Pulmonary Medicine

About the Specialty

Department of Pulmonary Medicine is a tertiary referral centre for pulmonary diseases. The department has done pioneering work & benefited patients in the field of, asthma, allergy, COPD, lung cancers, tuberculosis and other lung and pleural diseases.

Pulmonary Medicin

The department also have advanced pulmonary function testing systems including DLCO. It is also equipped with EBUS and fibreoptic video bronchoscope for early diagnosis of lung cancer & pneumonias.

Department has Sleep lab for diagnosis of Sleep apnoea. There is advanced pulmonary function laboratory. Thoracoscopy is done frequently for diagnosis of pleural diseases. Skin prick allergy testing unit also functions under this department. We intend to develop interventional pulmonology including bronchoscopy Cryo, APC and Cautery, Thoracoscopy & other pulmonary procedures are done at an affordable price with quality care.

Department is planning to start DM Pulmonary medicine course in near future. One of the first super speciality department of Pulmonary medicine established in a medical college in Rajasthan.Highly experienced, skilled, dedicated and qualified faculty imbibing recent teaching techniques. We have a fully equipped Respiratory Intensive Care Unit (RICU). The interventional pulmonology lab includes Flexible video bronchoscopy to perform procedures like bronchial washings, broncho alveolar lavage (BAL), Transbronchial needle aspiration, &Transbronchial lung biopsy. We also have Thoracoscopy for diagnostic and therapeutic procedures and latest Endobronchial ultrasound (EBUS) to perform EBUS-TBNA. The department is ready to impart training in the field of chest diseases, Interventional pulmonology, Critical Care, Sleep Medicine, Allergy and Immunotherapy.

HOD Message

HOD Massege

Mahatma Gandhi University of medical Sciences and technology is a conglomerate of institutions of health education, which include the colleges of Medical Sciences.

Dr. Suresh Koolwal

Professor and Head

Department of Pulmonary Medicine

The state of the art, tertiary care, department of Pulmonary medicine at Mahatma Gandhi hospital offers a teaching environment with abundant clinical material and highly qualified teaching faculty, so essential for being a training institute expected to impart quality medical education. The department is established for conducting DM Pulmonary Medicine course.

Truly adhering to our motto “Health is Happiness” the department provides best medical care at reasonable rates. Our special emphasis is on the clinical training of our students and to help develop lifelong learning instincts in them. In this direction, we are in the process to establish a ‘state of the art’ interventional pulmonology including Cryon, APC, Bronchoscopy Cautery, and Medical Thoracoscopy. Our PFT lab is equipped with Spirometer and DLCO machine. Soon we are planning to get impulse Oscillometery for pulmonary function testing. We are conducting Allergy Skin Prick tests for patients of Allergy and asthma. We like to ensure that our faculty remains in constant touch with the recent developments in their field of specialization, as well as, in the latest technologies of imparting medical education. Our faculty continue to contribute a number of publications, in both national and international journals, every year.

I heartily welcome the student’s seeking admission to the DM Pulmonary Medicine, program offered by Mahatma Gandhi Medical College.

Core Competencies

Patient Care

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

Medical knowledge

Residents must demonstrate knowledge about established and evolving biomedical, clinical, and cognate sciences and the application of that knowledge to patient care.

Practice-based learning and improvement

Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices.

Interpersonal and communication skills

Residents must demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patients’ families, and professional associates.

Professionalism

Residents must clearly show a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

System-based practice

Residents must demonstrate an awareness of responsiveness to the larger context and system of healthcare and the ability to effectively call on system resources to provide care that is of optimal value.

Aims and Objectives

A thorough knowledge of pathological abnormalities, clinical manifestations, and principles of management of a large variety of medical conditions affecting respiratory system.

  • Skill and competence to choose and interpret correctly the results of the various routine investigations necessary for proper management of the patient. While ordering these investigations, a resident must be able to understand the sensitivity, specificity and the predictive value of the proposed investigation, as well as its cost-effectiveness in the management of the patient.

  • Skill and competence in interventions like endotracheal intubation, needle lung biopsy, interventional and diagnostic bronchoscopy, needle thoracocentesis, Intercostal drain placement, pericardiocentesis, thoracoscopy, and various endobronchial procedures.

  • Skills and competence to perform commonly used diagnostic procedures, namely, pleural aspiration, pleural biopsy, lung biopsy, allergy testing, fine needle aspiration, polysomnography, ultrasonography and cardiopulmonary exercise testing.

  • Skill and competence to choose and interpret correctly the results of specialized investigations including radiologic, ultra-sonographic, biochemical, hemodynamic, electro cardio graphic, electrophysiological, pulmonary functional, hematological, immunological, nuclear isotope scanning, arterial blood gas analysis results. polysomnographic and bronchoscopy results.

  • Skill and competence to provide consultation to other medical and surgical specialties and subspecialties, whenever needed.

  • Skill and competence to function effectively in varied clinical settings, namely emergency/ critical care, ambulatory care, out-patient clinic, in-patient wards.

  • Skill and competence to take sound decisions regarding hospitalization, or timely referral to other consultants of various medical sub specialties recognizing his limitations in knowledge and skills in these areas.

  • Proficiency in selecting correct drug combinations for different clinical problems with thorough knowledge of their pharmacological effects, side-effects, interactions with the other drugs, alteration of their metabolism in different clinical situations, including that in the elderly.

  • Skill and competence to advise on the preventive, restorative and rehabilitative aspects including those in the elderly, so as to be able to counsel the patient correctly after recovery from an acute or chronic illness.

  • Skill and competence to understand research methodology in Pulmonary Medicine and to undertake a critical appraisal of the literature published in various medical journals and be able to apply the same in the setting in which the resident is working.

  • Skill and competence to work cohesively in Resuscitation team along with paramedical personnel and maintain discipline and healthy interaction with the colleagues.

  • Skill and competence to communicate clearly and consciously, and teach other junior residents, medical students, nurses and other paramedical staff, the theory as well as the practical clinical skills required for the practice of Pulmonary Medicine.

Treatments

  • Asthma /ABPA
  • COPD
  • Pneumonia
  • Lung Carcinoma
  • Occupational Lung Diseases
  • Interstitial Lung Diseases
  • Sleep Disorders
  • Tuberculosis/ Post Tuberculosis Sequalae
  • Pulmonary Embolism
  • Bronchiectasis
  • Post Viral Illness
  • Respiratory Failure

Procedures

Ventilatory management

This is the use of mechanical devices to assist or replace the patient’s breathing. Ventilation can be invasive (using a tube inserted into the airway) or non-invasive (using a mask or a helmet). Ventilation is used for patients with respiratory failure, acute respiratory distress syndrome (ARDS), or sleep apnoea.

Airway management

This is the assessment and intervention to ensure that the patient’s airway is clear and open. Airway management can include suctioning, endotracheal intubation, tracheostomy or bronchoscopy.

Spirometry

This is a test that measures the amount and speed of air that the patient can inhale and exhale. Spirometry is used to diagnose and monitor respiratory diseases such as asthma, chronic obstructive pulmonary disease (COPD), or interstitial lung disease.

Bronchoscopy

This is a procedure that uses a flexible tube with a camera and a light to examine the inside of the airways and lungs. Bronchoscopy can be used to diagnose, treat, or prevent respiratory diseases such as lung cancer, pneumonia, tuberculosis, or foreign body aspiration.

Thoracoscopy

This is a procedure that uses a thin tube with a camera and a light to examine the inside of the chest cavity and the pleura (the membrane that covers the lungs). Thoracoscopy can be used to diagnose, treat, or prevent pleural diseases such as pleural effusion, pneumothorax, or mesothelioma.

Endobronchial Ultrasound (EBUS)

To evaluation of mediastinal tumors and staging of lung cancer

Ultrasound-guided interventions

These are procedures that use ultrasound imaging to guide the insertion of needles, catheters, or other instruments into the chest or lungs. Ultrasound-guided interventions can be used to perform biopsies, drainages, or ablations of lung or pleural lesions.

Pulmonary function tests

These are a group of tests that measure how well the lungs work. Pulmonary function tests can include spirometry, lung diffusion study, lung volume measurement, or ventilation perfusion scanning. Pulmonary function tests are used to diagnose and monitor respiratory diseases such as asthma, COPD, interstitial lung disease, or pulmonary hypertension.

Polysomnography

This is a test that records the patient’s brain activity, eye movements, heart rate, blood pressure, oxygen levels, and breathing patterns during sleep. Polysomnography is used to diagnose and treat sleep disorders such as sleep apnoea, narcolepsy, or restless legs syndrome.

Allergy testing and immunotherapy

These are tests and treatments that identify and reduce the patient’s sensitivity to allergens (substances that cause allergic reactions). Allergy testing can include skin prick tests, blood tests, or challenge tests. Immunotherapy can include allergy shots, sublingual tablets, or oral drops. Allergy testing and immunotherapy are used to diagnose and treat allergic diseases such as allergic rhinitis, allergic asthma, or anaphylaxis.

Pulmonary rehabilitation

This is a program that combines exercise, education, and counselling to improve the patient’s physical and mental health. Pulmonary rehabilitation is used to help patients with chronic respiratory diseases such as COPD, asthma, or interstitial lung disease to improve their quality of life, reduce their symptoms, and prevent complications.

Smoking cessation

This is a program that helps the patient to quit smoking and avoid relapse. Smoking cessation can include behaviour cocounseling, pharmacotherapy, or nicotine replacement therapy. Smoking cessation is used to prevent or reduce the risk of smoking-related diseases such as lung cancer, COPD, or cardiovascular disease.

Post-COVID care

This is a program that provides follow-up and support for patients who have recovered from COVID-19 infection. Post-COVID care can include monitoring, testing, treatment, or rehabilitation for patients who have persistent or new symptoms or complications after COVID-19, such as fatigue, breathlessness, chest pain, or mental health issues.

Facilities

Critical Care

  • Dedicated Respiratory ICU with high end ventilators
  • Arterial line/central line placement
  • Non-invasive ventilation (BiPAP, CPAP)
  • Point of care ultrasound (POCUS)
  • High-flow oxygen by nasal cannula (HFNC)
  • Intermittent pneumatic compression for DVT prophylaxis
  • Percutaneous dilatational tracheostomy (PDT)

Sleep Medicine

  • State-of-the-art Sleep Lab
  • Diagnostic sleep studies
  • Manual scoring and manual titration with CPAP, Bilevel PAP, AVAPS, ASV
  • Multiple sleep latency test (MLST)
  • Diagnosis and treatment of various sleep related disorders e.g. OSA, CSA, Sleep Related Movement Disorders, Narcolepsy, Parasomnias, Circadian rhythm disorders, Insomnias etc.

Interventional Pulmonology

Flexible bronchoscopy and EBUS
  • Routine procedures: bronchoscopy alveolar lavage (BAL), endobronchial needle aspiration (EBNA), endobronchial biopsy (EBB), transbronchial lung biopsy (TBLB)
  • Endobronchial ultrasound-guided transbronchial needle aspiration
  • Convex EBUS-TBNA
Thoracoscopy
  • Diagnostic& therapeutic thoracoscopy with pleural biopsy (semi rigid)
  • VATS (CTVS department)
Ultrasound guided lung FNAC, Biopsies and Thoracocentesis ICTD and percutaneous biopsies

Pulmonary Function Lab

  • Spirometry- SVC, FVC, MVV
  • Diffusion studies (DLCO)
  • Cardiopulmonary exercise testing (CPET)
  • 6 MWT, Incremental shuttle walk test

Allergy Lab

  • Skin Prick Test
  • Immunotherapy

Our Associated Doctors

FAQs

The department of Pulmonary medicine is a medical specialty that deals with the diagnosis, treatment, and prevention of diseases and conditions that affect the lungs and breathing. The department provides high-quality care for patients with various respiratory diseases, such as asthma, COPD, tuberculosis, pneumonia, interstitial lung diseases, pleural diseases, and sleep disorders.

department offers a range of services, such as spirometry, bronchoscopy, thoracoscopy, ultrasound-guided interventions, pulmonary function tests, polysomnography, allergy testing, immunotherapy, pulmonary rehabilitation, smoking cessation, and post-COVID care12. The department also has specialized clinics, such as allergy clinic, sleep clinic, and post-COVID clinic, to cater to the specific needs of the patients.

The department has a team of highly qualified and experienced respiratory physicians, nurses, technicians, and researchers who work together to provide the best possible care for the patients. The faculty and staff have expertise in various aspects of respiratory and sleep medicine, such as bronchoscopy, thoracoscopy, ventilation, airway management, allergy, immunology, and critical care. The department also has a strong academic and research profile, with regular publications, presentations, and projects in national and international forums.

You can contact or visit the Department of Pulmonary medicine by phone, email, or online. The department has regular outpatient and inpatient services, as well as 24-hour emergency services, for patients with respiratory problems. You can also book an appointment online or through the hospital’s app.

The fees and charges for the services of the Department of Pulmonary medicine vary depending on the type and duration of the service, the patient’s condition, and the insurance coverage. The department follows the standard rates and policies of the hospital for the billing and payment of the services. You can find more information about the fees and charges on the hospital’s website or by contacting the billing department of the hospital. The department also accepts various modes of payment, such as cash, card, cheque, or online transfer.

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