Speciality : Respiratory Medicine
Designation : Consultant
Date and time : Mon, Tue, Wed, Thu: 10.00 AM – 01.30 PM
Book Appointment
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 .
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.
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
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)
Neurodevelopmental outcome of high-risk neonates <34 weeks at 3 years of age (8 years data)
Based on birth weight-
Based on gestational age at birth
Important outcomes for high risk neonates <34 weeks
| Sl no | Title | Submitted to | Year | Student |
| 1 | Accuracy of Hammersmith Neonatal Neurological Examination performed before discharge from hospital, a diagnostic study | NBE | 2017- 19 | GV Sujith Kumar Reddy |
| 2 | Microbe 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 Study | NBE | 2016-18 | Vivek Raju |
| 3 | Change in intact outcome of preterm VLBW babies after implementation of early aggressive nutrition strategy | NBE | 2016- 18 | Swati Upadhyay |
| 4 | Quality Initiative – Audio Visual aids for invasive procedures in NICU | IAP | 2017-18 | Fairy Susan Varghese |
| 5 | Comparison of two durations of caffeine therapy on recurrence of clinically significant apnea in very preterm infants – A randomized controlled trial | NBE | 2015-17 | Raj Prakash |
| 6 | Exclusive breast milk versus milk feeding for preterm babies: a randomized controlled trial | NBE | 2014 -16 | Anand N |
| 7 | Thermal regulation in hospitalized stable preterm using isothermal mattress-A Randomised control trial | NBE | 2014- 16 | Shoba Vijayan |
| 8 | Prognostic ability of CSF parameters in sick neonates, in predicting development outcome | IAP | 2013-14 | Saikat Patra |
| 9 | Complications associated with peripherally inserted central catheter in neonates admitted to nicu – retrospective audit | NNF | 2016-17 | Rajesh Kalarikkal |
| 10 | Survival and Neurodevelopmental outcomes of extreme premature babies in India- a retrospective study | IAP | 2017-18 | Deepa James |
| 11 | Outcomes of sick late preterm and term babies | IAP | 2017-8 | Salini Anand |
| 12 | Early parent participation compared to conventional care for preterm babies in the NICU – A randomized controlled trial | NBE | 2013-15 | Anish Pillai |
| 13 | Vitamin D for term Indian babies: a prospective cohort study | NBE | 2012-14 | Jino Joseph K |
| 14 | Diagnostic accuracy of clinical tool STOPS and procalcitonin in early onset neonatal sepsis | NBE | 2011-13 | Jemila James |
| 15 | Neurodevelopmental outcome of late preterm and term babies – A retrospective analysis | NNF | 2017-18 | Ajay Prakash |
| 16 |
Comparison of two antibiotics for empiric therapy in neonates at risk for early onset neonatal sepsis- a randomized controlled trial |
NBE | 2009- 11 | Vishal V Tewari |
| 17 | Prediction of neurodevelopmental outcome of very preterm babies (≤ 33 weeks) using perinatal and neonatal risk factors | NBE | 2008-10 | Radhika S |
| 18 | Duration of respiratory support in VLBW babies in Indian NICU- an Audit | IAP | 2014-15 | Shivanagouda |
| 19 | An audit of neonatal deaths in a tertiary Indian NICU over one decade | NNF | 2014-15 | James Daniel S |
| 20 | Chronic lung disease – study on prevalence, predictive factors and association with aggressive parenteral nutrition | NNF | 2015-16 | Murugesh Patil |
| 21 | Implementation of a standard neurodevlopment follow up program for preterm babies-multi-site prospective study | NNF | 2012-13 | Taru Kapoor |
| 22 | Neurodevelopment outcomes of VLBW Indian newborns – a prospective study | NNF | 2014-15 | Reshmi M |
| 23 | To evaluate the implementation of potentially best practices in respiratory care in neonates admitted to NICU | IAP | 2011-12 | Harpreet Singh Juneja |
| 24 |
Implementation of potentially best practices in nutrition of preterm neonates |
IAP | 2011- 12 | Aswathy Rahul |
| 25 | Benefits, safety and feasibility of “Early parental participation programme” in care of very preterm babies (< 33weeks) | NNF | 2010-11 | Bindu Athoor |
| 26 | Clinical and radiological parameters in optimizing ventilation | IAP | 2010-11 | Abey Mathew |
| 27 | Quality 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 |
IAP | 2010 -11 | Rajesh Chandran |
| 29 | Safety of shortened course of antibiotic treatment for neonatal sepsis (individualized approach) | IAP | 2009-10 | Biju M |
| 30 |
Short term outcome of Indian babies with birth weight of 1250 grams |
IAP | 2009-10 | Sudheer Babu |
| 31 |
Clingwrap around the body of preterm babies to reduce dehydration and fluid requirement |
IAP | 2009-10 | Hazeena KR |
| 32 | Protocol driven escalation of antibiotics in NICU | NNF | 2015-16 | Abhishek M |
| 33 | Perinatal risk stratification of preterm neonates and development outcomes – multi-centre study | IAP | 2015- 16 | Abhishek Phadke |
| 34 | Audit of compliance to pain prevention policy in NICU | NNF | 2014-15 | Benno Andrew |
| 35 | Comparison of short term morbidities of babies born late preterm with babies born at term gestation | NBE (paediatrics) | 2007-9 | Amarjeet S Wagh |
| 36 | Neurodevelopment outcomes of Indian preterm (<34 weeks) babies at 3 years age | IAP | 2016-7 | Sahil A |
| 37 | Ventilator care bundles to decrease ventilator associated pneumonia in neonatal ICU | IAP | 2014-5 | Nihaz Naha |
| 38 | Airway diseases in newborn-A Descriptive Study | IAP | 2017-8 | Shibily Ruhman M |
| 39 | Growth of very preterm Indian babies (<33 weeks) till one year of age and relation of head growth with neurodevelopmental outcome | IAP | 2008-9 | George Jose |
| 40 | To evaluate a simple clinical tool “STOPS” as a screening test for predicting immediate neonatal outcomes | IAP | 2008-9 | Bidhu Pillai |
| 41 | Appropriate age for introduction of complementary foods (weaning) to preterm infants: an observational study | NBE (paediatrics) |
2008-10 | Priya P |
| 42 | Early vs Late iron therapy for preterm: RCT | NBE (Pediatrics) |
2007-8 | Sreeshanth MK |
| 43 | Pre-discharge Bilirubin as a screening tool for Neonatal Jaundice in Kerala Population | NBE (paediatrics) |
2006-8 | Altaf Jameel Khan |
| 44 |
Decrease in antibiotic use and HAI in VLBW babies after implementing “sepsis care bundles” |
IAP | 2011-12 | Jyothi Prabhakar |
| 45 | Quality Initiative to improve Kangaroo Care hours for Preterm (<34weeks) or low birth weight (<2000g) babies | IAP | 2016-17 | Aparna Balagopal |
| 46 |
Compliance to potentially better practices in respiratory care of very preterm (<32 weeks) |
IAP | 2012-13 | Dileep K |
| 47 | Audit of antibiotic policy in an Indian NICU | NNF | 2103-14 | Jayanthi Angella |
| 48 | Quality 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 book | MSc 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 | |||
| 51 | Metabolic Bone Disease in Preterm Neonates on optimal phosphorous supplementation – a prospective study | NBE | 2019-21 | Arif AK |
| 52 | Change in antibiotic overuse after implementing an antibiotic policy, in suspected late onset neonatal sepsis | NBE | 2019-21 | Sajina Sathyan |
| 53 | Anemia of prematurity requiring transfusions after implementation of ‘Blood Conservation Strategies’ | NBE | 2019-21 | Vishnu Anand |
| 54 | Etiological profile of Ventilator associated pneumonia in neonates- Prospective study | NBE | 2018- 20 | Amrit Tuteja |
| 55 | Evaluation of iron status in moderate to late preterm infants – a prospective study | NBE | 2018-20 | Alok Kumar MK |
| 56 | A quality improvement project to reduce noise levels in neonatal ICU | IAP | 2019-20 | Anila V Panackal |
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.
Unique features are:
Equipment:
Contact number – 0471-304100: 1145/1180
Histopathology
This division provides
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, 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:
Contact number – 0471-304100: 1262/1242
Besides all routine biochemistry parameters, unique features are availability of rare tests like
Equipment:
Contact number – 0471-304100: 1246/1265
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:
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
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.
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.
“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.
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.
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.
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.
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”.
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.
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
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.
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
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)
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.
