Centres of Excellence

Respiratory Diseases

Centre for Respiratory Diseases at Renai Medicity is a comprehensive, multidisciplinary centre comprised of multiple specialties.Centre is dedicated to helping patients to breathe easier and enjoy a better quality of life by providing excellent, innovative and patient-centred care. Our collaborative approach is pervasive and allows patients easy access to specialties such as Pulmonary Medicine, Thoracic Surgery, Cardiology, Pathology, Radiology, Oncology and Physical Medicine when appropriate. The result is comprehensive and individualized diagnostic and treatment plans that make sure optimal outcomes.Our experts provide highly specialized evaluations, treatment and continuum of care for all patients suffering from complex lung diseases.

Our pulmonologists coordinate the efforts of the care team and manage patient medications to treat underlying lung disorders such as

  • Bronchial Asthma
  • Chronic obstructive pulmonary disease (COPD)
  • Tuberculosis(Pulmonary and extrapulmonary)
  • Sarcoidosis
  • Bronchiectasis
  • Pneumonia
  • Interstitial lung disease/Pulmonary Fibrosis
  • Obstructive sleep apnea
  • Pulmonary hypertension
  • Thoracic cancers/ Lung Cancer
  • Cystic fibrosis
  • Rare lung diseases
 
Interventional Pulmonology
Interventional Pulmonology helps to diagnose diseases affecting lung tissues like cancer of lungs, to understand the organisms causing severe pneumonias, to collect phlegm for investigations in patients with dry cough, to take biopsies of the lung without surgery, to find out the cause of blood in sputum, to remove accidently inhaled foreign bodies like food or insects from the airways using small baskets or forceps.

Facilities available include:

Fibreoptic Video Bronchoscope
Trans-bronchial needle aspiration  
Trans-bronchial lung biopsy
Broncho-alveolar lavage
Brush biopsies
CT and Ultra-sound guided percutaneous lung biopsies
Flexi-rigid Thoracoscopy

Some diseases affecting lungs can cause fluid collection in pleura, a thin space between lung and chest wall. Also small breaks or leaks on lung surface can cause collection of air in this space. To diagnose exact causes leading to fluid collection or air-leak, Thoracoscopy is indicated.

Renai is equipped with:

Flexi-rigid thoracoscopy
Talc Pleurodesis for malignant effusions and recurrent pneumothorax
Inter-costal Drainage tube insertions

Pulmonary Function Tests (PFT) Lab
Asthma and COPD are very common diseases causing breathlessness. To confirm the diagnosis, to know the severity of the disease, to assess how the disease progresses, evaluation of lung functions is very essential.

The PFT Lab is equipped with latest technologies including:

Spirometry
Lung Volume Studies
Diffusion capacity of Lungs
Arterial Blood Gases
Exercise testing – 6 min walk test
Exercise Challenge test

Sleep Lab
Obstructive Sleep Apnoea is a common disorder associated with obesity and snoring. The patients feel very tired and sleepy during day time and tend to fall asleep while resting or sometimes even during activities like driving. Such persons are more prone for uncontrolled diabetes and high blood pressures. Proper diagnosis and treatment of this condition will produce dramatic change in quality of life.

We offer:


Poly-somnography
CPAP titration studies
MSLT

Pulmonary Rehabilitation
In collaboration with Departments of Physical Medicine, Psychiatry and Dietetics, Renai offers Comprehensive Pulmonary Rehabilitation Programme for:

COPD
Bronchiectasis
Post-TB-Fibrosis
Interstitial Lung Disease and Cystic Fibrosis

We provide accurate diagnosis, therapy, patient education, psychological support and nutritional advice. Pulmonary Rehabilitation has proven benefits like reduced hospitalisations, better quality of life, improved exercise capacity and reduced respiratory symptoms.

Pulmonary Critical Care
Diseases like COPD, Asthma, ARDS (Acute Respiratory Distress Syndrome), severe Pneumonias can cause very severe breathlessness with fall in blood oxygen levels and respiratory failure. These patients may require artificial respiration through mechanical ventilators for improving blood oxygen levels and to maintain functions of other organs.

At Renai, we have latest Invasive Mechanical Ventilators with graphics to assess lung functions breath-by-breath. Also Non-invasive ventilators (Bi-level Positive Airway Pressure ventilators) help to treat patients with less severe respiratory failure at lesser risk of infections and reduced costs.

Our Critical Care Unit have state-of-the-art facilities including Central Venous Pressure and Arterial Pressure monitoring, Pulmonary Capillary Wedge Pressure monitoring, Hemodialysisetc

Thoracic Oncology and Lung Cancers
Unlike the past, modern oncology has shown great hopes for lung cancer victims. Early cancers merit to lung preserving surgeries (function preserving) like lobectomy which adds to quality of life in that the performance status is always superior. Even in locally advanced lung cancer, similar to breast cancer, down staging is possible to offer salvage/organ preservation/function preservation surgeries.

At Renai Medicity thrust is given to organ preservation in lung cancers. We have ongoing programs for early diagnosis and screening. Video endoscopy, thoracoscopy etc have added to the gadgets for this crusade.

Minimally Invasive Surgery for Lung & Pleural Conditions
Advanced surgical techniques, including minimally-invasive thoracoscopic techniques and lung volume reduction surgery for emphysema.

Smoking Cessation Clinic
We at Renai offer a comprehensive approach to help people who are habituated or addicted to smoking /tobacco chewing to quit their tobacco habit. This is mainly achieved by making use of the latest pharmacological and psychological interventions currently available.