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The department of nephrology was started in 1981 at Sir Ganga Ram Hospital, and
was the first hospital to provide maintenance haemodialysis
services in non government sector in north India. Our H.O.D. has pioneered the
art of vascular access by nephrologists in India, which is now being taken
over by nephrologists all over the world. In 1987, kidney transplantation
service was established with joining of a leading transplant surgeon. Another
young and dynamic nephrologist joined the team in 1987 and was instrumental in
realizing the dream of chronic peritoneal dialysis (CAPD) and was
first to present data on CAPD with indigenous material available at various
conferences in 1989. Later in 1991 and in 1997 two very competent and
energetic nephrologists joined to strengthen the department. One of our
nephrologist has taken the challenge of providing dialytic care to critically
sick patients and added state-of-the-art continuous renal replacement therapy
(CRRT) service in the department. The latest to join the team is "our own
grown product" and we admire his sincerity, hard work and honesty. All these
faculty members work in unison and the hospital is proud of their exemplary
team work. The department is always focussed to provide high quality medical
care with a human touch. The department is one of the first few centres in
India to be accredited by the National Board of Examinations for training in
post-doctoral courses in nephrology and our trained doctors and are much
sought after and holding key
positions in major hospitals in north India.
Facilities Available
a) Clinical Nephrology: A leading centre for
the management of all renal problems. State-of-the-art facilities for renal pathology, with complete biochemical, immunological, microbiological and
histological (including immunoflorescence and immuno-histo-chemistry) - back
up available under one roof.
Angiographic, genetic and HLA studies are
available in-house for organ transplantation & diagnosis of other
diseases.
Dialysis: Established in 1981, it is one of
the first centre in India and first of its kind in North India to provide
maintenance haemodialysis facilities to the patients of chronic renal failure.
b) Dialysis Unit
- Latest generation, fully computerised
bicarbonate haemodialysis machines with volumetric ultrafiltration and
adjustable sodium facility, provide better patient safety profile.
- First centre in north India to provide
R.O. (Reverse Osmosis) water for the dialysis, to ensure patient safety
and prevent long term complications on haemodialysis.
- We are first to have world's best, state-of-the-art computerized dialyzer re-use system in North India which ensures
safety & adequacy of dialysis and also economise dialysis for the
patient.
- Facility for continuous monitoring of sick
patient on dialysis through highly sophisticated monitors throughout the
dialytic procedure is available.
- First centre to have separate units for
Hepatitis B & C positive patients.
- Heat-clean disinfection of haemodialysis
machines after every shift is practiced for patient safety.
- Regular dialysis facilities are available
in the centre from 7.00 AM to 12 midnight, besides emergency dialysis
round the clock.
- More than 1200 haemodialyses are performed
per month (four dialysis shifts of 4 hrs) by highly trained technical and
nursing staff under supervision of two dialysis medical officers under the
overall supervision and guidance of consultants round the clock is
available.
c) Continuous Renal Replacement
Therapy
One of the few centres in India to provide
highly sophisticated dialysis for critically ill patients in ICU/ICCU with
multi-organ failure, where peritoneal or routine haemodialysis are not
possible for various reasons.
Various procedures done with this technique
are:-
- SCUF (Slow Continuous Ultrafiltration)
- CVVH (Continuous Veno-Venous hemofiltration)
- CVVHD (Continuous Veno-Venous haemodialysis)
- CVVHDF (Continuous Veno-Venous
hemodiafiltration)
- Plasmapheresis
d) Plasmapheresis & Plasma
Exchange
These facilities of Plasmapheresis &
Therapeutic Plasma Exchange (TPE) are available for renal and non-renal
patients such as LGB syndrome and myasthenia gravis.
Chronic Peritoneal Dialysis/Automated
Peritoneal Dialysis: One of the leading centres in India and perhaps the
first centre in north India (since 1993) to provide continuous ambulatory
peritoneal dialysis (CAPD) for patients of CRF, who are otherwise not suitable
for kidney transplant or maintenance haemodialysis. CAPD is also suitable for
patients who are living in far flung areas where facility of haemodialysis is
not available. We have the largest number of patients having been initiated
and surviving on CAPD in the country. Our centre has one of the largest series
of patients on automated peritoneal dialysis.
We have one of the largest experience in India
of having done CABG (Coronary Artery Bypass Surgery) in patients with advanced
chronic renal failure under cover of CAPD.
e) Renal Transplantation
This is one of the leading renal transplant
centres in India, having done around twelve hundred live related transplants
since 1987 with results comparable to the best centres in the world. Ours is
the leading centre for laparoscopic donor nephrectomy in India having done
more than 100 laparoscopic nephrectomies. A state-of-the-art transplant unit
for immediate post transplant case and subsequent management has been
specially built.
f) Vascular Access for
Haemodialysis
- This centre has been pioneer in making A.V.
Fistula and A.V. Shunts for use in haemodialysis. This centre is the
nursery for training people from Delhi and neighboring states in the art
of making vascular access. Having performed a few thousand successful
surgeries, this unit is among the centres with largest experience in
vascular access surgery anywhere in the world.
g) Post-doctoral course (DNB) in nephrology
- This is one of the first few private centres
to be accredited by the National Board of Examinations for training
post-graduates for the DNB course in Nephrology. Since 1991, we have
produced 14 qualified Nephrologists who are running independent Nephrology
Centres in Delhi as well as in neighboring states.
CASUALTY
SERVICES
24 hours casualty services are available. All
patients are seen by a senior resident on duty and admitted if needed. A
consultant supervises all these services round the clock.
Academic Programme
The DNB students attend morning meetings,
journal clubs, bed side case discussions, seminars, histo-pathology rounds and
nephro-radiology rounds. They are also involved in transplant clinics and in
carrying out various procedures under the supervision of consultants.
Conferences / Workshops:
- 7th Congress of Asian Society of
Transplantation held in 2001.
- 1st Conference of Indian Society of
Haemodialysis in 2004.
- 10th Annual Conference of North Zone
Chapter of Indian Society of Nephrology.
- Dr. D.S. Rana, President - Delhi nephrology
Society of India.
- Dr. A.K. Bhalla, Secretary - Peritoneal
Dialysis Society of India.
- Dr. A.K. Bhalla, Secretary - Delhi
Nephrology Society.
Patients and doctors interactive
programmes are
held at regular intervals to educate about prevention and retardation of
progression of renal failure in patients of pre dialysis and rehabilitation and
counselling for patients on renal replacement therapy.
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