Multidisciplinary team management at Citizens Specialty Hospital Saved 50-year-old Male from Brain Stroke
Hyderabad, October 2023: Multidisciplinary team management at Citizens Specialty Hospital deserves special mention yet again. A 50-year-old male presented in the ER with high blood pressure and had a history of giddiness, vomiting, and shortness of breath, eventually resulting in a deteriorating level of consciousness. His critical condition further necessitated immediate intubation and hospital admission.
Upon admission, Mr. Sainath Shetty was diagnosed with bleeding in a specific area of his brain called the "left caudate," and this bleeding extended into the ventricles of the brain. Under the expert guidance of Dr Rajesh Reddy Sanareddy, Neurosurgeon, the dedicated medical team swiftly performed a Right Frontal External Ventricular Drain procedure under general anaesthesia to effectively manage the condition. The procedure was a success, and post-surgery, Mr. Shetty received meticulous care and monitoring in the Surgical Intensive Care Unit (SICU). The drain initially collected 140 ml within the first 24 hours, progressively decreasing to 30 ml within the subsequent two days and 5 ml within four days post-surgery.
Dr Rajesh Reddy, Neurosurgeon, Citizens Specialty Hospital, Hyderabad expressed, “Mr. Shetty’s case highlights the importance of timely intervention and multidisciplinary team management, including the dedicated nursing and physiotherapy services. This case also highlights the importance of regular medical check-ups and screenings, especially for individuals with a family history of brain strokes. Risk factor mitigation can prevent strokes which can be life threatening at times.
Brain haemorrhage is the most fatal form of stroke and has the highest morbidity of any stroke subtype. Intraventricular extension of haemorrhage (IVH) is a particularly poor prognostic sign, with expected mortality between 50% and 80%. It is crucial that individuals experiencing stroke symptoms seek immediate emergency care. The sooner medical treatment begins, the fewer brain cells are damaged.”
Dr Prabhakar, RCOO, Citizens Specialty Hospital, remarked, “At Citizens Specialty Hospital, we are unwavering in our commitment to delivering the highest standard of healthcare to our patients. Mr. Shetty’s case exemplifies the expertise and dedication of our medical team. We are thrilled to witness his remarkable progress, and we will continue to support him on his journey to full recovery. Our hospital remains steadfast in its mission to provide exceptional healthcare services to our community."
During his recovery, Mr. Shetty developed abdominal distension, prompting a consultation with the General Surgery team to effectively address this concern. Additionally, a Cardiology consultation was sought to manage his blood pressure. Over the following days, Mr. Shetty was gradually mobilized with assistance and had his sutures removed on the 12th post-operative day. Upon discharge, he was advised to continue physiotherapy as recommended and monitor his blood pressure twice daily at home to ensure his ongoing recovery and well-being.