6 year anniversary NICU NMC Speciality Hospital Dubai

Level III Neonatal Intensive Care Unit (NICU)

• A total of 12 beds
• An ultramodern facility with latest state-of-art equipment
• Nitric Oxide delivery system
• Isolation care unit
• Neurointensive care EEG monitoring (Neurosonogram)
• Echocardiography
• A-ABR hearing screening test
• ROP screening
• Brain-stem auditory evoked potential screening
• Breastfeeding room
• Access to lab and radiology
• Neuro developmental follow up
• Neonatal transport ambulance service with ventilator

State-of-art equipment:

• Drager Babylog® VN 500: Integrated invasive and non-invasive ventilation range from high frequency to high-flow oxygen therapy
• SLE5000: Neonatal ventilator with conventional and high frequency oscillation
• Infant Flow® SiPAP system: Gentle respiratory support
• Optiflow/Vapotherm: For better oxygenation and effective exchange of carbon-di-oxide
• Drager Transport Incubator with ventilator: Transport neonates safely, comfortably and with minimum stress
• Giraffe Omnibed Incubator: Simplifies care with a full-featured incubator providing humidity and temperature control
• Inosys: Nitric Oxide delivery and monitoring system
• Fisher & Paykel Infant Warmers: Focused heating with one touch controls
• Philips composite monitor with NIBP, saturation, heart rate and respiratory monitoring: Convenient patient monitoring
• Ultrasound: For diagnostic imaging

THE SMILE OF GOD

The baby was born in NMC Speciality Hospital on 7 September 2014with a weight of 2.78 kg of a full term delivery. The parents were shattered and lost hope when they were informed that the baby had intestines in the right side of chest and possibly no right lung. In addition it was remarked that the diaphragm on right side may not have developed (diaphragmatic agenesis) leading to the intestines being present in the right chest cavity.

Diagnosis: Right-sided diaphragmatic hernia.

Treatment: The baby was in severe respiratory distress and had to be put on a specialized ventilator called high frequency ventilator immediately. He was also put on nitric oxide as his blood vessels to lung were not developed and despite highest oxygen used on ventilator at 100% baby’s oxygen level remained just above survival zone of 55 mmHg.

Outcome: Surgery was performed on precariously balanced baby on 14th day by pediatric surgeon. Before parents could rejoice the disaster struck again. His operated diaphragm had weakened in 2 weeks and intestine herniated to chest again and became gangrenous. Emergency surgery on delicate newborn was done again this time through abdomen and with considerable difficulty came off the ventilator after almost one and a quarter month.

The baby improved, but hopes were dashed again, after a week, when the baby showed signs of Morphine withdrawal and was restless and breathless. The baby almost went back on the ventilator but dose tapering worked well.

The parents had given up hope so many times, that now to see this bundle of joy smile at us in 2 months was a true miracle of god. The baby’s smile is indeed THE SMILE OF GOD.The outcome at 1 year was between the normal rangeson developmental testing which was the ultimate SMILE OF GOD..