Tag: Dr Suresh Rao K G

One of Asia’s youngest recipient successfully undergoes complex bilateral lung transplant at MGM Healthcare Chennai

Chennai: MGM Healthcare, a multi-specialty quaternary care hospital in the heart of the Chennai, today announced that it had successfully performed a complex bi-lateral lung transplant on Master. NazarDianov a 4-year old boy from Russia and is now one of Asia’s youngest recipients to undergo this procedure.

A 20-member team under the leadership of Dr. K.R. Balakrishnan Chairman & Director of Cardiac Sciences and Director of the Heart and Lung Transplant Program, MGM Healthcare successfully conducted this procedure on the patient on December 15, 2020.

Speaking about the patient,Dr. Balakrishnan explained, “Master. NazarDianov, a 4-year old boy from Russia was diagnosed with fibrosing alveolitis at the tender age of 2 months and was put on ventilator as his oxygen saturation was extremely low. He then underwent tracheostomy at the age of 6 months in Russia and was airlifted to our unit in Chennai in 2018 for further management and a possible lung transplant referred by the doctors in Russia.

Dr. Suresh Rao K.G, Co-Director of Heart and Lung Transplantation Programme & Mechanical Circulatory Support, MGM Healthcare said, “He was kept on ventilator for 3 years in Chennai as we tried to find a suitable donor organ for him. A 2-year old brain dead donor became available in December 2020 in Surat, Gujarat and the organ was airlifted. Master Nazar underwent bilateral lung transplantation at our hospital in December 2020. We kept him under observation in ICU care and are happy to report that the newly trans-planted lungs are responding well in the patient. This is one of the longest duration for a small child to be kept on ventilator before undergoing a successful transplant in the world and is the youngest lung transplant in India and one of the youngest in Asia.

Dr. K.R. Balakrishnan said it is a testimony to the sincerity and skill of our nurses in Chen-nai that this child is alive today. It is a Herculean task anywhere in the world to keep such a small child on ventilator for 3 years without anycomplications.Interestingly, the nurses have learnt to speak a few words of Russian and the boy understands common words in Tamil!

Speaking on their experience, Master Nazar’s parents said,“We would like to thank the clinical team led by Dr. Balakrishnan and Dr Suresh Rao at MGM Healthcare for giving our son a fresh lease of life. We would like to extend our gratitude to the nursing team for their diligent service during these testing times for us and to Trastan and NOTTO and the donor family for this extremely generous gift.”

The hospital further said that the child is currently off the ventilator and on minimal oxygen support. He is recovering well and undergoing physiotherapy and rehabilitation and will be able lead a normal life in the future.

MGMHealthcare Helps Corona Warrior Fight Back

Dr Sanket Kumar Mehta, an anaesthesiologist from Surat, has fought valiantly against the Coronavirus and the various complications caused by it. He has been finally discharged in good health from MGM Healthcare, a super-speciality quaternary care hospital in Chennai.

The doctor, who made national headlines when he risked his life in a selfless act by removing his oxygen support to provide another patient with ventilator support, tested positive on August 6, 2020, at a Surat hospital. He was put on supportive care and as his oxygen requirements increased, he was shifted to the COVID ICU and put on life support. The doctor who shared the ward with another patient discovered that the patient was suffering from severe COVID infection and was in respiratory failure. At this point, he heroically took himself off life support to put the other patient on ventilator life support.

Dr K R Balakrishnan, Chairman — Cardiac Sciences and Director — Institute of Heart and Lung Transplant & Mechanical Circulatory Support, said, “We all knew it was a difficult case, but given the circumstances, the superior facility and a team that yearns for a challenge — we believed that MGM would be the best place for him to be treated. It is indeed a proud moment as a doctor to save another doctor who is a national hero for putting his own life in danger to save a fellow corvid-19 patient.

Following this incident, as DrMehta’s condition worsened. He was given antiviral medicines such as Tocilizumab, Remdesivir and Convalescent plasma and was then shifted to a non-COVID ICU as he showed signs of improvement. However, increasing respiratory distress warranted intubation and he was back in the ICU where he was given antibiotics and antifungals in view of sepsis. With no improvement in the health of the patient, ECMO(Extracorporeal membrane oxygenation) was initiated. Complications developed in the collapse of his lungs, low tidal volume despite repeated bronchoscopies, and recruitment manoeuvres.

Dr Suresh Rao K G, Co-Director — Institute of Heart and Lung Transplant & Mechanical Circulatory Support and HOD – Cardiac Critical Care, said, “Dr Mehta was shifted to MGM Healthcare for specialised ECMO care. We continued to study the case thoroughly while antibiotics were being administered. ECMO cannulas were then re-positioned to achieve adequate flow while bronchoscopy performed on the patient showed thick purulent secretions. These secretions were cleared by daily bronchoscopies. His lung health slowly began to show improvement with an increase in tidal volumes.”

Commenting on the patient’s condition, Dr Apar Jindal, Clinical Director & Consultant, Lung Transplant, Interventional Pulmonology & Chest Medicine, said,“DrSanket was brought in with lungs heavily damaged by COVID-19. Since beginning his treatment here, his lungs have shown remarkable improvement and he is now breathing naturally.” A tracheostomy was done on the patient after family counselling, following which he was slowly weaned onto a CPAP machine. This helped improve his oxygenation and he was taken off ECMO.

“We are glad to have nursed a hero and a Corona warrior like DrMehta back to good health. He stood by the medical ethics of his profession and helped someone who needed treatment, regardless of his own safety. Such a selfless actearns a massive amount of respect and it was up to us to do everything we could from our end to ensure proper treatment and bring him back to being healthy.Dr Mehta will forever serve as an example to the coming generations who wants to be part of the medical fraternity,” said DrPrashanth Rajagopalan, Director, MGM Healthcare.

Post-surgery the patient’s blood cultures continued to remain positive and antibiotics were continued. He was then weaned onto wearing a T piece/Tracheolifeas his subglottic secretions continued to remain significant and his cuff was inflated. However, the secretions reduced and his cuff deflated as treatment continued. A final CT Chest scan showed his lungs to have recovered and the tracheostomy tube was then removed. Dr Mehta is currently stable and on his way to full fitness, health and vigour.