Facilities

DIAGNOSTIC FACILITIES: The nephrology department at Sarvodaya Hospital offers comprehensive medical solution to all kidney ailments complemented by state of the art urological services that makes the department a centre known for Total Kidney Care.

• Helical CT helps in diagnosing the diseases and its assessment.
• CT Scan (128 Slice) & CT KUB
• Digital Radiography: Provides good quality images of Intravenous Urography.
• Ultrasonography: Helps in diagnosing disease of urinary tract in a non-invasive way.
• DTPA
• USG/X-ray
• DEXA Scan
• Body Composition Monitoring

Procedures

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.

Clinical Nephrology

The OPD consultations are available by appointment, 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.

Services offered:

• Haemodialysis
• Haemodiafiltation (HDF)
• Continuous Ambulatory Peritoneal Dialysis (CAPD) Catheter insertion & training
• Continuous Renal Replacement Therapy (CRRT)
• Endotoxin removal therapy
• Plasma Exchange
• Hemoperfuration Poisoning treatment
• AV Fistula
• AV Graft
• Permcath insertion
• Kidney Biopsy Haemodialysis Unit

Sarvodaya Hospital has state-of-the-art haemodialysis facilities with latest generation fully computerized bicarbonate haemodialysis machines and volumetric ultra-filtration and adjustable sodium facility to provide better patient safety profile.

There is 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. The water is purified using reverse osmosis.

The Haemodialysis unit has 17 dialysis stations with separate station for Hepatitis B patients. The patients will need two or three treatments per week for 3 or 4 hours in each session.

The dialysis unit is backed by state-of-the-art Reverse Osmosis water treatment system, and the quality of water is maintained according to the international standards. R.O. (Reverse osmosis) water for dialysis ensures patient safety and prevents long term complications on haemodialysis. The latest dialysis machines are inclusive of various sensors, meters gauges, monitors, blood leak detectors, computerized apparatus detection systems, various modules measures details & data when the dialysis is in progress.

The Haemodialysis unit also has the facility for continuous monitoring of the sick patient through highly sophisticated monitors throughout the dialytic procedure. 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.

Hemodiafiltration (HDF)

• Delivers ultrapure water for Hemodialysis which is crucial for longevity of the patient.
• Offers advantage of survival & improved quality of life when compared to conventional hemodialysis.
• Enhanced safety for patients during dialysis.
• Offers TRUE ‘SLED’ – a modality very often required in critical patients requiring Hemodialysis.
• Near Zero infections.
• Improves anemia, bone & heart diseases.

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)

Advantages of CRRT

• Capable of delivering dialysis to the most unstable and critical patients.
• It can replicate the filtration of patients’ native kidneys in a manner desired by the treating intensivist.
• Can be carried out at a stretch for greater than 24 hours (upto 3-4 days if required)

Plasmapheresis and Plasma Exchange

The facilities for 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 is 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 few 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.

With CAPD (continuous ambulatory peritoneal dialysis) a thin tube, called a catheter, is surgically implanted into the abdominal wall. 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 usually done at home, 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 the CAPD nurse, which will give him / her all the expertise and confidence he/she need to be independent. Patient will always have the support and advice of the Renal Unit when needed. And can lead a normal active, working life.