Tuesday, January 31, 2012

First newborn with permanent pacemaker in Punjab

Baby’s heartbeat was only at 40 per minute 
Ludhiana// 31st Jan, 2012//Shalu Arora and Rector Kathuria
Baby with parents and Dr Gurmeet Kaur and Dr Harinder Singh Bedi in CMC
A young innocent baby boy was born to Mrs Monica and S Amit Singh   of Jammu. Unfortunately before birth they were told that the baby had a complete heart block. In this condition the electrical system of the heart is underdeveloped - so that the baby’s heart was beating at 40 beats per minute instead of the normal of 130 / min. The baby was born in Iqbal Nursing home.  Dr Iqbal S Ahuja realized that time was of essence as the condition could be fatal if untreated. He immediately referred the baby to Dr Harinder Singh Bedi – Head of Cardiovascular & Thoracic Surgery at the prestigious Christian Medical College & Hospital in Ludhiana.  Detailed examination by the Head of Paediatrics –Prof Gurmeet Kaur - confirmed the diagnosis and therapy was immediately instituted. An immediate permanent pacemaker was inserted in the tiny baby via a minimally invasive approach.
Dr Bedi explained that pacemakers are routinely put in adult patients by the venous route – but in a newborn the veins are too small and so a direct approach to the heart is made by a small incision and the pacemaker is attached to the delicate heart by a screw-in mechanism. The pacemaker was kept below the skin in a pouch specially created in the abdominal wall. The baby immediately improved. The other members of the surgical and anesthesia team were Dr A Joseph, Dr Paul, Dr S Garg, Dr Melchi, Dr Udeyana, Dr Marina and Dr Vaishu.

However because of the initial low heart rate the rest of the body was still damaged and took time to recover. The baby was kept in a special ICU called a Paediatric ICU where under the guidance of Dr Gurmeet Kaur highly trained ICU nurses and doctors slowly healed the baby and got her over the crisis. Dr Gurmeet Kaur said that such newborns need a very specialized environment and trained personnel. CMC is one of the few Institutes in India to have this service.  The other members of the Paediatric team are G Dhar, Dr A Mathew, Dr K Abraham, Dr K Sharma, Dr Tejmeet , and Dr Jaskaran.
The baby is now well and is a bouncy joy to the parents and doctors. Dr Bedi told that the pacemaker is a special one which will respond to the metabolic needs of the baby as he grows. A long length of the wire has been left so that it does not pull out with growth. The battery should last 10 – 12 years. The company has a lifelong free battery replacement warranty. Dr Bedi also said that the battery can be easily changed without disturbing the heart. Dr Gurmeet Kaur explained that the baby can develop to a normal potential in life and need not be limited in any profession he chooses to follow. According to the makers of the pacemaker (St Jude - an International company based in USA) this is the first such implantation in a neonate – a newborn baby – in Punjab    .

Dr Abraham G Thomas – Director of CMC& H - reiterated the commitment of CMC & H to deliver the best services for the betterment of people of this region.

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