Mr. Vinay Kumar Sharma
CEO, Tender Palm Super Specialty Hospital
Precision in Every Breath
Elevating neonatal cardiac care through A7 anesthesia in Tender Palm Super Speciality Hospital
A Center of Excellence in Cardiac Care
Located in the heart of Lucknow, Tender Palm Super Specialty Hospital has earned a reputation as one of the region’s most trusted institutions for complex cardiac care. With over 300 beds and a full spectrum of advanced specialties including cardiothoracic surgery, critical care, neurosciences and organ transplantation the hospital stands as a beacon of medical excellence in Northern India.
Renowned for its expertise in cardiothoracic and vascular surgery, Tender Palm has become a lifeline for patients with the most challenging heart conditions. From neonatal interventions to high risk adult procedures, the hospital blends clinical precision with compassionate care making it a natural partner in Mindray’s goal to bring healthcare within reach.
Empowering Precision
Mindray A7 in high-risk neonatal cardiac surgery
Pediatric anesthesia spans a diverse patient population from premature newborns to adolescents demanding adaptable equipment across all sizes. Among these, the anesthesia machine plays a pivotal role. It must not only accommodate diverse patient needs but also provide a system capable of delivering very small tidal volumes with high accuracy while ensuring precise administration of inhalation gases.
To meet the challenges of neonatal anesthesia, Tender Palm Super Specialty Hospital adopted the Mindray A7 Anesthesia Workstation. With advance ventilation mode like PCV-VG, precise low tidal volume delivery and real-time lung mechanics monitoring, the A7 is now integral to its high acuity surgical environment — safely delivering tidal volumes as low as 5 mL, enabling anesthesiologists to ventilate even the smallest neonates with safety and confidence.
Led by Visionaries in Cardiac Surgery
At the forefront of Tender Palm’s cardiac surgery department is Dr. Vijay Agarwal, a highly respected cardiothoracic and pediatric cardiac surgeon with over 26 years of experience across India and abroad. Known for his expertise in complex neonatal heart surgeries, Dr. Agarwal’s leadership and surgical precision have played a pivotal role in establishing the hospital as a referral center for high-risk pediatric cardiac cases.
Dr. Vijay Agarwal
Director CTVS,
Tender Palm Super Specialty Hospital
In cardiac cases, there’s no margin for error. The Mindray A7 allows us to ventilate even our most fragile cardiac patients with precision and control. At low tidal volumes, accuracy and safety are everything and this workstation delivers both without compromise.
Case 1
Beating the odds: A one-day-old neonate with congenital heart block
Patient
Male, 1 day old, 2.6 kg, 50 cm
Diagnosis
Baby confirmed with congenital heart block on fetal echo. Having a heart rate of 58 B/M during birth. ECHO shows small ASD, small PDA, dilated ascending aorta, poor ejection fraction.
Procedure
Despite his fragile condition, the cardiac team proceeded with permanent pacemaker implantation.
Ventilation
The A7 Anesthesia Machine enabled safe ventilation using PCV-VG mode, delivering a precise tidal volume of 18 mL while maintaining stable anesthesia throughout the procedure.
Post Op
The child demonstrated a good postoperative recovery, with notable improvement in ejection fraction.
Case 2
A lifeline for nine days old
Patient
Female, 9 day old, 2.2 kg, 50 cm
Birth History
Preterm baby [34 weeks], cried immediately after birth with APGAR score [7/10,8/10,9/10]. Developed respiratory distress, required intubation.
Diagnosis
D-TGA, 5 mm large non-restrictive PDA [BD shunt] ,6 mm OS- ASD, coronaries from facing sinus [1L-2CxR], sev PAH, INR- 2.30, CRP- 21.3.
Challenges faced postoperatively
Baby had multi drug resistant pneumonia.
Procedure
Aorto-bicaval cannulation → PDA ligation & clipping → Aorta/PA transection with coronary button harvesting → PA stump repair (pericardial patch) → Le Compte maneuver → Aortic anastomosis to neoaortic root with coronaries → MPA & branch PA anastomosis to neopulmonary stump → MUF & CUF performed.
Ventilation
Leveraging V-A/C mode with a set tidal volume of 16 mL, the A7 Anesthesia machine ensured stable and safe ventilation..
Case 3
Triumph of 28 days old
Patient
Male, 28 day old, 1.8 kg, 63 cm
Diagnosis
Congenital heart disease – ECHO showed D-TGA, small ASD, large PDA, both coronaries arising from a single ostium (sinus 2: LCx + R) with intramural course, with normal neo-aortic and neo-pulmonary valves.
Ventilation
Using PCV-VG mode, the A7 Anesthesia Machine consistently delivered a precise tidal volume of 12 mL, ensuring adequate ventilation throughout the case.
Procedure
Aorto-bicaval cannulation → PDA ligation & clipping → Aorta/PA transection with coronary button harvesting → PA stump repair (pericardial patch) → Le Compte maneuver → Aortic anastomosis to neoaortic root with coronaries → MPA & branch PA anastomosis to neopulmonary stump → MUF & CUF performed.
Post Op
Leading a healthy normal life.
Insights from Tender Palm Hospital’s Anesthesiologists
Bringing precision to Paediatric cardiac anesthesia is no small task. At Tender Palm Super Specialty Hospital, expert anesthesiologists rely on the Mindray A7 Anesthesia Workstation to deliver safe, stable ventilation during some of the most complex procedures performed on the hospital’s youngest and most vulnerable patients.
Dr. Vishnu Datt
Cardiac Anesthesiologist
The A7 has become an essential part of our OR it gives us precision, confidence and above all, safer outcomes for our patients.
Dr. Vipul Sharma
Pediatric Cardiac Anesthesiologist
When managing neonates with complex congenital heart conditions, having a workstation like the Mindray A7 makes a significant difference. Its ability to deliver low tidal volumes accurately, along with precise monitoring, enhances both intraoperative safety and post-op recovery.
Institute’s Perspective
Advancing care through technology
For Tender Palm Super Specialty Hospital, clinical excellence is not just about performing complex procedures it’s about doing so ethically, affordably and with compassion. At the heart of this commitment lies a continuous pursuit of innovation that empowers medical teams to deliver the best possible outcomes for every patient, regardless of age or complexity.
Dr. Anubha Yadav’s
Chairperson, Tender Palm Super Specialty Hospital
Raising the bar in cardiac care with Mindray’s A7 Anesthesia Workstation at Tender Palm Hospital. Our mission to deliver ethical, affordable and world-class care is supported by advanced technology. The Mindray A7 Anesthesia Workstation empowers our team with precision low tidal volume ventilation, enhancing outcomes in complex surgeries because every life matters and every breath counts.
It is this shared vision between healthcare leadership & clinical
innovators
that continues to shape a safer, more inclusive future for
cardiac care in India.