SPECTRUM pulmonary and critical care associate has highly qualified and board certified critical consultant. Our group is first in the region to establish intensive care practise of international standard provided through Level 1 intensive care unit (Closed Multidisciplinary ICU).In our credit we succeed to achieve highest quality care in our region for the pt. with acute and chronic critical illness.
Apollo Hospital Int. Ltd., Ahmadabad is a central place for our activities, which has 75 bedded ICU with largest area per pt. ICU fully equipped advance multimodular monitor, ventilator and bedside dialysis including CRRT. Pt. is taken care round the clock by experienced post graduate registrar and well trained nursing staff. Our ICU follows strict infection control policy. By offering better overall care, we have achieved best outcome.
BAPS hospital, Sahibaug is another place where we providing our service. This 14 bedded ICU is highly equipped and fulfilling all standards for best ICU care of patient. Our aim is to provide same level care in cost effective manner through this ICU.
Apollo City centre is other place where our physicians regularly provide service.
Our team closely working with Apollo Emergency Dept, which is highly organized and first of its kind which trains Emergency Medicine postgraduate in Gujarat. There is 24×7 support of trained emergency specialist, super-specialties, advanced central biochemistry-pathology lab ,radiology dept and blood bank. This kind of integrated approach at emergency dept. make us possible to resuscitate pt. effectively which is utmost important in pt. outcome.
As hospitalist team we provide backup for high risk surgery and endoscopic or endovascular procedures. We play central role in perioperative management of renal, liver and bone marrow transplant pt.
type of pt's in critical care
In our critical care practice we managing pt with acute life threatening illnesses like …
• Sepsis , Septic Shock & Multiorgan failure
• Severe Acute Pancreatitis
• Acute and Chronic respiratory failure
• Acute fulminant liver failure, cirrhosis and complication
• Post Surgical complex consequences
• CNS- Acute stroke (Thrombolysis), GBS, Myesthenia crisis, Meningitis etc..
• Polytrauma-severe brain injury, spinal cord injury, chest & abdominal injury etc..
• Acute Coronary syndrome – Mycardial Infarction with cardiogenic shock
• Peripartum critical problems
• Burns (separate dedicated trained unit)
procedure commonly performed in icu/emergency department
• Endotracheal Intubation
• Central Venous Catheter insertion
• Arterial Line insertion
• Pulmonary Artery wedge pressure catheter insertion
• Percutaneous tracheostomy
• Intercostal drainage, pigtail insertion
• IABP insertion
• Temporary Pacemaker insertion
• Pleural, Ascitic aspiration, Lumber puncture etc..
• HICKMAN Catheter insertion
Spectrum critical care group have highly qualified specialist in pulmonary medicine namely Dr. Manoj Singh and Dr. Jitendra Kotadiya who runs respiratory clinic. Both are board certified and have extensive experience in diagnosis and management of pulmonary related problems like asthma, COPD, lung cancer, pulmonary hypertension, sleep disorders, interstitial Lung Disease, bronchiectasis, various pulmonary infections, mediastinal and pleural problems. We welcome referrals for patients who may potentially suffer from any of these conditions. Unexplained chest symptoms like dyspnoea, cough, undiagnosed parenchymal and pleural lesion are common problems in day to day practice. We have effective work-up strategy for such problems to provide accurate and timely diagnosis and evaluation of diseases which is utmost important for management of disease.
Our aims are to avoid unnecessary investigations and unnecessary procedures and simultaneously not delay in diagnosis and starting treatment. For achieving such we have diagnostic facilities like Pulmonary Function Lab, sleep lab, diagnostic bronchoscopy (BAL, TBB,TBNA) and thoracoscopy suite and also support from we equipped radiology, patho-micro and biochemistry lab which run by highly skilled professionals. For management in addition to appropriate medical management plan, we do all interventions that require managing pleural and bronchial issues.
common respiratory problems in our routine practice
• Chronic cough
• Shortness of breath
• COPD (emphysema,chronic bronchitis)
• Pulmonary fibrosis, Interstitial lung diseases
• Pleural effusion
• Obstructive sleep apnoea
• Occupational lung disease
• Tubeculosis, MDR-TB
• lung cancer
• Solitary pulmonary nodule
• Pulmonary mass
• pulmonary hypertension
• Pulmonary embolism
• Pulmonary vasculitis
• respiratory failure
Diagnostic and Therapeutic procedures that we commonly perform:
pulmonary rehabilitation programme
Pulmonary rehabilitation is specifically design program which is individualised to patient. Benefit of this programme is to the all pt who suffering from any chronic respiratory diseases which constraining his activity. Severe COPD is the classic example.
This programme is to improve pt’s physical as well psycho-social performance. Supervised Exercise training is the key component; however programme also includes smoking cessation, disease education, nutrition correction and psychological counselling. Supervised Exercise training targeted to achieve highest possible exercise tolerance to that patient and this goal is achieved by graded aerobic exercise with or without oxygen. Exercise training also includes strength training of upper and lower limb, Breathing Exercise and Relaxation Exercise. Pt also taught about how to cope with symptoms and fear during different routine physical activity. Disease education includes understaning of pt’s pulmonary disease, importance of regular treatment, what to do when symptoms worsen etc.
our pulmonary rehabilitation programme includes
• Assessment of Disease Severity
• Assessment of exercise tolerance
• Assessment of cardiorespiratoy component restricting physical activity
• Supervised Exercise Training
• Breathing Exercise
• Nutrition assessment and advise
• Psychological counselling
• Disease Education, smoking cessation
• Patient tailored exercise prescription at home
• Optimum medical management
smoking cessation clinic
Cigarette smoking remains the leading cause of preventable premature morbidity and mortality all over the world. A lifelong smoker has about a one in three chance of dying prematurely from a complication of smoking. In country like India, tobacco smokers are increasing in number. There are more than 40 health related problems due to smoking, amongst them Cardiovascular disease, Cerebrovascular stroke, Cancer (lung, larynx ...), COPD are common cause of poor health and death. Smoking not only affect the smoker’s health but also responsible for health problems to his spouse, particularly pregnant woman, and children.
Smoking cessation is helpful at any age. Though many of the smoker want to quit, but most of them fail because of low willingness, threat of symptoms due to stopping it, presence of psycho-social problems and lack of information. There significant increase in quit rate if help taken from medical personnel. We have specific programme for smoking cessation which we modify for individual patient. Proper counselling is utmost important for long term success in smoking cessation and for few patients counselling alone may be sufficient (particularly in presence of severe disease). However, most of the patients require pharmacological support to quit smoking. Pharmacological support to quit smoking is well accepted and standard tool. Most of the smokers are able to maintain quitting with the help of this programme and leaving healthier life.