Pulmonology

Pulmonary Medicine

The Department of Pulmonary Medicine undertakes the prevention, early detection, diagnosis, and treatment of pulmonary diseases in children, adolescents, and adults. Comprehensive pulmonary medicine programmes include specialized treatment of specific diseases such as asthma, chronic obstructive pulmonary diseases, sleep-disordered breathing, interstitial lung diseases, cystic fibrosis, occupational lung diseases, pulmonary rehabilitation, tuberculosis, lung cancers and a dedicated smoking cessation programme. Diagnostic facilities include pulmonary function testing,  flexible video bronchoscopic investigation, BAL and higher resolution CT imaging guided biopsies, ventilation perfusion scans for pulmonary embolism. The department renders facilities for investigation and management of all sorts of infective and non-infective pulmonary diseases.

Services Offered

The Department of Pulmonary Medicine encompasses following general category of pulmonary diseases like.

  • Bronchial asthma
  • COPD
  • Sleep-disordered breathing
  • Interstitial lung disease
  • Cystic Fibrosis
  • Occupational lung disease
  • Tuberculosis (pulmonary and extra pulmonary)

Outpatient Services
Patient Education and Rehabilitation
A number of out-patient programs are available at the Department of Pulmonary Medicine for patients suffering from advanced emphysema, asthma and chronic bronchitis.

Asthma Self-Managernent Program
Asthma patients who are treated on an out-patient basis are periodically scheduled for group presentations about asthma ,including different types of the disease, common symptom, frequently used medicines, inhalers, and accessory equipment

COPD Rehabilitation Services
Services include education about COPD and physical therapy. Patients can benefit from pulmonary rehabilitation .

Smoking Cessation Clinic
Services offered include an initial consultation with a Pulmonologist regarding smoking habits. Patient education is provided, and the motivation to stop smoking is discussed. Pharmaceutical intervention may be offered where appropriate counseling is also offered to patients attending the clinic and on a follow up basis as needed.

Inpatient Services
The Department of Pulmonary Medicine works in coordination with the  Cardio-vascular Thoracic Surgery Department and the Department of Neurosciences to ensure the highest quality of care for patients with pulmonary problem. The Department of Pulmonary Medicine consists of a dedicated and well-qualified team of healthcare professionals.

Comprehensive Thoracic Surgical Program
The Department of Thoracic Surgery conducts all surgical procedures related to lungs, chest wall, mediastinum. and the oesophagus.

Diagnostic Tests Offered

Pulmonary Function Tests
Pulmonary Function Tests (PFT’s) are useful in diagnosing various lung disorders. They also measure the degree of impairment due to disease. The progression of a disease and the effectiveness of treatments can be carefully observed with regularly scheduled testing. Pulmonary Function Tests are also used frequently to assess preoperative risk and are done supervised by chief respiratory technician.

Flexible Video Bronchoscopies
Flexible Video Bronchoscopic investigation and treatment provides an out-patient Bronchoscopy service. Bronchoscopies are useful in the investigation of such problems as coughing or an abnormal chest x-ray and are performed under local anaesthetic. A modern endoscopy suite with fluoroscopy is available for out-patient and In-patient bronchoscopies. A fibreoptic Bronchoscopy system with video and photographic capability is used for performing bronchoscopies which helps in the complete visual assessment of air passages and in making an accurate diagnosis of infection, cancerous  changes, and also in obtaining biological samples for pathological examinations.

Spiral and High Resolution CT
Spiral and High Resolution CT Computed Tomography (CT) imaging. also known as ‘CAT scanning’ (Computed Axial Tomography), provides high resolution imaging for cases of lung diseases, mediastinal diseases, and chest wall tumors. The software for spiral CT creates a CT endoscopy and a CT bronchoscopy, as well as a continuous helical acquisition which provides a 3-D volume scan allowing a radiologist to better localize very small tumor.

Scintigraphy Test
The Ventilation Perfusion Scan done in the Department of Nuclear Medicine is extremely useful in the detection and localization of pulmonary thromboembolisms as well as primary and secondary tumors.

Evaluation and Treatment of Sleep Disorders
The latest facilities are available for evaluation of Sleep Apnea in collaboration with the Department of Neurosciences.

Procedures Done

Spirometry (PFT)
Six minutes walk test (6 MWT)
ABG
Fine needle aspiration biopsy (FNAB)
Pleural aspiration and biopsy
Lung biopsy
Bronchoscopy
Whole lung lavage (WLL)
Intercostal tube drainage and pigtail drainage
Pleurodesis
Polysomnography (Sleep study)
Ventilation Perfusion scan
Multidetector CT scan (MD CT)
Pulmonary angiogram
CT guided Lung biopsy
Oxygen titration
CPAP titration
Pulmonary rehabilitation for COPD and ILD patients
Bronchial artery embolisation for Hemoptysis

 

 


Designation : MBBS, DTCD, DNB(Pulmonary Medicine)
Area of Expertise : Pulmonology

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Designation : M.B.B.S., DTCD
Area of Expertise : Pulmonology

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