Nephrology Department

Nephrology Department

The Division of Nephrology offers world-class full consultative service for the evaluation of patients with acute and chronic kidney disease, fluid and electrolyte disorders, hypertension, and kidney stone disease.

The Outpatient Dialysis Service offers both hemodialysis and peritoneal dialysis. The department is backed with expert nephrology team and the most advanced facilities.

We place a strong emphasis on treating patients with hypertension and diabetes early in their disease in order to avoid progression to kidney failure. Our primary goal is to preserve the patient's remaining kidney function in order to avoid the need for dialysis in the future.

The nephrology department performs treatment which is at par with international standards. 24 hours' availability, high quality computerized dialysis machines, experienced dialysis staff and Ramadevi Hospital. We are one of the centers in the country to have very low infection rates.

Conditions & Diseases We Treat

  • Nephrotic Syndrome

  • Urinary Tract Infection

  • Analgesic Nephropathy

  • Acute Kidney Injury (Acute Renal Failure)

  • World-class Facilities

    The department of Nephrology is equipped with state-of-the-art facilities to help provide world-class care to our patients. Some of the important facilities of the department includes:

  • Dialysis Unit

    The Dialysis Unit at Ramadevi Hospital offers exceptional care and treatment options, featuring the latest technology and comes with high quality computerized dialysis machines, experienced dialysis staff and personal attention to patients. This facility is available in three shifts with arrangement to provide emergency dialysis round the clock. CRRT machine latest version prismaflex is available for critically ill patients .

    The department is a well-equipped Hemo-dialysis Unit with many world renowned brands of machines. Water for dialysis is provided by Reverse Osmosis (RO) system.

  • Chronic dialysis services from the Dialysis Unit include:

  • Outpatient hemodialysis

  • Outpatient peritoneal dialysis (PD)

  • Training and support services for home PD

  • Continuous Cycling Peritoneal Dialysis (CCPD)

  • Continuous Ambulatory Peritoneal Dialysis (CAPD)

  • Intensive Care Unit with Continuous Renal Replacement Therapies (CRRT)

    The department has state-of the art intensive care facility for patients. This facility comes with Continuous Renal Replacement Therapies (CRRT) provision for dialysis patients. Continuous Renal Replacement Therapies (CRRT) is dialysis treatment that is provided as a continuous therapy. Intermittent dialysis treatments are treatments that are provided for brief intervals, usually every day or every 2-3 days as required

    Through both intermittent and continuous hemodialysis circuits, blood is removed from the patient, pumped through a dialysis filter and returned to the patient following removal of surplus water and wastes. The filter performs many of the functions of the kidney's nephron unit, hence, it is referred to as an artificial kidney.

    Intermittent hemodialysis removes large amounts of water and wastes in a short period of time (usually over 2-4 hours), whereas, continuous renal replacement therapies remove water and wastes at a slow and steady rate. The rapid removal of water and wastes during intermittent treatments may be poorly tolerated by hemodynamically unstable patients, so CRRT is a mode of renal replacement therapy for hemodynamically unstable, fluid overloaded, catabolic septic patients and finds its application in management of acute renal failure especially in the critical care /intensive care unit setting.

    The popularity of a slow continuous therapies for the treatment of critically ill patients with renal failure is increasing.

  • Advantages Of CRRT

    It by its lower rate of fluid removal can lead to steady state fluid equilibrium in hemodynamically unstable, critically ill patients with associated comorbid conditions eg. Myocardial Infarction (M.I), Congestive Heart Disease (CHS), Acute Respiratory Distress Syndrome (ARDS), septicemia, bleeding disorders

    It provides excellent control of azotemia, electrolytes and acid base balance. These patients are catabolic thus, removal of urea is mandatory to effectively control azotemia.

    It is efficacious in removing fluid in special circumstances – post surgery pulmonary edema; ARDS etc.

    It can help in administration of parenteral nutrition and obligatory I.V medications like pressors & inotropes by creating an unlimited space by virtue of Continuous ultrafiltration.

  • Renal Ultrasound

    The department has advanced Ultrasound imaging facilities that involve sending of high frequency sound waves through the body to obtain images of the internal organs

    Ultrasound is a useful way of examining the kidneys and bladder. Blood flow into the kidneys and urine jets into the bladder can be examined using Doppler ultrasound

    A transducer passed over your kidneys emits sound waves that, like sonar, bounce off your kidney, transmitting a picture of the organ that can be displayed on a video screen

  • Used for the following purposes
    • To locate the kidney during a kidney biopsy.
    • To detect a mass, cyst, kidney stone, or other obstruction in the kidney
    • To determine kidney size and shape
    • To determine circulation in the renal arteries and veins by the use of a Doppler monitor. This variation does not alter the test from the patient's standpoint but yields additional information

  • Haemodialysis

    Blood is purified through the dialysis machine.

  • Peritoneal Dialysis

    Dialysis is done using the peritoneal membrane of the patient

    • Manual Peritoneal Dialysis.

    • Automated Peritoneal Dialysis.

    • Intermittent Peritoneal Dialysis.
  • SLED (Sustained low-efficiency dialysis)

  • CVVHD (Continuous Veno Venous Hemodiafiltration)

    This is a slow continuous therapy offered for patients in the intensive care unit who need dialysis

  • Kidney biopsy

    This is done as an out patient procedure with a 23-hour observation period

  • Plasmapheresis

    This is done for certain autoimmune diseases like

    • BS (Guillain – Barre syndrome)

    • HUS (Hemolytic Uremic Syndrome.

    • Polymyositis

    • Myaesthenia gravis
  • Haemo Perfusion

    Haemo Perfusion for detoxification in poisoning

  • Stone Clinic

    Metabolic work-up of kidney stones for prevention of growth & recurrence