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Pulmonary Function Test (SPIROMETRY)

The test determine how much air your lung can hold, how quickly you can move air in and out of your lungs. This test can diagnose lung diseases like ASTHMA, COPD, ILD etc; measure the severity of lung problems and check to see how well treatment for lung disease is working.
Lung functions are done to

  • Diagnose the cause of cough and breathing problems

  • Check the lung capacity of a person who is regularly exposed to substance like Cigarette or wood chullah smoke.

  • Check the effectiveness of treatment of lung disease. The test may take from 15 to 30 minutes, Your doctor may advice you regarding precautions to be taken before PFT.

Bronchoscopy

Bronchoscopy is an endoscopic technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy. This allows the doctor to examine the patient's airways for abnormalies such as foreign bodies, bleeding, tumours, or inflammation. inflammation inside the lungs.

Bronchoscopes can be Rigid or Flexible with video equipments.

EBUS TBNA

Endobronchial ultrasound (EBUS) is a minimally invasive but highly effective procedure used to diagnose lung cancer, infections, and other diseases causing enlarged lymph nodes in the chest.
It is done by specialised bronchoscope with ultrasound transducer on its tip or on probe. In TBNA needle is passed real time into the lymph node to obtain the sample for accurate diagnosis.
Eg Tuberculosis, Sarcoid, Cancer.

Medical Thoracoscopy

Medical Thoracoscopy / Pleuroscopy is a medical procedure involving internal examination, biopsy, and/or resection of disease or masses within the pleural cavity and thoracic cavity. Thoracoscopy may be performed either under general anaesthesia or under sedation and local anaesthesia.

Polysomnography or Sleep study

Sleep studies are tests that record the body activity during sleep. They are helpful in identification of sleep disorders. If a home study does not find obstructive sleep apnoea, but the patient still complains of unrefreshing sleep, and daytime sleepiness or snoring , an in-lab polysomnogram may be necessary to find other possible disorders. Your doctor can give you a portable sleep monitor to use at home, so you don't have to spend the night in the sleep lab. However your doctor would recommend in-lab polysomnography if required.

Allergy Testing

A Skin Prick Test, which checks for immediate allergy reaction to different substances at once. It done to identify allergies to pollen, pet dander, mold, dust mites & food items.

It usually done on forearm in adult & upper back in children.

Allergy skin prick test aren’t painful. These tests are used to help diagnose allergy conditions like hay fever, allergic asthma, food allergies etc. You may need to stop certain medication as per your doctor's advice prior to the test.

Pleurodesis

Pleurodesis is a procedure to obliterate the pleural space so as to prevent recurrent pleural effusion like in malignant pleural effusion or recurrent pneumothorax Chemical pleurodesis by French grade talc is one of the most common & effective technique for pleurodesis in malignant pleural effusion.
Sometimes when pleurodesis couldn’t be done or it fails, indwelling pleural catheter (IPC) insertion is required in malignant pleural effusions.

Pulmonary Rehabilitation

Pulmonary Rehabilitation (Rehab) is a medically supervised program, to improve the health and well-being of patients suffering from prolonged respiratory diseases. It is program of exercise, education, and support to help patients learn to breathe and function at the highest level possible.

Components of pulmonary rehabilitation

It includes endurance training, chest therapy, education on lung hygiene and healthy living by activity modification, counselling to reduce stress & trigger factors and smoking cessation thus helping patients to return to an active and healthy lifestyle.
The exercise program is an “individually tailored and designed” such that it fits each patient’s needs.
It eventually helps the patients achieve optimal recovery of function and movement, and enhance overall quality of life, giving psychosocial and economic benefits.

Smoking Cessation

There are approximately 600 ingredients in cigarettes. When burned, cigarettes create more than 7,000 chemicals. At least 69 of these chemicals are known to cause cancer, and many are toxic.

Smoking cessation is the term used to describe the process a person goes through to quit smoking. The most common forms of quitting smoking include cold turkey, nicotine replacement therapy, nicotine patches, and antidepressant or stimulant medication. Depending on the person, more than one form may be required to successfully quit.

Tobacco use can lead to tobacco/nicotine dependence and serious health problems. Quitting smoking greatly reduces the risk of developing smoking-related diseases.