Eternal Hospital
Eternal Hospital
Eternal Hospital
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Pulmonology

Pulmonology

Pulmonology and Sleep Medicine Department provides an active patient care service in the following areas: Clinical Pulmonology, Asthma-Allergy, Interventional Pulmonology, Pulmonary function testing and Sleep Disorders Unit.
 
Patient care is provided by a team of dedicated, highly trained respiratory physicians along with various clinical and support services. Additional support is provided by the, respiratory technicians, physiotherapists and patient counsellors.
 
Through clinical expertise and advanced technology, patients with respiratory diseases shall feel a renewed sense of confidence and ownership for their lives.
 
  • Hospital Specialities
  • Treatments
  • Interventional Services
  • Diagnostic
  • Video
  • Comprehensive management of Lung and Respiration related Disorders
  • Pneumonia, 
  • Asthma and COPD
  • Interstitial Lung Disease (ILD) 
  • Tuberculosis, 
  • Pulmonary embolism
  • ALI & ARDS, Respiratory failure (I & II), 
  • Pleural effusion, pneumothorax 
  • Sarcoidosis
  • Sleep disorders like Obstructive Sleep Apnoea (OSA), Sleep Disordered Breathing
  • Lung Cancers and other pulmonary disorders.
  • Interventional Bronchoscopy
  • Medical Thoracoscopy
  • CPET (Cardio Pulmonary Exercise Testing)
  • Allergy Clinic (SPT and Immunotherapy)
  • Sleep Lab
  • Pulmonary Function Tests (PFT)
  • Pulmonary Rehabilitation
  • Management of Acute Respiratory Failure including ECMO (Extracorporeal Membrane Oxygenation)
  • Medical comprehensive management of lung disorders like Pneumonia, Tuberculosis, Asthma, COPD, Sarcoidosis, ILD, Pleural effusion, pneumothorax, Pulmonary embolism, Pulmonary edema, ALI & ARDS, sleep disorders like obstructive sleep apnea, lung Cancers and other pulmonary disorders.
  • Interventional Bronchoscopy: Flexible fiberoptic bronchoscopy, has been a mainstay for airway inspection, the diagnosis of airway lesions, therapeutic aspiration of airway secretions and trans-bronchial biopsy to diagnose parenchymal lung disorders. 
  • Imunotherapy for Respiratory Allergic Disorders
  • Pleural Aspiration: This is a procedure wherein fluid accumulated outside the lungs in the chest cavity is taken out using a plastic cannula/needle for diagnosis of pleural diseases as well as therapeutic benefit when a large amount of fluid is causing respiratory embarrassment.
  • Chest Tube/ Intercostal Drain: Various diseases involving the pleura (covering of lungs) cause accumulation of fluid/ pus/ air in the chest cavity. This compresses the lungs and has to be drained. A thin tube or a pigtail needs to be put in the chest cavity to drain this collection. This procedure can also be performed under ultrasound guidance when fluid is thick. Also the cavity can be sealed after the collection is drained to prevent re-accumulation in case of air of rapidly collecting fluid in cases like malignancy, liver and kidney diseases
  • Medical Thoracoscopy / Pleuroscopy: There is potential space between the lungs and chest covered with thin film known as pleura, which some sometimes becomes a space for fluid, pus, blood and air collection. Medical thoracoscopy is a procedure to examine the pleural space (inside the chest) using an endoscope like device, called a thoracoscope, through a little hole (about 1-2 cm) in the chest. During the procedure, samples are taken for establishing diagnosis of pleural disorders in the form of biopsies from the pleura (the covering of lungs and chest wall) and fluid. The procedure is done under mild sedation (not general anaesthesia) and local anaesthesia. The total duration of the procedure is around 30-45 min. The same sitting can also be used therapeutically for pleurodesis in cases of effusions due to cancer
 

Interventional Pulmonology: Video-assisted Flexible Broncoscopy with facilities for TBLB/TBNA/Foreign body removal/ diagnostic and Therapeutic Interventions

Tracheo-bronchial stenting is done for central or peripheral airway obstruction caused by cancers or benign diseases like tracheal, sub-glottic stenosis and trachea-oesophageal fistula (communication between wind pipe and food pipe). In this procedure a stent can be placed inside the airway to keep the airway open, which can be done easily through the bronchoscope with a considerable improvement in quality of life of non-surgical patients.

Pleural Procedures: Diagnostic & Therapeutic including pleural pigtail insertion and medical thoracoscopy

Pulmonary Hypertension: Diagnosis and Management including right heart catheterization (PA Catheter) 

Sleep Disorders Unit: We offer the most comprehensive range of inpatient and outpatient services for the evaluation, treatment and education of patients with sleep disorders. Sleep disorders include sleep disordered breathing, obstructive sleep apnoea, snoring, obesity hypoventilation syndrome, parasomnias, REM disorders, leg movement disorders and insomnia. Overnight Diagnostic Polysomnogram (PSG) or Sleep Study primarily used to diagnose sleep apnoea and parasomnia. Multiple Sleep Latency Tests to assess daytime sleepiness.

Positive Airway Pressure (PAP) Titration Sleep Study with either Continuous Positive Airway Pressure (CPAP) or BiLevel Positive Airway Pressure (BIPAP). The sleep study is used to determine the necessary PAP pressure required to abolish the sleep apnoea and to determine effectiveness of PAP therapy.

Non Invasive Ventilation: The purpose of ventilation is supporting the respiration. This can be achieved by an invasively by a ventilator connected to an endotracheal tube, going to the central airways from the mouth. Or this can be achieved non-invasively with positive pressure devices like the BiPAP, which are machines with motors generating airflow at high pressure delivered to the patients through a face mask. This is very useful for patients who are sufficiently initiating their breathing and need support. It can be very useful for certain patients for symptomatic relief and even avoiding a ventilator.

 
Interventional Bronchoscopy: Flexible fiberoptic bronchoscopy, has been a mainstay for airway inspection, the diagnosis of airway lesions, therapeutic aspiration of airway secretions and transbronchial biopsy to diagnose parenchymal lung disorders. 
 
Pleural Procedures: Diagnostic & Therapeutic including pleural pigtail insertion and medical thoracoscopy
 
Pulmonary Function Testing (PFTs): (Spirometry with diffusion and lung volume studies) - Pulmonary function tests are a group of tests that assess the functional status of the lungs and give us information about the likely cause of breathlessness. It measures how well we can inhale and exhale air and how well the gases such as oxygen move from the atmosphere into the body's circulation. PFT's are performed by our trained technicians in the PFT lab.
 
Pulmonary function tests are done to:
  • Diagnose diseases such as asthma, bronchitis, ILD and COPD.
  • Find the cause of shortness of breath Check lung functions before surgery
  • Measure progress in disease treatment Assess the effect of medication
  • Measure whether exposure to chemicals at work affects lung function. 
 
Sleep Disorders Unit: We offer the most comprehensive range of inpatient and outpatient services for the evaluation, treatment and education of patients with sleep disorders. Sleep disorders include sleep disordered breathing, obstructive sleep apnoea, snoring, obesity hypoventilation syndrome, parasomnias, REM disorders, leg movement disorders and insomnia. Overnight Diagnostic Polysomnogram (PSG) or Sleep Study primarily used to diagnose sleep apnoea and parasomnia. Multiple Sleep Latency Tests to assess daytime sleepiness.
 

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