

NDTV

In.Shafaqna

Business-Standard

India Today


Eighty two year old man becomes the oldest liver donor in South India

KIMS hospital, Trivandrum successfully conducted the cadaveric transplant of liver of an eighty two year old man, the victim of a fatal road accident in Trivandrum. The recipient is a forty four year old man from Kollam

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KIMS hospital, Trivandrum successfully conducted the cadaveric transplant of liver of an eighty two year old man, the victim of a fatal road accident in Trivandrum. The recipient is a forty four year old man from Kollam.

The donor Vikraman, a bicycle mechanic, who hails from Chackai in Trivandrum met with an unfortunate bike accident, following which, he was rushed to KIMS with severe head injury. He further succumbed to the injuries and was declared brain dead. He is survived by his wife and two children. Even at that time of tragic personal loss, his family conveyed their willingness for organ donation.

Soon after the willingness expressed by the family, KNOS, the nodal agency of the Government sprung into action and completed all the legal formalities for the transplantation.The eminent team of doctors at KIMS led by Dr.B. Venugopal, the Chief Liver Transplant Surgeon, Dr Shabeer Ali, Dr Shiraz Ahamad, Anesthetists Dr Badrinath, Dr Kusuma, Dr Dinit and the transplant nursing and support team conducted the complicated and rare transplant surgery which lasted for more than twelve hours.

The team was ably supported by Hepatologist, Dr Madhu Sashidharan, Senior Radiologist, Dr Manoj, Intensivist, Dr Suresh and Transplant Co – ordinator Dr Praveen Muralidharan. The recipient has been discharged from the hospital and is recovering well.

View the report in:

Times of India

Indian Express

DNA India


Kerala’s’ first PPP model for Liver transplant gives new hopes

The first ever Liver transplant surgery at MCH in association with KIMS hospital, Trivandrum gives new lease of life for Liver patients awaiting Liver transplants in the state.

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The first ever Liver transplant surgery at MCH in association with KIMS hospital, Trivandrum gives new lease of life for Liver patients awaiting Liver transplants in the state.

The surgery that took place in MCH was an historical achievement in terms of a successful Public Private Partnership in enabling affordable Liver transplantation.

MCH and KIMS Hospital had signed an MoU in setting up a dedicated Liver transplant unit at MCH and in this regard for the past one year KIMS had been imparting technical support and training to the MCH team under the leadership of Dr B Venugopal, HOD , Liver Transplant unit at KIMS.

As per the MoU, in the initial phase 15 surgeries will be performed at MCH with full support from the KIMS Liver transplant Team. Apart from the surgical aspect, KIMS will also look after the post surgical care of the patients.

The KIMS team, that performed the Liver transplant along with the MCH team was led by Liver Transplant surgeons, Dr B Venugopal, Dr Shabeer Ali, Dr Shiraz Ahmed, Dr Varghese, Dr Anush Mohan, Anesthetists, Dr Badrinath, Dr Kusuma, Interventional radiologistm Dr Manish Yadav, supported by Hepatologist, Dr Madhu Shashidharan, the ICU nurses and technicians.


Speech and Language Therapy

Speech and language therapy is the treatment for individuals with speech and language disorders. It will help to improve speech, language, communication, articulation, fluency and feeding skills in individuals with difficulties. We provide with effective individual sessions which include 45 minutes of therapy for the child and 15 minutes of parental counseling and training . Each sessions are individually tailored to the child’s needs and specific goals are taken for the betterment of the child. The session are completely transparent and the parents are involved in each session as they are also the crucial member during the intervention

Speech and language therapy Service are Provided children with
  • Speech & Language Delay
  • Speech Sound Disorder (Clarity Issues)
  • Stuttering
  • Autism
  • Hearing Impairment
  • Cleft Lip And Palate
  • Apraxia Of Speech
  • Global Developmental Delay
  • Multiple Disability (Cerebral Palsy, Downs Syndromes)
  • Mental Retardation (MR)

Early Child Intervention Programme

Early child intervention programmes is intended for children with developmental delays. A developmental delay means that the child is lagging behind in some area of development including physical, cognitive, communication , emotional, social and adaptive skills development. Our early intervention team consisting of developmental pediatrician, child psychologist, speech therapist and occupational therapist work as a team to devise a therapeutic plan and execute it meticulously to help the child overcome the developmental delays

Programmes and Therapies
  • Early intervention programme for children with developmental delays – This programme is intended for children between the age 1 to 4 , who were late to achieve the millstones like , late to walk , talk or communicate .The training aims at bridging the developmental gap and prevent further delays . The therapies will also aim at accelerating the development to child. A coordinated effort of intervention from the therapist and the parents will ensure optimal development.
  • Play therapy – for social , emotional, creative and sensory development.
  • Group intervention –Small group intervention to develop social skills , develop cooperative play and understand social behaviors .
  • Oral placement therapy -for children with articulation difficulties and feeding difficulties
  • School Readiness Programme. For children aged 4years to 6 years to develop basic literacy skills and to create the pre learning skills for school like ability to follow instructions, fine motor skills to hold on pencils , attention skills ,and sitting tolerence .

Learning Enhancement Programme

Poor scholastic achievement of children is a major concern for parents, teachers and the children, themselves in this present day of competitive world. An unrecognized and unresolved educational backwardness can cause lifelong impact on the child and the family. KIMS Learning Enhancement Centre helps in understanding the cause of the learning difficulties and gives systematic training to overcome it and become successful learners. We believe that every child has the ability to learn and succeed given the correct training and environment .We train children to develop thinking skills and langue skills to become competent and confident learners.

Who will benefit
  • Children with Specific Learning Disabilities – Dyslexia, Dysgraphia, Dyscalculia
  • Children with learning difficulties due to varied causes like langue delays, inadequate training and inattention
  • Slow learners who may need differential instruction to acquire academic skills
Our Techniques

Orton – Gillingham multi sensory teaching strategies

Kansas University Satrategic Instruction Model (SIM)

NILD Education Therapy (National Institute for Learning Development)

RxDiscovery Math programme –

Rx for Discovery Reading

Instrumental Enrichment Programme (FIE)

Programmes and Therapies

Remedial Educational Training Programme – A programme for children with learning disabilities and learning difficulties using Internationally acclaimed techniques .It is tailor made programme for the needs of each child . It is a one to one session for one and half hours , minimum weekly twice aimed at building up basic academic skills like reading , spelling , writing , reading comprehension , language, and maths using multi sensory techniques . We aim at making children independent learners who can learn effectively .Along with the child training, we also equip parents to teach them by education then in the basic methods of teaching .

Online Remedial Educational Training program – As Remedial education is a specialized training available in limited centers in major cities , we provide online training for children who are residing in other districts or suburbs for whom it is not feasible to come for direct sessions to the hospital .

Education therapy – In this one on one therapy , an educational therapist will work with the child to overcome the learning challenges by strengthening the core skills like perception , cognition , emotional regulation and academic .This in turn will help the child to improve their ability to think, reason, and process information effectively . The goal of education therapy is to help children develop tools of independent learning in classroom and in life.

Study skills correction programme – Knowledge of effective study skills make meaningful and effective learners. We equip the children to understand the concepts, organize it meaningfully, retrieve information using efficient memory techniques, and present it effectively using specialized techniques and strategies.

Academic support and training for school dropouts – We provide guidance and training for children who had discontinued formal schooling, to appear for secondary and senior secondary examination conducted by the NIOS – National Institute of Open Schooling.

Attention Training Progamme and Behavior Management Programe – Difficulties in sustaining attention, , Hyperactivity ,Poor Impulse control and poor anger management may have many detrimental effects in the child’s academic and social life .This programme is aimed at training children improve concentration , academic skills and behavior and to become better functioning individuals .

Life skill training for slow learners /Intellectual disability – We provide tailor made training for young adult who are not equipped to live independently, with basic literacy training , interpersonal communication skills ,daily living activities , time and money management skills


Research projects of Neonatology submitted to NBE / IAP / NNF / Kerala University

Sl no Title Submitted to Year Student
1Accuracy of Hammersmith Neonatal Neurological Examination performed before discharge from hospital, a diagnostic study NBE 2017- 19GV Sujith Kumar Reddy
2Microbe detection rate by Culture and Polymerase Chain Reaction (PCR) in the setting of Health care-associated infections (HAI) in the Neonatal Intensive Care Unit (NICU) – A Descriptive StudyNBE2016-18Vivek Raju
3Change in intact outcome of preterm VLBW babies after implementation of early aggressive nutrition strategyNBE 2016- 18Swati Upadhyay
4Quality Initiative – Audio Visual aids for invasive procedures in NICU IAP 2017-18Fairy Susan Varghese
5Comparison of two durations of caffeine therapy on recurrence of clinically significant apnea in very preterm infants – A randomized controlled trialNBE 2015-17Raj Prakash
6Exclusive breast milk versus milk feeding for preterm babies: a randomized controlled trial NBE 2014 -16 Anand N
7Thermal regulation in hospitalized stable preterm using isothermal mattress-A Randomised control trialNBE 2014- 16Shoba Vijayan
8 Prognostic ability of CSF parameters in sick neonates, in predicting development outcomeIAP 2013-14Saikat Patra
9 Complications associated with peripherally inserted central catheter in neonates admitted to nicu – retrospective auditNNF 2016-17Rajesh Kalarikkal
10 Survival and Neurodevelopmental outcomes of extreme premature babies in India- a retrospective studyIAP2017-18Deepa James
11Outcomes of sick late preterm and term babiesIAP 2017-8Salini Anand
12Early parent participation compared to conventional care for preterm babies in the NICU – A randomized controlled trial NBE 2013-15Anish Pillai
13Vitamin D for term Indian babies: a prospective cohort study NBE 2012-14Jino Joseph K
14Diagnostic accuracy of clinical tool STOPS and procalcitonin in early onset neonatal sepsisNBE 2011-13Jemila James
15Neurodevelopmental outcome of late preterm and term babies – A retrospective analysisNNF 2017-18Ajay Prakash
16

Comparison of two antibiotics for empiric therapy in neonates at risk for early onset neonatal sepsis- a randomized controlled trial

NBE 2009- 11Vishal V Tewari
17 Prediction of neurodevelopmental outcome of very preterm babies (≤ 33 weeks) using perinatal and neonatal risk factorsNBE2008-10 Radhika S
18 Duration of respiratory support in VLBW babies in Indian NICU- an AuditIAP 2014-15Shivanagouda
19An audit of neonatal deaths in a tertiary Indian NICU over one decadeNNF2014-15James Daniel S
20Chronic lung disease – study on prevalence, predictive factors and association with aggressive parenteral nutrition NNF 2015-16Murugesh Patil
21Implementation of a standard neurodevlopment follow up program for preterm babies-multi-site prospective studyNNF 2012-13 Taru Kapoor
22Neurodevelopment outcomes of VLBW Indian newborns – a prospective study NNF2014-15Reshmi M
23To evaluate the implementation of potentially best practices in respiratory care in neonates admitted to NICU IAP2011-12Harpreet Singh Juneja
24

Implementation of potentially best practices in nutrition of preterm neonates

IAP 2011- 12Aswathy Rahul
25Benefits, safety and feasibility of “Early parental participation programme” in care of very preterm babies (< 33weeks)NNF2010-11Bindu Athoor
26Clinical and radiological parameters in optimizing ventilation IAP2010-11Abey Mathew
27Quality Initiative:Implementation of potentially best practices in nutrition of preterm neonates IAP 2012-13 Praveen BK
28

Safety, benefits and feasibility of “Early parental participation programme” in care of preterm babies – a pilot study

IAP2010 -11Rajesh Chandran
29Safety of shortened course of antibiotic treatment for neonatal sepsis (individualized approach) IAP2009-10Biju M
30

Short term outcome of Indian babies with birth weight of 1250 grams

IAP2009-10Sudheer Babu
31

Clingwrap around the body of preterm babies to reduce dehydration and fluid requirement

IAP 2009-10Hazeena KR
32Protocol driven escalation of antibiotics in NICU NNF 2015-16Abhishek M
33Perinatal risk stratification of preterm neonates and development outcomes – multi-centre study IAP2015- 16Abhishek Phadke
34 Audit of compliance to pain prevention policy in NICUNNF 2014-15 Benno Andrew
35Comparison of short term morbidities of babies born late preterm with babies born at term gestation NBE (paediatrics) 2007-9Amarjeet S Wagh
36Neurodevelopment outcomes of Indian preterm (<34 weeks) babies at 3 years ageIAP2016-7 Sahil A
37Ventilator care bundles to decrease ventilator associated pneumonia in neonatal ICU IAP2014-5Nihaz Naha
38 Airway diseases in newborn-A Descriptive StudyIAP 2017-8Shibily Ruhman M
39 Growth of very preterm Indian babies (<33 weeks) till one year of age and relation of head growth with neurodevelopmental outcomeIAP2008-9George Jose
40To evaluate a simple clinical tool “STOPS” as a screening test for predicting immediate neonatal outcomesIAP2008-9Bidhu Pillai
41Appropriate age for introduction of complementary foods (weaning) to preterm infants: an observational studyNBE
(paediatrics)
2008-10Priya P
42Early vs Late iron therapy for preterm: RCTNBE
(Pediatrics)
2007-8 Sreeshanth MK
43 Pre-discharge Bilirubin as a screening tool for Neonatal Jaundice in Kerala PopulationNBE
(paediatrics)
2006-8Altaf Jameel Khan
44

Decrease in antibiotic use and HAI in VLBW babies after implementing “sepsis care bundles”

IAP 2011-12Jyothi Prabhakar
45Quality Initiative to improve Kangaroo Care hours for Preterm (<34weeks) or low birth weight (<2000g) babiesIAP 2016-17Aparna Balagopal
46

Compliance to potentially better practices in respiratory care of very preterm (<32 weeks)

IAP 2012-13Dileep K
47Audit of antibiotic policy in an Indian NICUNNF 2103-14 Jayanthi Angella
48Quality Initiative: implementation of potentially best practices in preterm neonates and its effect on postnatal growth failure IAP 2014-5 Renu Joseph
49 Compliance audit: a follow up program for NICU graduates with a blue bookMSc
Kerala University
2013 – 14 Kavitha
Quality initiative – implementation of a follow up program for NICU babies – blue book MSc
Kerala University
2013 – 14 Smitha K
50 ONGOING RESEARCH WORKS
51Metabolic Bone Disease in Preterm Neonates on optimal phosphorous supplementation – a prospective study NBE 2019-21Arif AK
52Change in antibiotic overuse after implementing an antibiotic policy, in suspected late onset neonatal sepsisNBE 2019-21Sajina Sathyan
53Anemia of prematurity requiring transfusions after implementation of ‘Blood Conservation Strategies’NBE 2019-21 Vishnu Anand
54Etiological profile of Ventilator associated pneumonia in neonates- Prospective studyNBE 2018- 20Amrit Tuteja
55Evaluation of iron status in moderate to late preterm infants – a prospective study NBE 2018-20Alok Kumar MK
56A quality improvement project to reduce noise levels in neonatal ICU IAP 2019-20Anila V Panackal

Research Publications from Department of Neonatology, KIMS, Trivandrum: 2019-2020

  1. Nihaz Naha, Femitha Pournami, Jyothi Prabhakar, Naveen Jain. Nasal injury with continuous positive airway pressure: Need for privileging nursing staff. Indian Journal of Pediatrics 2019
  2. Anand Nandakumar, Femitha Pournami, Jyothi Prabahkar, PMC Nair, Naveen Jain. Exclusive breast milk versus hybrid feeds in preterm babies- A Randomized Controlled trial comparing time to full feeds. Journal of Tropical Pediatrics 2019
  3. Shobha Vijayan, Femitha Pournami, Jyothi Prabhakar, Naveen Jain. Euthermia in stable preterm babies: Cocooning for warmth! – A Randomized controlled trial. Journal of Tropical Pediatrics 2019
  4. Femitha Pournami, Swati Upadhyay, Anand Nandakumar, Jyothi Prabhakar, Anand Nandakumar, Naveen Jain. Familial Hemophagocytic Lymphohistiocytosis- A rare mutation of STXBP2 on Exon 19. J Pediatr Genet 2020
  5. Sujith KRGV, Femitha Pournami, Alok KMK, Anand Nandakumar, Jyothi Prabhakar, Naveen Jain. Analyzing cost of hospital care to a family with an extreme preterm neonate. Journal of Neonatal Nursing 2020.
  6. Swati Upadhyay, Femitha Pournami, Anand Nandakumar, Jyothi Prabhakar, PMC Nair, Naveen Jain. Outcome of very preterm infants after early optimal nutrition strategy- A comparative cohort study. Nutrition in Clinical Practice 2019
  7. Vivek Raju, Femitha Pournami, Anand Nandakumar, Jyothi Prabahakar, PMC Nair, Naveen Jain. Improving Microbe detection and Optimizing Antibiotic use in Neonatal sepsis with Multiplex Polymerase Chain Reaction- A Comparative Cohort study. Infectious diseases in clinical practice 2020
  8. Ray C, et al, Femitha Pournami, Bhushan P. Human Milk oligosaccharides. The journey ahead. International Journal of Pediatrics 2019
  9. Alok K MK, Femitha Pournami, Sujith K Reddy GV, Anand N, Jyothi P, Naveen Jain. Can early clinical status predict outcomes in extremely low birth weight neonates. Journal of Child Science 2020
  10. Swati U, Femitha Pournami, Sujith K Reddy, Shibily R, Anand N, Jyothi P, Jayakumar RM, Naveen Jain. Neonatal laryngeal disorders- 12 years experience of a multidisciplinary unit. Airway 2020
  11. Sujith KRGV, Femitha Pournami, Anand N, Jyothi P, Naveen Jain. Disability prediction by early Hammersmith Neonatal Neurological Examination – A Diagnostic study. Journal of Child Neurology 2020.

Psychological Testings and Assessments

  1. Intelligence Test – Standardized IQ tests helps to evaluate the level of cognitive development of the child .
  2. Achievement testing – Gives an estimate of the child’s current proficiency and mastery of various academic skills. It can help to find out the current level of functioning of the child in various areas like reading , spelling , math calculations kills , academic knowledge etc .
  3. Psycho- educational assessments –It helps to identify the causes of academic and behavioral issues and identify the plan for improving academic performance .It also helps in identifying learning disabilities.
  4. Developmental assessments –to identify developmental delays and to analyze patterns of relative areas of strength and weakness
  5. Academic skills assessments – to identify the level of academic competencies in each area of learning and also to evaluates the learning style of the child to guide for corrections if any .
  6. Speech and language assessments –to evaluate the speech , language and communication skills of children .
  7. Evaluation of Fine motor and gros motor skills- to assess muscle strength , power , endurance of the proximal stability muscular group and disassociation of limbs and joints
  8. Sensory Evaluation -To identify the sensory causes of behavioral problems like over sensitivity to senses like smell ,

Occupation and Sensory Integration Therapy

Occupational Therapy helps children to improve with fine motor skills, Visual-perceptual skills, Improve eye–hand coordination, improve strength , balance and coordination .It helps in mastering basic life skills such as bathing, getting dressed, brushing teeth, and self-feeding and learn positive behaviors and social skills.

Sensory Integration Therapy -Integration of information from all the five senses and also the three other internal sense of our body are very important for the normal functioning of a child . Children with Autism and many other developmental disorders are found to have sensory processing deficits leading to problems in behaviors and life skills . For example they may be oversensitive or under reactive to sensory stimuli , avoid being touched , may avoid certain texture of food ,may have difficulties with motor skills , balance and eye – hand coordination . Sensory Integration therapy helps to calm the child and to slowly increase the threshold of tolerating sensory rich environment and help child to adjust well to surroundings .

OT and Sensory integration therapy are available for children with

  • sensory processing disorders
  • learning problems or disabilities
  • Coordination Problems
  • Autism
  • ADHD
  • Developmental delays
  • Cerebral palsy, and other chronic illnesses
  • Birth injuries or birth defects
  • Traumatic injuries to the brain or spinal cord

Child and Adolescent Counseling

Couselling can help children and family improve relationships, resolve problems and resume healthy and happy life . Through counseling children and parents can share their concerns, explore ways to resolve the problems , learn new skills to adapt and unlearn maladaptive behaviors .

Who will benefit ?
Children and adolescent with

  • Anxiety – Generalized anxiety, Exam anxiety, Social anxiety, Presentation anxiety
  • Adjustmet issues– with school, siblings, family and friends
  • Behavioural issues – Temper tantrums, oppositional behaviors, aggression, hyperactivity
  • Emotional issues– Depression, Anger , Fears
  • School / Academic issues –concentration difficulties, forgetfulness, peer pressure, bullying
  • Screen addiction – excessive gamming, social media dependency, unhealthy internet usage

Highlights

  1. Expert medical consensus from panel of senior and experienced doctors who manage neuromuscular disorders.
  2. Intervention plan by multidisciplinary rehabilitation team

Experts in our panel

Pediatric neurologists

Dr P.A. Muhammed Kunju MBBS,DCH,MD(Pediatrics),DM(Neurology)
Dr Kalpana D MD (Pediatrics), DM(Neurology)

Pediatric orthopedician

Dr Vinod Krishnan. D.Ortho, DNB, Fellowship in pediatric neuromuscular disorders(Australia).

Rehabilitation physician

Dr Lakshmi Nair , MD (Physical Medicine and Rehabilitation), Specialist training in neurorehabilitation(Australia)

Developmental pediatrician

Dr Reeba Ann Daniel, MD, DNB(Pediatrics), Fellowship in Developmental and Behavioural Pediatrics

Our Team of interventionists include pediatric physiotherapist, occupational therapist and speech therapist.

Clinic on all 2nd Tuesday of the month

For appointments contact – 0471-2941562 / 2941000 (9am to 4pm)


Dear Medical Professional

The scope and expertise of our unit is to provide a level of care and services with advanced supports like high frequency ventilation and inhaled Nitric oxide therapy, peritoneal dialysis, parenteral nutrition etc.. for sick neonates. This includes years of experience in the care of neonates at thresholds of viability (23-25 weeks gestation). We are strongly committed to interdisciplinary involvement with Perinatology, High risk obstetrics, Pediatric Surgery, Laryngology, Retinal specialists, Pediatric Cardiology, Pediatric neurology, Pediatric Endocrinology.

Early parent participation in decision making as well as daily care processes is the crux of our unit. The dedicated Follow up services protocol- “Blue book” (which is now being practised in many other units) has been in place with a structured protocol for several years.

We believe that relentless improvement comes with academic endeavours and continuing education. Hence the commitment to teaching and training. We have been running the superspecialty DNB Neonatology program and Fellowships in Neonatology since 2008. Academic work includes involvement in clinical investigative research with a focus on translating science into better ways to deliver care and improve outcomes.
Our mission includes striving to quality improvement – not just in patient care, but also satisfaction of parents, staff and fellows. This includes extensive contributions to clinical research, national and international neonatal practice guidelines.


Microbiology: (Bacteriology, TB Culture, Mycology, Serology& Molecular testing)

Unique features are:

  • Chip based RT PCR for COVID 19
  • HCV Quantitative PCR in GeneXpert
  • TB Culture and sensitivity tests in MGIT
  • GeneXpert for detection of Mycobacterium Tuberculosis (MTB) & Rifampicin resistance.
  • GeneXpert for Carba-R detection
  • Immunofluorescence & Immunoblot testing for Neuro immunological diseases (only private centre in South Kerala)
  • Biofire Micro array (multiplex PCR for meningitis, respiratory, gastro intestinal panels)
  • Immunofluorescence, Immunoblot & ELISA testing for auto immune diseases

Equipment:

  • VITROS 3600 & VITROS ECI
  • Biomerieuxvidas
  • Euroimmun 2P ELISA analyzer
  • Vitek-2 Compact
  • BACT/ALERT 3D
  • BiofireMicro array
  • Cepheid GeneXpert
  • MGIT – BD Diagnostics
  • Truenat Extractor &Analyzer
  • Plexmat

Contact number – 0471-304100: 1145/1180


Histopathology and Cytopathology (Pathology)

Services offered:

Histopathology
This division provides

  • Diagnostic surgical pathology services including:
    • On small biopsies like Renal biopsies, Transplant related biopsies, Endoscopic biopsies from gastro intestinal tract, naso pharyngeal tract, bronchoscopic biopsies including US guided endobronchial biopsy [EBUS], image guided trucut biopsy from internal organs and deep-seated soft tissue.
  • Strong oncopathology:
    1. Providing frozen section for intra operative diagnosis and for marginclearance.
    2. Reporting protocol as stipulated in AJCC Cancer staging Manual, latest edition for grading and staging of surgical oncology specimens. (Eg: Mastectomy, Colectomy, Gastrectomy, Whipples, Lobectomy – lung, liver, thyroid, Nephrectomy, Panhysterectomy, Hemimandibulectomy, Bone resections etc).
    3. Immunohistochemistry back up in Oncopathology especially to provide diagnosis in Lymphomas, in detecting unknown primaries and in sub typing of carcinomas and soft tissue tumours. The division has IHC antibodies of about 85 numbers.
  • Direct immune florescence, and routine H&E for Renal and Skin biopsies
  • Fetal Autopsies done by pathologists and reported.

Equipments:

ASP 300S Closed Tissue processor, Leica Embedding machine, Cryostat for performing frozen section, Automated IHC stainer (Leica Bondmax)

Contact number – 0471-304100: 1125/1193


Hematology

Hematology, Clinical Pathology and Coagulation offers routine and special investigations of blood and body fluids to aid in the diagnosis of several medical conditions and in evaluating anemia, leukemia and coagulations disorders.

Peripheral blood smear and bone marrow smear examination done using routine stains and also by using special stains like Perl’s, PAS or Cytochemistry wherever applicable (eg: leukemia, myelodysplastic syndrome).

Equipment:

  • Beckmen Coulter for doing Complete Blood Count
  • Amax Destiny for Coagulation studies
  • Automated analyzer by Beckman coulter for urine chemistry and microscopy.

Contact number – 0471-304100: 1262/1242


Biochemistry

Besides all routine biochemistry parameters, unique features are availability of rare tests like

  • Osmolality measurement
  • Sweat chloride analysis by pilocarpine ionotophoresis for cystic fibrosis screening
  • Lead reference laboratory for Lead quantitation.
  • Drug assays of Tacrolimus, Digoxin, Vancomycin, Phenytoin, Valproic acid
  • First trimester screening (FTS)

Equipment:

  • Cobas 8000 –Fully software controlled Modular analyzer
  • Fully automated chemistry analyzer Cobas C 501
  • Fully automated immunoassay analyzer E 411
  • Biomerieuxvidas -immunology analyzer
  • D-100 & D10Biorad for quantitative estimation of HbA1c,
  • WaproOsmomat for osmolality measurement.
  • Leadcare II for quantitative detectionof Lead poisoning
  • Nanoduct for neonatal sweat chloride analysis.

Contact number – 0471-304100: 1246/1265


Cytology

  • This sub division provides Cytology reports on Fine Needle Aspiration material, Pap smears, Body fluids, Sputum, Bronchial washing, Bronchial lavage, EBUS, Urine etc. Wherever needed, Thermo Scientific Cytospin 4 is used. The above diagnostic services are rendered using routine H & E stains, Pap/Giemsa stain.
  • The Bethesda system is followed for reporting on cervical smears (2014) and on Thyroid FNAs (2017). Milan system (2018) for reporting on FNA from salivary gland is followed.

Knowing the routines

Breastmilk is best- Every normal newborn is helped to breastfeed right at birth and establish skin to skin contact with the mother.
Lactation experts counsel each and every family.
Written handouts about breast feeding are available.
Your baby would be examined by a Neonatologist at least twice a day
Newborn screening is done for:

  • Congenital Hypothyroidism
  • Congenital Adrenal Hyperplasia
  • Hearing defects
  • Congenital cyanotic heart disease
  • Neonatal jaundice
  • Neonatal anthropometry (growth assessments)

Jaundice screening involves clinical examination, transcutaneous bilirubin assessments and blood tests. Detailed follow up plans are communicated to you before discharge.
Vaccinations according to the latest recommendations are administered


Follow up of normal and high risk neonates

Our consultants are available in the out patient services every day of the week.
We are proud of our High risk follow up program with dedicated Developmental Pediatrician, developmental therapists to assess and help babies.


Teaching and training

We have been training Fellows and Superspecialists in the field since …..under the auspices of National Board of Examinations, Indian Academy of Pediatrics and National Neonatology Forum. More than 45 doctors have completed their training programs and are practising successfully all over the world. We believe that continuous education and experience are what makes our team strive to get better and better.


Parent participation

“Love is the chain whereby to bind a child to its parents”
 
Abraham Lincoln

We believe that parents play a vital role in a baby’s recovery to health. Hence we have no visitation restriction for parents 24X7, communicate every plan and event with you, and involve parents in care processes right from the start.


Sick newborns / High risk newborns

If your pregnancy had concerns or baby has health issues after birth, our unit is equipped to take care of most situations. We are a Level IIIB (National Neonatology Forum India) accredited Neonatal Intensive care unit (NICU). This means that we take care of extreme preterm, extremely low birth weight neonates. Our smallest survivor was 520(??) g at birth. Babies born at 24 weeks and beyond have been cared for successfully and fortunately most of them are doing very well on follow up.

As for term babies, we do receive several sick neonates who need very advanced form of breathing supports, multidisciplinary care including Pediatric Surgery, Laryngology, Plastic Surgery, Retinal procedures, Pediatric Endocrinology, Pediatric Neurology and Medical Genetics. For babies who need cardiac surgery, we collaborate with units close to our hospital.

We have an advanced Neonatal transport facility 24X7 with a full medical team in an equipped ambulance to pick up sick neonates from other hospitals.


Postnatal classes

No doubt or query is silly!
We understand that as parents , you want to do all the right things for their baby, and thus you have many doubts about several things that may seem minor. We conduct daily education sessions on normal newborn care and feel it would benefit you if one class is attended before you go home.


At delivery

Be rest assured, that every delivery (even those expected to have no complications whatsoever) are attended by trained Pediatricians who are well versed in Newborn resuscitation. The baby is examined at birth itself to help those who need immediate help.


Getting prepared:

Apart from “medical check ups” for our pregnant mothers, we conduct “Antenatal education sessions”. These are detailed and interactive; conducted by many specialists including Senior obstetricians, Senior nursing staff, dieticians, physiotherapists and Neonatologists. We enjoy talking to you and listening to your queries, and are quite sure you would too… especially when you get to meet other families who are awaiting the arrival of their “bundle of joy”.


Dear parents/ grandparents/ family of a newly born

The birth of a baby is undoubtedly the most precious and happiest moment in our lives. When all goes well through pregnancy and your baby is expected to be born soon, here are some important facts that would help …
We at KIMS work as a team – the Obstetrics and Perinatology department with the Department of Neonatology.


AUTISM INTERVENTION PROGRAMME

Autism Spectrum disorder is a neuro developmental disorder which is manifested as difficulties in social communication, restricted interests and repetitive patterns of behaviors . Parents may first notice poor eye contacts, delays in langue development, decreased interaction and repetitive mannerisms in the first two years of life which needs to be taken seriously and address at the earliest. Although ASD can be a lifelong disorder, early identification , treatments and effective parental involvement can improve a person’s symptoms and ability to function.

We have a multi disciplinary team of therapist consisting of Speech language pathologist , Occupation therapist , Psychologists and Educational therapists to cater to the need of children with Autism.

Programmes and Therapies

  • Early identification of Autism spectrum disorders by multi disciplinary team –to get baseline assessments of the child and develop appropriate therapy plan.
  • Earlier intervention for children with Autism – Early identification and intervention promises better chance for developing to their full potential .An individualized plan is made for each child according to age, challenges and
  • Group Therapy – group therapy sessions of about 4-8 children for building basic communication skills , social skills and behavior control.
  • Speech and language therapy for developing communication skills in children with Autism .
  • Occupation therapy and sensory intervention for developing self care skills ,improve fine motor , gross motor skills , reduce hyperactivity and manage sensory issues.
  • Augmentative and Alternative Communication training – to enhance childs ability to communicate and to reduce behavioral issues and facilitate verbal communication .
  • Parental training programmes – for equipping parents with necessary skills and knowledge to manage problem behaviors ,give appropriate home training and help the child improve socially , emotionally and physically .
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