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Learn about the specialized care Dr. Vamsi provides to children in need at his PICU in Tirupati. This reading points you to the website for more detailed information on treatments and scheduling appointments.

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Best Pediatric Critical Care Consultant in Tirupati | Pediatric Intensivist

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Best Pediatric Critical Care Consultant in Tirupati | Pediatric Intensivist

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Dr Vamsi Krishna Ankura Hospitals | Top Consultant Pediatrician and Pediatric Intensivist in Tirupati for women and children treatment

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Consult Dr. Vamsi - Expert Pediatric Intensive Care Unit Specialist in Tirupati

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Consult Dr. Vamsi - Expert Pediatric Intensive Care Unit Specialist in Tirupati

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Consult Dr. Vamsi, the doctor who specializes in taking care of children in the Pediatric Intensive Care Unit (PICU) in Tirupati. When kids are very sick, Dr. Vamsi knows how to give them the best treatment and care so they can get better. Talk to Dr. Vamsi today to see how he can help your child feel better.

Visit: https://drvamshikrishna.com/treatments

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Best Pediatric Critical Care Consultant in Tirupati | Pediatric Intensivist

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Mechanical ventilation is one of the crucial aspects to save a kid's life. To mechanically ventilate a baby or kid, a specialized respiratory machine is used to help pass the air in and out of the lungs to assist in breathing. To connect the kid's lung to a ventilator, the Pediatrician intubates the kid.
Intubation is the process where a thin plastic tube is inserted into the windpipe through the mouth.

When are Intubation and Ventilation needed in a child?

Intubation & ventilation is needed in a child when the child is unable to breathe on its own.
Unable to breathe condition can arise due to multiple factors like:-

When severe respiratory problems & emergency treatment are called upon, then the pediatrician needs to intubate and ventilate the kid.

Many a time, the child won't be able to breathe on its own while she/he is sedated during surgery.

Sometimes Severe asthma attack won't let the child breathe on its own. Also during a serious viral disease, any serious injury or near-drowning experience requires intubating and ventilating the child, as in these conditions it becomes very difficult for the child to breathe naturally whether the child is conscious or unconscious, and immediate oxygen supply is needed.

However, pediatric intensivists have observed that in a few trauma cases, older children may receive air using a face mask or nasal tube if the airway is clear.

What to Expect after the procedure?

Once a child is intubated, the pediatrician set the ventilator to pass air in and out of the lungs at desired volume and desired speed as per the need.

Once the child's condition improves and the child's ability to breathe improves, the pediatrician will adjust the setting accordingly to wean the child off the ventilator gradually so that he/she can breathe normally without support.

How long a ventilator will be required to help in breathing for a child entirely depends upon the health condition and overall situation. The need for a ventilator may require a few hours to even months. The pediatrician weighs the situation and advises accordingly.

Central line insertion

A central line is a thin and soft tube (catheter) that is placed in a vein to deliver medications, fluids or other nutrients directly into a child's bloodstream. A central line helps the child receive treatment with fewer needle pricks.

How does a central line help?

A child may benefit from the central line in the following ways:

It stays in place for longer

A child can get large amounts of fluids or medicines easily through a central line

It can help the doctor take blood samples if required

Your doctor may take the decision of inserting a central line in your child in case he/she requires long-term antibiotics, has suffered excessive blood loss and needs large amount of fluids to be replaced, etc.

What to expect during the procedure?

Before insertion of the central line, the child is given anesthesia, a medicine to make him/her sleepy so that they don't feel anything during the procedure

An ultrasound or an X-ray is used by the pediatric intensivist to identify the vein, after which a small catheter designed for children is put in place.

A peripherally inserted central catheter (PICC) is a type of central line. This is like an intravenous line, but it is much longer than a regular IV and goes all the way up to a vein near the heart or just inside the heart. The other end of the PICC line stays outside of the body, and the end of each line is covered with a cap.

Advantages of PICC line

It can stay in place for a very long time (up to 3 months or more) and thus multiple insertions can be prevented in children requiring long-term therapy.

Reduces the number of needle insertions in your child

A large number of fluids and medicines can comfortably be given at once to children in such a case.

In which conditions can a PICC line help?

In serious infections where intravenous antibiotics are needed for weeks

Kids who have cancer, so that can receive chemotherapy and get blood tests done through it

In children requiring multiple blood transfusions

In children needing intravenous nutrition

What to expect during PICC line placement?

The following steps are followed during the procedure of PICC line placement:

Area of insertion of the line is cleaned thoroughly

Ultrasound is used as a guide for line insertion till a point near the heart

A radiograph is taken to check the line after insertion

A dressing is placed over the line after the procedure

When at home with the PICC line, you can call your doctor if you notice:

Redness or swelling near the PICC line

Pain or tenderness near the PICC line

If the line gets blocked and cannot be flushed

Intercostal drainage (ICD)

ICD- Intercostal drainage is a procedure to drain fluid from the pleural space between the lung and the chest wall. Infection, inflammation or injury can cause fluid to build up between this cavity, which requires drainage that can be done by a pediatric intensivist.

What to expect during the procedure?

The following steps are followed during the procedure:

An ultrasound or CT scan is done to evaluate the amount and location of the fluid.

Your doctor will inject a numbing medicine at the site of the drainage.

A small needle is guided through the skin into the fluid that needs to be drained.

The fluid-filled up between the lungs and the chest wall is aspirated out with the help of a syringe.

Your doctor may place a catheter at the site if continued drainage id required.

After the procedure, a small portion of the chest fluid taken out is sent for laboratory examination, to know the cause of fluid accumulation in your child.

Activity restrictions after the procedure

In case a catheter has been placed in your child for drainage of fluid your child will need to avoid any activities that can cause a pulling effect at the catheter. Children in whom catheter has not been placed can resume normal activities in a day or two after the procedure.

Nose and Ear foreign body removal

Infants and young children often put any object that they get in their ears, nose, or mouth. Objects in the mouth may be swallowed or breathed (aspirated) into the lungs. Objects in the ears and nose can get stuck in those parts too, thus making it hard to hear or breathe and can cause infection. Such objects can be removed by careful intervention.

Dr. Vamsi Krishna has helped many young children by removing objects from the nose and ear.

What can get stuck in the nose and ear?

Anything small enough to enter the canal of the nose and ear can get stuck in it. Some common objects include:

How can you know if something is stuck in your child's nose and ear?

At times, objects placed in the ear may not cause any symptoms. However, some objects, such as food and insects, may cause pain in the ear, redness, or drainage. The hearing may be affected if the object stuck in the ear is blocking the ear canal.

The most common symptom in a child with a foreign body in the nose is nasal drainage. Such drainage appears only on the side of the nose where the object is stuck and often has a bad odor. At times your child may also have blood discharge from the nose

After careful examination, your doctor will remove the object stuck in the nose and ear using specific instruments to reach the inside of the nose and ear, and suction machines. Your doctor may also prescribe your child, ear drops, nose drops, or antibiotic ointments as needed.

Ultrasound (USG) of the lung is a specific non-invasive diagnostic procedure that produces images that are used to assess the structures inside the chest. Areas examined by chest USG include lungs, mediastinum, and pleural space. This allows your doctor to quickly examine the structures from outside and can help to assess blood flow to the chest organs.

How is the procedure done?

A transducer is placed over the skin of the chest which sends ultrasound waves inside at a frequency too high to be heard. These waves bounce back and the signals they produce generate the images of the organs within through computer-operated programs.

Your doctor will use an ultrasound gel during the procedure which is placed on the transducer and the skin to allow smooth movement and to eliminate any air between the skin and the transducer for best sound conduction.

Once the images are produced your doctor interprets the scan and gives you the report.

When can your child need a lung USG?

Lung USG can be prescribed by your doctor in case they suspect a problem such as:

Lung USG is a low-cost and effective procedure that can be performed on your child without any harm.

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Conditions and Treatments | Specalist in Pediatric Critical Care

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Treatment for pediatric critical care in Tirupati | Expertise in Intubation, Central line insertion, Lung USG, Nose & Ear foreign body removal, and many more

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Dr. Reshma Reddy - Delivering Excellence in Maternity Care in Tirupati

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Dr. Reshma Reddy - Delivering Excellence in Maternity Care in Tirupati

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Experience unparalleled maternity care with Dr. Reshma Reddy, a trusted gynecologist and obstetrician in Tirupati. With her expertise and commitment to providing comprehensive services, Dr. Reddy ensures a safe and comfortable pregnancy journey for both mother and baby. Consult today for exceptional care and peace of mind.

Visit: https://drreshmareddy.com/maternity

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Dr. Reshma Reddy is committed to providing high-quality maternity care for women during their pregnancy, in labour, and after the birth of their baby. She has handled multiple simple and complex cases of pregnancy and has expertise in painless normal deliveries, delivery through cesarean section, and high-risk pregnancies. By being in close association with her patients and their attendees, she encourages the entire family to be involved in making birthing and parenthood choices.

Pre-Pregnancy counseling

Consulting your gynecologist before planning pregnancy, significantly improves the fetal and maternal outcomes!

Here are some reasons why you should meet your gynecologist before planning a pregnancy:

Pre-conception counseling allows your gynecologist to assess your health in detail and reduce the risk of any adverse health effects on you and your baby by modifying them.

Your family history, risk factors, medical conditions, vaccinations, and lifestyle are discussed in such an appointment.

After examining you in detail your doctor may advise you on some tests, which can include genetic tests especially if you have any genetic conditions in your family.

You may also be advised for certain lifestyle modifications for a healthy conception, and some prenatal vitamins may also be started for you.

Three months before you start planning a child is a good time for a pre-pregnancy check-up.

Antenatal appointments are a great opportunity to ask any questions that you may have about pregnancy, know what is happening in each trimester, and modify your diet or exercise as per the changes that you have been going through.

Once you have conceived remember:

While conception comes easy to some, it can take a different course for others. As soon as your pregnancy is confirmed it is important to get an appointment with your gynecologist to know the subsequent visits that you will require for scans and other tests.

Antenatal appointments will allow your healthcare team to help both you and your baby stay healthy.

Even if your pregnancy is going well and you are feeling fine antenatal appointments are important to check the growth and development of the growing fetus and identify any potential risks to prevent or reduce them.

Pregnancy is a dynamic journey of nine months and is accompanied by constant changes and developments, such appointments help one stay aware and healthy.

What can I expect in my Antenatal appointments?

Depending on which visit it is for you, you can expect the following during the antenatal check-ups:

Knowing which trimester, you are in and when can your baby be due

Finding out about your medical history, general health

Discussing any medication that you are taking

Checking your blood pressure and weight and testing your urine

Organizing blood tests and screening

Advice on healthy eating and lifestyle changes

Measuring your tummy, and listening to the baby's heartbeat

Checking any physical symptoms that may be bothering you

Discussion about your birth plan

Talking about alternative plans if things do not go in your favor

Knowing about antenatal classes

Ultrasounds during Antenatal visits

Ultrasounds are crucial during your antenatal visits for monitoring the growth and development of the fetus. These are taken at regular intervals and can help your gynecologist detect any abnormalities at an early stage. Ultrasounds can be done per-abdominally from over your belly, or at times transvaginal ultrasound may also be required. Dr.Reshma Reddy is an expert in performing and interpreting scans required during pregnancy.

Some uses of ultrasounds done during the antenatal period are:

To confirm you're pregnant

To check your baby's age and growth.

To check your baby's heartbeat, muscle tone, movement, and overall development

To check to see if you're pregnant with a single fetus, twins, triplets, or more.

To check if your baby is in the heads-first position before birth

To examine your ovaries and uterus.

To check for the adequacy of amniotic fluid around the fetus

To detect any developmental abnormalities in the fetus

Dr. Reshma Reddy has conducted multiple painless normal deliveries and deliveries through cesarean section, she is also an expert in handling high-risk pregnancies.

Painless normal delivery

Natural delivery can be painful, opting for epidural anesthesia eases out the labour pain and helps one deliver painlessly through the vaginal canal. An epidural is used to block nerve signals - the ones responsible for feelings of pain , from the lower part of your spine. It's administered through a catheter that is run through a large needle inserted into the epidural space that surrounds your spinal cord. The catheter remains in place during labor and delivery to continue delivering the medication. Depending on the health of the baby and your pregnancy, an epidural may be an option for you.
Dr. Reshma Reddy has vast experience and has conducted multiple painless deliveries under epidural anesthesia. A high-risk pregnancy is a pregnancy that involves increased health risks for the pregnant person, unborn baby, or both. Having a high-risk pregnancy doesn't necessarily mean one will have problems. Regular visits to your gynecologist can help you stay healthy.
What can put a woman in the high-risk category?

Maternal age of more than 35 years

Medical conditions like high BP, diabetes, obesity, thyroid-related conditions, infections, etc

Lifestyle-related factors such as consumption of alcohol during pregnancy

At times, a woman may not be at high risk when she gets pregnant, but she may develop complications during pregnancy which may, in turn, make it so. Such complications include gestational diabetes, pregnancy-related high blood pressure, or conditions such as an abnormal position of the placenta.

Multiple factors can put a woman in the high-risk pregnancy category. Some of these include:

Maternal healthcare is extremely advanced nowadays and an array of non-invasive, and invasive diagnostic tests are available to detect any developing problems in both, the mother and the fetus. By identifying high-risk pregnancy and monitoring it closely throughout the nine-month duration one can expect a healthy delivery without any complications. The treatment administered in such a state depends on the cause of high risk.
Dr. Reshma Reddy has vast experience in handling high-risk pregnancies.
Irrespective of whether a woman falls under high risk or not, one should consult their gynecologist before planning pregnancy. With a detailed check-up, it is assumed that any high-risk factors are identified and minimized before conception, and a state of preconception health is established by starting vitamins such as folic acid and monitoring maternal weight.

Prevention, elimination, early detection, and cure of health complications

Counseling on breastfeeding

Counseling on immunization

An interactive session on the importance of birth spacing

Discussion and guidance about the importance of maternal nutrition

Discussion and counseling about the maternal psychological changes post-birth

Postnatal care is specialized care for the mother that begins immediately after delivery, up to roughly eight weeks. Some aspects of postnatal care include:

Postnatal care involves proper rest, nutrition, and vaginal care for the mother, facilitating a quicker and healthier recovery.

Breastfeeding Guide for new moms

At times the mother is unable to produce enough breast milk for the baby. What are the ways to deal with it?

Here are some commonly asked questions that can help answer your questions about breastfeeding:

At times mother's milk may take time to establish due to multiple reasons. At such a time, continuing to stimulate the breast enough is important for it to produce enough milk eventually. Mothers should make their babies suckle or use a breast pump for such stimulation, alternatively breast massage to express milk can also be done. It's important to exhaust the breasts of the milk they produce in order to signal the body to produce more of it.

Drinking enough water, taking adequate rest, and eating a healthy diet with more protein and calcium, and less caffeine and alcohol also helps in breast milk production. Usage of a heating pad or warm shower before expressing breastmilk can be a great way to let down more milk from the breasts as well.

A lactation consultant should be spoken to, in order to assure the position of breastfeeding is right and the baby can latch the breast well and to rule out any other medical possibilities of low milk production so that any help for these can be taken at the earliest.

Sometimes the baby becomes too used to the formula and rejects the breast milk. How detrimental is it to the baby's overall growth? How can mothers combat this problem?

The most important point to remember is not to stress about breast milk, any stress can reduce the milk further. The baby gets adequately nourished through supplement milk by the time the mother takes time to establish breast milk. Thus, the mother should relax and work on trying to improve her milk production and the family should be patient and supportive for the same.

During the first year of life, a baby gets triple his birth weight. This weight that the baby gains is by the feed he takes. Breast milk is thus ideal for the baby during this stage of life. Breastmilk has many added advantages over formula milk. A formula-fed baby doesn't get any antibodies that are secreted in mother milk and thus makes them more prone to many diseases when compared to breastfed babies. At times, a baby may be allergic to certain formulas which thus can make the baby suffer additionally. Formula milk takes a longer time to digest and is heavier on the baby's gastrointestinal tract.

If the baby rejects breastmilk, it's important to still keep trying in order to maintain milk production and prevent the engorgement of breasts. Some points below can help one in regaining a baby's interest in breastmilk:

Change your position: One should take note of not giving up if the baby rejects breastmilk. If the baby is uncomfortable in a certain position, then a change in position should be tried by the mother. If comfortable, the baby will tend to feed better.

Change your place: If the mother is feeding in a noisy environment, then she should try feeding in a quiet room away from distractions. Doing so may calm the baby more and he may feel better.

Feed on demand: If the mother tries feeding a baby whose stomach is already full or half full, he may not be interested in feeding. Trying to feed when the baby is hungry and demands milk is the best time when he is most likely to take the feed.
Dr. Reshma Reddy has guided many women through their pregnancy journeys and is available for consultation in Tirupati, Andhra Pradesh.
Give the baby more skin-to-skin contact : With such care given to the baby, he feels nurtured and thus can tend to feed more.

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Dr Reshma Reddy Gynecologist & Obstetricians | Maternity Hospital in Tirupati

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Dr. Reshma Reddy Hospital | Maternity Hospital in Tirupati, Best Maternity Center, Best Maternity & high-risk pregnancy care center, Gynaecology Hospital