Jindal Clinics is a specialty centre for one stop consultations in pulmonary medicine. The establishment of this centre has brought to the fore an expertise sorely missing from the region.
The centre is spread over two premises comprising an Outpatient block (SCO 21, Sector 20-D, Chandigarh) and an intervention wing alongside the well-known Jindal IVF and Sant Memorial Hospital (# 3050, Sector 20D, Chandigarh), which is the premier institute in the region for the treatment of infertility.
The following facilities are available:
i. Pulmonary function testing (Spirometry)
iv. Sleep studies (polysomnography)
Endobronchial ultrasound (EBUS) – EBUS is a new bronchoscopic technique which involves the use of a specialised bronchoscope for performing airway procedures. To understand the use of this new instrument one first has to understand the anatomy of the mediastinum which is relevant.
Mediastinum is the space in the chest between the two lungs. The wind pipe, or trachea, normally divides into two smaller wind pipes, or main bronchi, for the purpose of supplying each individual lung. The trachea and the major bronchi lie in the space between the two lungs, i.e. the mediastinum. In addition to the airways, the mediastinum also contains other structures such as lymph nodes, blood vessels, nerves and most importantly, the heart. Lymph nodes are soft tissue structures located adjacent to the airways. They are commonly involved in many respiratory disorders such as tuberculosis, sarcoidosis, lung cancer, lymphoma and some other rare conditions.
The mediastinum is an enclosed space, much like a landlocked country. Though radiological investigations such as computed tomographic (CT) scans provide detail about the anatomy, access to the mediastinum is limited. Such an access is essential to obtain biopsy materials for histo/cytological examinations for diagnosis. Using a bronchoscope, one can obtain samples from certain mediastinal structures such as lymph nodes. However, locating the lymph nodes from inside the airways is difficult. It is in this situation that the EBUS scope comes into its use.
The essential difference between the conventional and the EBUS scope is the presence of an ultrasound transducer at the tip. With this, the mediastinal anatomy can be imaged from within the airways. Lymph nodes can be located based on the ultrasonic image and sampled under ultrasonic vision. This has manifold benefits:
i. Lymph nodes can be easily and accurately located
ii. Blood vessels and other mediastinal structures can be avoided
iii. Blood vessels within the lymph nodes can also be avoided Therefore, the success rather are better and complications fewer with EBUS guided procedures.
Sleep study (polysomnography) – Sleep is characterised by its own set of medical problems and disorders, which are among the most common affecting human beings Snoring is a common phenomenon and almost every family has a person who snores loudly while sleeping. However, it is not generally known snoring accompanied by breathing difficulty may be due to a sleep disorder called obstructive sleep apnoea (OSA).
OSA is an important cause of sleepiness during the day, mental dullness, frequent episodes of closing eyes while working or driving, which may sometimes result in accidents. In the long run, it may result in hypotension, cardiac problems and intellectual deterioration.
Sleep disorders such as OSA are diagnosed by sleep studies. During a full-fledged sleep study, patients are required to stay overnight in the hospital. Their sleep pattern is analysed with the help of the polysomnograph, which measures multiple parameters such as brain wave patterns, breathing patterns, abdominal wall movements, heart rate, etc. All these parameters are recorded and then reviewed and analysed. Depending upon the report, the patient may have to stay another night for the application and titration of the appropriate treatment. Besides sleep-hygiene measures, the treatment of OSA essentially requires the regular use of continuous positive airway pressure (CPAP) during sleep which is administered with the help of a CPAP/BiPAP machine and a tight-fitting face mask.
Spirometry is a specialised test of lung function. It is essential in the diagnosis and follow up of respiratory disorders such as asthma, chronic obstructive pulmonary disease, interstitial lung disease, etc. It is also needed before major surgery in patients with respiratory diseases to assess the preoperative fitness for surgery. Spirometry is also helpful to assess the degree of severity and ventilator capacity of lung in certain specific situations.
There are different types of spirometers available. The procedure essentially involves breathing through a mouthpiece into a pipe which is attached to the spirometer. The rate and flow of air being breathed is then measured and used to derive further values. Some of the common values which are measured are:
1. FEV1 (Forced expiratory volume in one second) – this is the maximum amount of air exhaled in one second
2. FVC (forced vital capacity) – the maximum volume of air exhaled after a maximum inspiratory effort
3. The ratio of FEV1/FVC – this is important for differentiating obstructive from respiratory disease i.e. lung volume increase vs lung shrinkage respectively.
9.00 AM to 6.30 PM (Monday to Friday)
9:00 AM to 2.00 PM (Saturday)
Chest Clinic Closed
Gynae OPD: 11.00 am to 1.00 pm
Gynae Emergency available 24 hours
Phone for appointment:
0172-4911000 (9 AM to 6:30 PM)
0172-4911100 (6.30 PM to 9 AM)