APOLLO HOSPITALS – treatment offered to Baby Dhanyashri
Apollo Hospitals Gives a New Lease of Life to Four Year Old Dhanyashri
- Dhanyashri was brought to Apollo with Severe Brain Trauma
- The child was saved by the application of a step-by-step approach which included special brain pressure monitoring device, PICU neuro-protective care, and emergency neurosurgery.
Apollo Hospitals, Asia’s largest and most trusted multi-specialty chain of hospitals has given a new lease of life to four-year-old Dhanyashri by performing a life-saving brain decompressivecraniectomy procedure when intensiveNeuroprotective Care alone was insufficient.
Dhanyashri was brought to Apollo Hospital (Thondiarpet) in a very critical condition with severe brain injury and other minor fractures and injuries in her body, after a man fell on top of her from the second floor of an apartment building.She was transported to Apollo Children Hospital on Shafi-Mohammad road, Chennai on 29th February,in an extremely critical condition.
The high-impact concussion resulted in Dhanyashri’s brain becoming rapidly swollen and,despite instituting the highest levels of neuro-protective care in the Pediatric ICU at Apollo Children’s Hospital, the brain swellingprogressed(malignant cerebral edema). The restrictive effect of the surrounding bony skull against the swollen brain resulted in a dangerously high brain pressure,known aselevated intracranial pressure (ICP). The ICP is normally less than 15mmHg, whereasDhanyashri’s Intracranial Pressure (Brain pressure) rose to30 to 35mmHg despite institution of all medical measures.
Why is elevated ICP so dangerous? Uncontrolled high ICP levels can result in the brain“herniating”/squeezing right out of the skull, thus damaging many vital centres which sustain life, such as centresthat control breathing and circulation. Brain herniation is a near-terminal condition that if unreversed, usually results in a state known as “brain-death”.Therefore, if medical treatment doesn’t help to normalize ICP, doctors must quickly institute the next level of surgical treatment, which is emergency decompressivecraniectomy: this is an life- and brain-saving surgery, whereexperienced neurosurgeonsremove parts of theskull bone, thus permitting the swollen brain to expand without the constricting effect of the skull.
Baby Dhanyashri seen along with Dr. Suchitra Ranjit Senior Consultant and Head, Pediatric Intensive Care Unit, Apollo Children’s Hospital and team of doctors who treated her.
This was the exact sequence in Dhanyashri’sneuroprotective care: Her brain swelling and ICP was initially managed by medical treatment in the pediatric ICU: when the brain swelling progressed despite maximum medical treatment, she was moved up to the next level of ICP control necessitating emergency brain decompressivecraniectomy.
Explaining the procedure further, Dr. SuchitraRanjit, Senior Consultant PICU said, “
As part of intensive treatment of traumatic brain injury, intracranial pressure (ICP) is monitored with a delicate and precise pressure-monitor placed within the brain. Intensive medical treatment, including a state of general anesthesia in the ICUis necessary when the ICP is greater than 15mmHg. Brain pressure between 25mmHg to 30 brain in a child is critically high and potentially fatal, because it causes compression and subsequent death of brain tissue, and cessation of vital centres that control life”
She added, “The PICU team and the Neurosurgeon decided that emergency decompression was the only way to save Dhanyashri and was performed 48 hours after admission, when the ICP was at its peak.Decompressive surgery is a neurosurgical procedure in which a part of the skull is removed to allow a swelling brain more room to expand without being squeezed. The swollen brain tissue could now expand out of gap created by the craniectomyin the skull, and the ICP immediately subsided, thus preventing fatal brain herniation. In another few days, Dhayashri’sneurological function was much improved, and we could wean Dhanyashri from the ventilator and other PICU therapies. Dhanyashri’s recovery is satisfactory, and will be discharged soon.
In a few weeks, once the surgeons are fully satisfied that the brain swelling has completely subsided, the removed piece of skull will be replaced.
ABOUT APOLLO HOSPITALS
It was in 1983, that Dr. Prathap Reddy made a pioneering endeavour by launching India’s first corporate hospital – Apollo Hospitals in Chennai. Over the years Apollo Hospitals has established itself as home to the largest cardiac practice in India with over 160,000 cardiac surgeries. Apollo Hospitals is also the world’s largest private cancer care provider and runs the world’s leading solid organ transplant program.
As Asia’s largest and most trusted healthcare group, its presence includes 9,215 beds across 64 Hospitals, 2,500 Pharmacies, over 90 Primary Care and Diagnostic Clinics, 110 plus Telemedicine Centres and 80 plus Apollo Munich Insurance branches spanning the length and breadth of the Country. As an integrated healthcare service provider with Health Insurance services, Global Projects Consultancy capability, over 15 medical education centres and a Research Foundation with a focus on global Clinical Trials, epidemiological studies, stem cell & genetic research Apollo Hospitals has been at the forefront of new medical breakthroughs with the most recent investment being that of commissioning the first Proton Therapy Center across Asia, Africa and Australia in Chennai, India. Every four days, the Apollo Hospitals Group touches a million lives, in its mission to bring healthcare of International standards within the reach of every individual.
APOLLO HOSPITALS – treatment offered to Baby Dhanyashri PressMeet Video Link
In a rare honour, the Government of India issued a commemorative stamp in recognition of Apollo’s contribution, the first for a healthcare organization. Apollo Hospitals Chairman, Dr. Prathap C Reddy, was conferred with the prestigious Padma Vibhushan in 2010. For more than 30 years, the Apollo Hospitals Group has continuously excelled and maintained leadership in medical innovation, world-class clinical services and cutting-edge technology. Our hospitals are consistently ranked amongst the best hospitals globally for advanced medical services and research.