The Department of Nephrology provides the facilities indicated below :
General nephrology: Our Nephrology unit provides comprehensive care for patients with any form of kidney disease, under the guidance of an energetic full time Consultant.
Diagnostic Nephrology: Full diagnostic facilities are available for all kidney related diseases. Safe renal biopsies are performed under real time ultrasound guidance with an automated needle.
Haemodialysis: The Haemodialysis unit has ten up-to-date machines with volumetic control system. Water for dialysis is available from a new modernized RO plant. Only the latest biocompatible polysulfone membranes and bicarbonate dialystate are used, to make the dialysis smoother. Sodium and ultrafiltration co-profiling systems make fluid removal feasible even in-patients with stiff hearts and low Albumin states. Universal precautions are followed. A machine is isolated for dialyzing patients with Hepatitis B or C.
Dialysis in the Intensive Care Unit: Dialysis can be provided to any critically ill patient with multi-organ dysfunction (on blood pressure or ventilator support) in ICU. SLED: (Slow Low Efficiency Dialysis) is an economical form of gentle dialysis for sick patients with low blood pressure. CRRT: (Continuous Renal Replacement Therapy) is a novel technique of providing dialysis for sick patients with very low blood pressures or on ventilator support. This is a continuous process (over 24 hrs) of cleaning the blood of toxic metabolic waste. This also helps in maintaining fluid and electrolyte balance and providing adequate nutrition to critically ill patients. APD: (Automated Peritoneal Dialysis) is a continuous modality of providing safe (water) dialysis for patients with bleeding problems (especially haemorrhage in the brain), who cannot be given medicines (heparin) to thin their blood. This comprehensive critical care dialysis service is available in few hospitals.
Peritoneal Dialysis: CAPD : (Chronic Ambulatory Peritoneal Dialysis) facilities are available for patients from distant and remote areas and those professionals who would like to independently manage things on their own, at home. Structured training is provided at a PD center fully equipped with educational adjuncts like VCD players and posters. Simple complications can be managed on an out-patient basis utilizing an APD machine, where necessary, avoiding the costs of hospital admission.
Dialysis access surgery: Most dialysis access procedures are done under local anaesthesia by an experienced surgeon and involve admission for just a day.
Plasmapheresis : The unit now has considerable experience with Plasmapheresis, which has proved to be of great help in a variety of renal and non-renal cases.
Charcoal haemoperfusion: This has been successfully used for treating patients with certain forms of poisoning.
Paediatric Nephrology: Facilities are now available for diagnostic nephrology and full dialysis facilities for paediatric patients, under the care of a full time Paediatric Nephrologist. Very few hospitals provide paediatric dialysis facilities.
Renal Transplantation: Kidney transplant is done from live related donors by a skilled surgeon, with extensive experience abroad. There is a highly motivated and experienced team to provide holistic care, resulting in a high success rate.
We have done a number of cases successfully in a short span. We have a long list of patients waiting for transplantation. Since most of these patients come from poor economic background, we are doing this procedure in a most economic method which most of them can afford. However, we feel that the society can provide a helping hand to these needy patients.
