It is no exaggeration to say that the Department of Pulmonology of Sri Ramakrishna Hospital is among the foremost of its kind in the country. Our equipment, facilities and expertise in diagnosing and treating diseases of the respiratory tract have been set to global benchmarks. We were the first in India to have an exercise physiology test system with breath-to-breath analysis of respiratory gases.
We routinely perform bronchoscopies, thoracoscopies, pleural drainage procedures, pleurodesis, CT guided FNAC (fine needle aspiration cytology) and FNAB (fine needle aspiration biopsy).
Patients suffering from hemoptysis benefit from bronchial artery embolisation while those affected by diffuse lung disease benefit from cryobiopsies. If you suffer from pulmonary disorders, we can and will help you.
TREATMENTS & PROCEDURES
A bronchoscopy is a procedure performed in the lungs for various respiratory disorders. It can be diagnostic as well as therapeutic. During the procedure a ‘bronchoscope’ is inserted into the airways and assessed. This is a tube with a camera at the end of it. It also has a working channel through which thin instruments like biopsy forceps can be introduced for taking a biopsy. There are two types of bronchoscopes - flexible and rigid. Traditionally, a rigid bronchoscope was used which required general anesthesia. Today however, the flexible video bronchoscope is most commonly used. It bends easily and allows the bronchoscopist to visualize even distal airways.
Bronchoscopies are routinely performed by pulmonologists at Sri Ramakrishna Hospital for the following conditions:
- Hemoptysis of uncertain origin
- Evaluation of lung mass
- Staging of Brochogenic Carcinoma
- Non resolving consolidation
- Evaluation of sarcoidosis
- Interstitial Lung Disease (ILD)
The following diagnostic procedures are done in our Hospital:
- Bronchial washings, Brushings
- Brochioalveolar Lavage
- Endo bronchial biopsy, Trans Broncial Lung biopsy
- Trans bronchial Needle Aspiration
We offer Therapeutic Bronchoscopy for the following conditions:
- Bronchoscopy guided Endotracheal Intubation
- Bronchoscopy guided Tracheostomy
- Removal Foreign body & mucus plug
- Debulking of Endobronchail Tumor
- Ballon dilation of Stenotic airway
- Stent placement for stenotic airways & Tracheo Oesphageal Fistula(TEF)
This is a procedure by which a bronchioscopist collects specimens from the distal most airways. Aliquots Saline is instilled into the affected segment via the working channel of bronchoscope then suctioned back. The retrieved fluid is then sent for various microbiological analysis & cytology. This is an excellent diagnostic tool for cancer and infections.
A thoracoscopy is a minimally invasive procedure used for both diagnostic and therapeutic purposes. A thoracoscope (a thin, flexible tube with a camera) is inserted into the Pleural Cavity via an incision so that both visceral and parietal pleura (a membrane covering the lungs) are examined.It conducted for the following conditions:
- Pleural Biopsies for diagnosis of mesothelioma and malignant pleural effusion
- To remove excess air or fluid from the region surrounding the lungs
- To remove pleural cysts or diseased lung tissue
- To lyse the adhesion in the pleural cavity secondary to complicated parapneumonic effusion and
- Pleurodesis – Procedure by which Talc is insufflated into the Pleural cavity to prevent recurrence of
- malignant pleural effusion (accumulation of liquid in the pleural cavity secondary to malignancy)
- Pneumothorax (accumulation of air in the pleural cavity)
When a person coughs up blood it is known as haemoptysis (or hemoptysis). This can be due to various causes like infection, cancer, aneurysm (dilation & thinning of blood vessel) and bronchiectusis (dilation & destruction of bronchus). Haemoptysis is a medical emergency and requires immediate attention, evaluation and treatment. Bronchial artery embolisation is one of the more advanced techniques practiced at Sri Ramakrishna Hospital to stop hemoptysis. It is a minimally invasive procedure. The doctor inserts a catheter into an artery in the leg, which is then guided up to the lungs. A dye is injected to identify the source of the bleeding. The affected artery is then blocked through the use of metal coils or other techniques and substances. This stops the bleeding. The blocked artery is not a concern since other arteries immediately compensate for it.
Our Pulmonology department is well equipped with following test
- Body box
- Co-diffusion capacity measurement
- Cardio pulmonary function test.