Centre for Nephrology
The Continental Centre for Kidney Diseases is a comprehensive department that offers services in all facets of Nephrology. This integrated centre, headed by some of the most skilled nephrologists treats the whole range of rare as well as common renal disorders through medical and surgical procedures. The centre also presents convenient options of hemodialysis and peritoneal dialysis expertly carried out under sterile and comfortable environments. The team of medical experts at Continental Hospitals has extensively trained under internationally renowned nephrologists, and has vast experience of working in international as well as national set-ups. Modern technology is applied in every diagnostic and surgical procedure, resulting in enhanced recovery times, superior clinical outcomes and accurate diagnosis.
Team of doctors in this department:
Technology at Centre for Nephrology
Facilities at Centre for Nephrology
The Continental Centre for Kidney Diseases & Renal Transplant covers most rare and common conditions of renal health through a combination of innovative and traditional treatment methods. Some of the conditions treated here are:
HemodialysisHaemodialysis is a procedure where a machine fitted with a dialyzer filters blood and removes wastes and excess fluids from the body. Dialysis helps to control blood pressure and maintain the body's proper balance of essential elements. Continental Hospitals features a state of the art 30 bedded Hemodialsys Unit, equipped with Fresenius Hemodialysis machines. Our Hemodialysis Unit has been designed keeping in mind the special needs of patients afflicted with Chronic Kidney Disease. The dialysis procedures are carried out by qualified and competent technicians along with trained nurses, who are under the direct guidance of our Nephrologists. Our strict infection policy ensures that all staff and equipment is constantly monitored for strict adherence. Our dialysers are reprocessed through Renatron, and dialyser tubings are never reused. For patients diagnosed with Hepatitis B & C, we offer dialysis in isolated areas. Our top most priority is to ensure all our patients have a relaxed and comfortable dialysis experience, in a safe and sterile environment.
Continuous Renal Replacement Therapy:CRRT is a dialysis method which is used to treat critically ill, hospitalized patients under Intensive Care Unit, who develop acute kidney injury (AKI). Acute Kidney Disease, unlike chronic kidney disease, which often develops in hospitalized patients who are recuperating in the ICU. Typically, AKI occurs for a period of few hours and can extend upto a few days as well. The benefit of CRRT for patients under Intensive Care is that it effectively removes excess fluid in hypotensive patients, while hemodialysis is frequently limited by a further reduction in blood pressure in this setting.
Prolonged Intermittent Renal Replacement Therapy
Peritoneal Dialysis:Peritoneal dialysis (PD) is a dialysis option for patients with kidney failure. Similar in hemodialysis, in that it cleans the blood of impurities, it does not use an artificial kidney or dialyzer. PD occurs inside the body using the peritoneal membrane as a filter. The membrane surrounds your intestines, bowel and other organs. It has many holes that can be used to strain waste products and other chemicals from your blood. Continuous Ambulatory Peritoneal Dialysis is the most common type of PD. It can be done in any place that's clean and well lit. This type of self-dialysis is done 7 days a week. Four to five exchanges of new solution are done each day. During an exchange, which takes about 30 minutes, the solution that was inside the peritoneal cavity is drained and new solution is instilled. The new solution remains in the cavity for 4 to 6 hours this is called the dwell time. Continuous Cycling Peritoneal Dialysis (CCPD), also known as Automated Peritoneal Dialysis (APD), is done at home with a machine called a cycler. This is done at night while you sleep, for 8 to 10 hours, 7 days a week. The machine controls the cycles: draining the solution, re-filling the solution and monitoring the dwell time. In the morning, clean dialysate is left in the peritoneal cavity after you disconnect from the machine
Plasmapheresis:Plasmapheresis is a process in which the liquid in the blood, or plasma, is separated from the cells. In sick people, plasma can contain antibodies that attack the immune system. A machine removes the affected plasma and replaces it with good plasma, or a plasma substitute. This is also known as plasma exchange. The process is similar to kidney dialysis. Plasmapheresis also can refer to the plasma donation process, where the plasma is removed and cells are returned to the body. Plasmapheresis can be used to treat a variety of autoimmune disorders, including myasthenia gravis, Guillain-Barre syndrome, and Lambert-Eaton. It can also be used to treat multiple sclerosis. Sometimes, it is used in people who have received an organ transplant, to counter the effects of the body's natural rejection process. In recent years, the therapy has increasingly been used to treat critically ill patients with infections and other problems. Patients who suffer from muscle pain, weakness, and autoimmune disorders such as myasthenia gravis can feel relief in as little as few days. For other conditions, the benefits can take a few weeks to notice.
Hemoperfusion:Hemoperfusion is a treatment technique in which large volumes of the patient's blood are passed over an adsorbent substance in order to remove toxic substances from the blood. Adsorption is a process in which molecules or particles of one substance are attracted to the surface of a solid material and held there. These solid materials are called sorbents. Hemoperfusion is sometimes described as an extracorporeal form of treatment because the blood is pumped through a device outside the patient's body.
Hemoperfusion has three major uses:
- to remove nephrotoxic drugs or poisons from the blood in emergency situations (A nephrotoxic substance is one that is harmful to the kidneys.)
- to remove waste products from the blood in patients with kidney disease
- to provide supportive treatment before and after transplantation for patients in liver failure Chronic Kidney Disease
Kidney Biopsy:A kidney biopsy involves taking one or more tiny pieces (samples) of your kidney to look at with special microscopes. The microscopes make it possible to see the samples in greater detail.
A kidney biopsy may be done to:
- Diagnose a kidney problem that can't otherwise be identified
- Help develop treatment plans based on the kidney's condition
- Determine how quickly kidney disease is progressing
- Determine the extent of damage from kidney disease or another disease
- Evaluate how well treatment for kidney disease is working
- Monitor the health of a transplanted kidney or find out why a transplanted kidney isn't working properly
Kidney Biopsy with transjugular approach:Transjugular renal biopsy can be performed to obtain an adequate tissue sample for histopathologic diagnosis on renal dysfunctions. It is usually performed in high-risk patients in whom percutaneous renal biopsy is not feasible or is contraindicated. This is also useful in morbidly obese patients - where the conventional percutaneous renal biopsy may be difficult.
Tunneled Dialysis Catheter Placement :The catheter used for hemodialysis is a tunneled catheter because it is placed under the skin. There are two types of tunneled catheters: cuffed or non-cuffed. Non-cuffed tunneled catheters are used for emergencies and for short periods (up to 3 weeks). Catheters have two openings inside; one is a red (arterial) opening to draw blood from your vein and out of your body into the dialysis pathway and the other is a blue (venous) opening that allows cleaned blood to return to your body.
- By taking good care of your access, it will last longer and you will prevent problems such as infection and clotting. Here are some important steps to take:
- Keep the catheter dressing clean and dry.
- Make sure the area of the insertion site is clean and your care team changes the dressing at each dialysis session.
- Keep an emergency dressing kit at home, in case you need to change your dressing in between treatments. Ask your dialysis care team to teach you how to change dressings in an emergency.
- Never remove the cap on the end of your catheter. Air must not enter the catheter.
- Do not shower or swim; you may take baths. You must not wet your catheter site or catheter dressing. Moisture can cause infection. Taking a bath is safe if you do not allow your catheter or catheter dressing to get wet.
- Wear a mask over your nose and mouth anytime the catheter is opened to prevent bacteria from entering the catheter and your bloodstream. Professionals changing the dressing should wear a mask and gloves as well.