Pediatric and Neonatal Intensive Care Unit (PICU/NICU)

Pediatric & Neonatal Intensive Care Units of Vasundhara Hospital (VHL) are specialized in the medication of premature infants, sick babies and acutely ill children with most comprehensive subspecialty & medical problems.

We offer Advanced Pediatric & Neonatal Intensive Care services with support of all Pediatric subspecialties under one roof. Pediatric Intensive care is a high intensity environment that requires quick diagnosis, lightning decisions followed by immediate action. The availability of Neonatal Intensive Care has improved outcomes for high-risk infants including those born preterm or with serious medical or surgical conditions. Our 15 bedded the State-of-Art Level-III NICU with mechanical ventilation facility and warmer, cares for high-risk new-born requiring specialized care.

Vasundhara Hospital has distinct units: the Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU) and a Separate Isolation NICU for Septic newborns that works closely together. The unit combines advanced technology and trained health care professionals to provide specialized care for the tiniest patients.Intensive Care Unit (NICU) and the Pediatric Intensive Care Unit (PICU)

Pediatric Facilities:

  • Pediatric Surgery
  • General Pediatrics
  • Neonatology
  • Dentistry
  • Asthma Clinic
  • Vaccination Facilities
NICU Facilities:

Level II & Level III : 12 bedded Level II and Level III NICU providing care to infants who require supplemental O2, phototherapy, tube feeding, babies recovering from surgeries and too extreme premature & sick infants.

Septic NICU : 3 bedded Septic unit for critically ill & highly infected babies.

NICU on Wheels : VHL has a Critical Care Ambulance equipped with Transport Ventilator, Transport Incubator, Syringe Pump, Emergency Drug Stock and Trained Staff.

Our most Advanced NICU Care includes:

  • Exchange Transfusion
  • Total Parenteral Nutrition
  • Ventilation for Infants & Children
  • CVP & IBP Monitoring
  • State of the Art Radiant Warmer
  • Closed-care System / Incubator
  • High Frequency & Conventional Ventilation
  • LED Phototherapy & Bili – Blanket
  • ABG (In-house) Facility
  • Transcutaneous Bilirubinometer
  • Hearing Screening by OAE
  • Transport Incubator

Vaccination is the administration of antigenic material (a vaccine) to stimulate an individual’s immune system to develop adaptive immunity against a pathogen. Vaccination is the most effective method of preventing infectious diseases.

Vaccines help protect against many diseases that include tetanus, diphtheria, mumps, measles, pertussis (whooping cough), and polio. Many of these infections can cause serious or life-threatening illnesses and may lead to lifelong health problems.

Vaccination Schedule

S.NoAge (Completed Week/Month/Year)VaccinesComments
1.BirthBCG
OPV
Hepatitis B1		Administrator these Vaccines to all new born hospital discharge
2.6 WeeksDTwp1/DTaP1
1PV1/OPV1
Hib 1
Hep B2
PCV 1
Rota Virus 1

DTP :

  • DTaP vaccine combination should preferably be avoided  for the  primary series
  • DTaP vaccine/combinations should be performed in certain specific circumstances/conditions only
  • No need of repeating/giving additional doses of whole-cell pertussis (wP) vaccines to a child who has earlier completed their primary schedule with a cellular per tissue(aP) vaccine containing products.

POLIO:

  • All doses of IPV may be replaced with OPV and administration of the former is not feasible.
  • Additional doses of OPV on all supplementary immunization activity.(SIAs)
  • Two doses of IPV instead of 3 for primary series if started at 8wks, and 8wks interval between the doses.
  • No child should leave the facility without polio immunization(IPV or OPV), if indicated by the schedule.

ROTAVIRUS:

  • 2 doses of RV1 and 3 doses of RV5.
  • RV1 should not be employed in 10 and 14 week schedule, instead of 6 and 10 week.
  • 10 and 14 wk schedule of RV1 is found to be far more immunogenic than existing 6 and 10 week schedule

 

3.10 weeksDTwP2/DTaP2
IPV 2 + OPV 2
Hib 2
PCV 2
Rota Virus 2

ROTAVIRUS:

  • If RV1 is chosen, the first dose should be given at 10 weeks.
4. 14 weeksDTwP3/DTaP3
IPV3+OPV 3
Hib 3
PCV 3
Rota Virus 3

ROTAVIRUS:

  • Only 2 doses of RV1 are recommended at present
  • If RV1 is chosen, the 2nd dose should be given at 14 weeks.
5. 6 monthsHepatitis B 3*
OPV/Influenza

Hepatitis-B:

  • The final(third or fourth) dose in the HepB vaccine series should be administered no earlier than age 24 wks and at least 16 wks after the first dose.
6. 7  monthsInfluenza II
7.9 MonthsMMR
OPV

MMR:

  • Measles-containing vaccine ideally should not be administered before completing 270 days or 9 months of life.
  • The 2nd dose must follow in 2nd year of life.
  • No need to give stand-alone measles vaccine
8. 10-12 monthsTyphoid
(TCV) I
  • Currently, two typhoid conjugate vaccines, Typbar-TCV and PedaTyph available in Indian market.
  • PedaTyph is not yet approved; recommendation is applicable to Typbar-TCV only
  • An interval of at least 4wks the MMR vaccine should be maintained while administering this vaccine
  • Should follow a booster at 2 years of age.
9. 12 monthsHepatitis A1

 Hepatitis A1:

  • Single dose for live attenuated H2-strain Hep-A vaccine.
  • Two doses for all killed Hep-A vaccines are recommended now.
10. 12 to 15 monthsPCV – Booster

11. 15 monthsMMR
Varicella 1

 MMR:

  • The 2nd dose must follow in 2nd year of life.
  • However, it can be given at anytime 4-8 weeks after the 1st dose during 2nd year.
12. 16 to 18 monthsDTwP B1/DTaP B2
IPV B+OPV
Hib B

Varicella:

  • The risk of breakthrough varicella is lower if given 15 months onwards
  • The first booster(4th dose) may be administered as early as age 12 months, provided at least 6 months have elapsed since the third dose.
13. 18 monthsHepatitis A2, Influenza

14. 19 monthsVaricella II

15. 2 yearsTCV II

 DTP:

  • First and second boosters should preferably be of DTwP
  • Considering a higher reactogenicity of DTwP,DTaP can be considered for the boosters
  • 2nd dose for killed vaccine ;only single dose for live attenuated H2 –strain vaccine.
  • Either Typbar –TCV® or Vi- polysaccharide (Vi-PS) can be employed as booster;
  • Typhoid revaccination every 3 years ,if Vi- Polysaccharide vaccine is used.
  • Need of  revaccination following a booster of Typbar-TCV not yet determined.
16. 4 to 6 yearsDTwPB2/DTaP B2
OPV
MMR 2
Varicella 2*
Typhoid 2*

 Varicella:

  • 2nd dose can be given at anytime 3 months after the 1st dose.
17. 10 to 12 yearsTdap/Td, HPV^

 Tdap:

  • Tdap is preferred to Td followed by Td every 10 years.

HPV:

  • Only 2 doses of either of the two HPV vaccines for adolescent/pre-adolescent girls aged 9-14 years.
  • For girls 15 years and older, and immunocompromised individuals 3 doses are recommended.
  • For two-dose schedule, the minimum interval between doses should be 6 months.
  • For 3 dose schedule, the doses can be administered at 0, 1-2(depending on brands) and 6 months.

Pediatric Surgery

  • New Born Surgery
  • Pediatric Oncosurgery
  • Pediatric Urology
  • General Pediatric Surgery
  • Pediatric Thorarcic Surgery
  • Pediatric Minimal Access Surgery

Asthma Clinic

The Asthma Clinic provides comprehensive, highly specialized care for patients with moderate to severe asthma. Our services include:

  • Diagnostic testing
  • Physiologic and allergic evaluation
  • Optimization of medical management
  • Education in asthma – self-management

Exchange Transfusion

Exchange transfusion is a potentially life-saving procedure that is done to counteract the effects of severe jaundice or changes in the blood due to diseases such as sickle cell anemia.

The procedure involves slowly removing the patient’s blood and replacing it with fresh donor blood or plasma.

Total Parenteral Nutrition

Total parenteral nutrition (TPN) is providing nutrition through parenteral route i.e. intravenous, to a patient.

TPN is used for patients who cannot or should not get their nutrition through eating & includes a combination of sugar and carbohydrates (for energy), proteins (for muscle strength), lipids (fat), electrolytes, and trace elements.

Peritoneal Dialysis

Peritoneal dialysis is a way to remove waste products from your blood when your kidneys can no longer do the job adequately.

Phototherapy

Phototherapy (light treatment) is the process of using light to eliminate bilirubin in the blood. These light waves are absorbed by baby’s skin and blood and changes bilirubin into products, which can pass through their system.

Some “normal” jaundice will disappear within a week or two without treatment. Other babies will require treatment because of the severity of the jaundice, the cause of the jaundice, or how old the baby is when jaundice appears.

Pediatrics & Neonatology Team

Dr. D.R. Dabi

Dr. D.R. Dabi

Senior Pediatrician

Dr. Dabi is senior and renowned pediatrician of the city. He has been a teacher,

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Dr. Adarsh Purohit

Dr. Adarsh Purohit

Neonatologist & Pediatrician

Dr. Adarsh Purohit Neonatology Head and Pediatrician has completed his .

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Dr. Pravesh Vyas

Dr. Pravesh Vyas

Pediatrics & Neonatology

Dr. Pravesh Vyas Pediatrician has completed his MD in 2006 at Ukraine.

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