Services Offered
The Department of Pulmonary Medicine encompasses eight specific basic programs, each focusing on a general category of pulmonary disease.
- Bronchial asthma
- COPD
- Sleep-disordered breathing
- Interstitial lung disease
- Cystic Fibrosis
- Occupational lung disease
- Pulmonary rehabilitation
- Tuberculosis Clinic
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. These programs include pulmonary rehabilitation, transtracheal oxygen, and nutritional support. The Smoking Cessation Program is under the direction of physicians and therapists experienced In the treatment of nicotine dependence.
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 Patients are shown how louse peak-flow machines and are taught self-management techniques for their use at home.
COPD Rehabilitation Services
Services include education about COPD and physical therapy. Patients can benefit from pulmonary rehabilitation .If they have emphysema, asthma, or chronic bronchitis. a team of healthcare professionals with various specialities staff the Pulmonary Rehabilitation Program. The team consists of a pulmonary physician, a clinical nurse specialist, an exercise physiologist, a respiratory therapist, a dietician, and a social worker.
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.
Innovative Surgical Treatments for Patients with Emphysema
Patients with emphysema are being treated at the Department of Pulmonary Medicine with an innovative technique known as volume reduction surgery which results in less effort in breathing and reduced dyspnoea.
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
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 fibre optic 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.
EBUS (Endobronchial ultrasound)
EBUS Endobronchial ultrasound is ultrasound combined with Bronchoscopy to obtain images in and around the bronchial tree or the lungs. This is an advanced diagnostic technology that provides real-time imaging of abnormalities inside the chest.
The greatest benefit of using EBUS for evaluating the central airway is that the patient can potentially avoid having to undergo a more invasive surgical procedure and can eliminate the need for additional phases of testing. In addition, because EBUS is performed under conscious sedation, patients recover quickly and can generally 90 home the same day. There are several indications for endobronclual ultrasound (EBUS).
- Staging of lung cancer
- Diagnostic evaluation of endobronchial lesions, peripheral pulmonary nodules. mediastinal abnoirnalities lymphadenopathy)
- Guidance of endobronchial therapy
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 in Nuclear Medicine is extremely useful in the detection and localization of pulmonary thromboembolisms as well as primary and secondary tumors. The Gamma Camera is also used for pulmonary function testing.
Evaluation of Breathing Disorders and Chronic Respiratory Ailments
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)
Diffusion capacity of carbon monoxide (DLCO)
Lung volume (FRC, TLC)
Six minutes walk test (6 MWT)
ABG
Allergen sensitivity tests
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
CT guided pigtail therapy (pleural)
Oxygen titration
CPAP titration
Pulmonary rehabilitation for COPD and ILD patients
Bronchial artery embolisation for Hemoptysis |
Specialty Clinic
Department of Pulmonary Medicine is conducting Quit Tobacco Clinic as a part of the activities of Anti Tobacco Movement at Amrita (ATMA). It is a comprehensive program motivating people to quit tobacco use and in which the patient, family members, doctor, medical social worker and the psychologist are involved. The program involves a combination of problem identification and solving, patient education, counseling and medication. Medication support is provided to avoid withdrawal symptoms as and when required. The intervention is done both at individual and group levels. People from all walks of life like students, employees, professionals, businessmen and unskilled laborers are attending this clinic and enjoy the benefits of smoking cessation.
Our Doctors
Dr. Kumari Indira K. S., MD, DTCD, DCP, M.Phil
Clinical Professor and Head |
Dr. Darsana Viswam, MD, DTCD
Clinical Professor |
Dr. Rajesh V., MD, DNB, IDCC
Clinical Associate Professor |
Dr. Harilakshmanan P., MD, DTCD
Clinical Assistant Professor |
Dr. Asmita Mehta, MD
Clinical Assistant Professor
| Dr. Sethu Babu, MD, DTCD
Clinical Assistant Professor |
Contact Us
Phone Number: 0484 – 2858660 / 4008660
Email Address: pulmonary@aims.amrita.edu
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