Nephrology

The department of Nephrology provides a comprehensive service for all modalities of renal therapy to an expanding population of patients. Patients are managed by a team of Nephrologists headed by the Chief Consultant who is an experienced Nephrologist and transplant physician. The main areas of expertise of the team include Acute Renal failure, glomerular diseases, kidney transplant and various forms of dialytic therapies.

Our renal dialysis unit provides 8 state of the art dialysis stations for more stable chronic dialysis. Patients receive dialysis six days a week with morning & afternoon sessions and are treated at any time if necessity occurs. We help to nurture hope & confidence to make life more meaningful.

Clinical Nephrology

This OPD consultations are available by apointment, with laboratory back up available under one roof. Tests range from urine analysis, complete renal function test including Blood Urea, Blood Urea Nitrogen, Serum Creatinine, Serum Phosphorus, Protein/Albumin ratio, 24 hour urine for Protein, Creatinine clearance, Urine Culture, Lipid Profile & Micro Albumin.

Backing the laboratory is the state-of-the-art Imaging Department which uses digital X-ray facilities, ultrasound, CT scans, etc. that play a vital role in diagnosis. Kidney Biopsy facility is available and is done under real-time sonography guidance with a hospital stay of one day only.

Dialysis

The Dialysis unit is first of its kind specially focused at patients with cardiac diseases and renal failure, and special protocols for patients with poor cardiac function.

Haemodialysis Unit

Haemodialysis facilities are available at Fortis Escorts Heart Institute. There are no exclusion criteria on the basis of infectious diseases, all are treated using the standard precautions. Biocompatible membrane based dialyzers are routinely used with volumetric ultra-filtration. All water is purified using reverse osmosis. The Haemodialysis unit has 8 dialysis stations. Patients will need two or three treatments per week for 3 or 4 hours each session.

Latest generation fully computerized bicarbonate haemodialysis machines with volumetric ultra-filtration and adjustable sodium facility, provide better patient safety profile.

R.O. (Reverse osmosis) water for dialysis, to ensure patient safety and prevent long term complications on haemodialysis.. The latest dialysis machines inclusive of various sensors, meters gauges, monitors, blood leak detectors, computerized apparatus detection systems, various modules measures details & data when dialysis is in progress.

Facility for continuous monitoring of the sick patient through highly sophisticated monitors throughout the dialytic procedure is available.

The first centre to have separate isolated units for Hepatitis B positive patients. Heat clean disinfection of haemodialysis machines after every shift is practised for patient safety Bedside Dialysis facility is available and routinely performed in ICU for critically ill patients.

Continuous Renal Replacement Therapy

We are one of the few centres in India to provide highly sophisticated dialysis for critically ill patients in ICU / CCU with multi-organ failure where peritoneal or routine haemodialysis are not possible for various reasons.

• SLED (Sustained Low Efficiency Dialysis)

CVVHD (Continuous Veno Venous Haemodialysis)

Plasmapheresis and Plasma Exchange

Thesefaculties of Plasmapheresis and Therapeutic Plasma Exchange (TPE) are available for renal and non renal patients such as GB syndrome and myasthenia gravis. Various diseases like Goodpasture's syndrome, Hemolytic Uremic syndrome, TTP, cryoglobulinemia, RPGN (SLE, ANCA-related) can be treated with Plasmapheresis. It's done using Plama filter and 5% Albumin or fresh Plasma.

Hemoperfusion in Poisoning

This procedure is performed using Charcoal cartridge, with an average treatment time of hours. It is a life saving technique for treating overdoses of sleeping pills, drugs and other poisons.

Peritoneal Dialysis

The aim of the Peritoneal dialysis department is to support patients carrying out their peritoneal dialysis at home. This can be continuous ambulatory peritoneal dialysis (CAPD) or automated peritoneal dialysis (APD) by machine.

CAPD

With CAPD (continuous ambulatory peritoneal dialysis) a thin tube called a catheter is surgically implanted into the abdominal wall. Inside your body the tube hangs down into the abdominal cavity. You will need to drain a cleaning solution called dialysate through the tube 3 or 4 times a day (having first drained off the used fluid which carries the toxic waste matters away from your body as your kidneys used to do).

CAPD takes place inside the body using the natural lining of the abdomen called the Peritoneum. The Peritoneum acts as the dialysis membrane. In order to do your dialysis by CAPD, you will need to have a small operation (which takes place under a local or general anesthesia) to insert a catheter into your abdomen, CAPD is done at home usually 4 times every day. It takes less than 30 minutes each time and is a very simple, painless procedure. Because dialysis is carried out at home patients must be able and willing to take major responsibility for their own care.

The patient will receive expert training from your CAPD nurse which will give you all the expertise and confidence you need to be independent. You will always have the support and advice of the Renal Unit when needed. You can lead a normal active, working life.

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