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CARDIOLOGY



An angiogram is a test to find out which arteries supplying the heart have become narrowed. An angiogram uses X-rays to show 'route maps' of blood vessels and arteries in the heart. Angiograms also give detailed information about heart function as well as blood pressure, and oxygen levels in the blood as it passes through the heart. Angioplasty is a procedure to expand narrow arteries that may follow on from an angiogram. Both procedures are done in hospital under local anaesthetic. Many people we talked to had experienced angiograms and a few had had angioplasty.

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A peripheral angiogram is a test carried out to identify any blood vessel narrowing or blocked areas in the arteries supplying your pelvis, legs, knees, ankles and less frequently, your arms. The angiogram will determine whether there is any Peripheral Artery Disease (PAD).

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Neurointervention (Interventional Neuroradiology) is a medical speciality in which minimally invasive diagnostic and intervention procedures for cerebrovascular disorders are performed under radiological guidance.

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A pacemaker insertion is the implantation of a small electronic device that is usually placed in the chest (just below the collarbone) to help regulate slow electrical problems with the heart.

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CRT is a clinically proven treatment option for some individuals with heart failure. A CRT device sends small electrical impulses to both lower chambers of the heart to help them beat together in a more synchronized pattern. This may improve the heart’s ability to pump blood and oxygen to your body.

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ASD The catheter is positioned at different chambers of your heart to measure the pressure and oxygen content prior to device closure. Sometimes, balloon sizing of the ASD may be required. The appropriate size device is connected onto a cable, put into a special delivery tube, advanced through your ASD and carefully deployed.
VSD The Amplatzer muscular VSD occluder may be used to close certain VSDs. It is shown to have full closure of the VDS within the 24 hours of placement. It has a low risk of embolism after implantation. Some tricuspid valve regurgitation was shown after the procedure that could possibly be due from the right ventricular disc.
PDA This procedure is usually done in infants or children who are large enough to have the procedure. Through the catheter, a plug or coil is inserted to close the ductus arteriosus. Usually the procedure is done on an outpatient basis, if no complications arise, and the child can be taken home the same day.

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The Holter's most common use is for monitoring ECG heart activity (electrocardiography or ECG). Its extended recording period is sometimes useful for observing occasional cardiac arrhythmias which would be difficult to identify in a shorter period. For patients having more transient symptoms, a cardiac event monitor which can be worn for a month or more can be used.

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The advantage of TEE over TTE is usually clearer images, especially of structures that are difficult to view transthoracically (through the chest wall). The explanation for this is that the heart rests directly upon the esophagus leaving only millimeters that the ultrasound beam has to travel. This reduces the attenuation (weakening) of the ultrasound signal, generating a stronger return signal, ultimately enhancing image and Doppler quality.

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Ambulatory blood pressure (ABP) monitoring involves measuring blood pressure (BP) at regular intervals (usually every 20–30 minutes) over a 24 hour period while patients undergo normal daily activities, including sleep.

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The test administrator or attending physician examines the symptoms and blood pressure response. With use of ECG, the test is most commonly called a cardiac stress test but is known by other names, such as exercise testing, stress testing treadmills, exercise tolerance test, stress test or stress test ECG.

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Hospitals contain 24 X 7 laboratory to support the clinical services offered at the hospital. A medical laboratory or clinical laboratory is a laboratory where tests are usually done on clinical specimens in order to obtain information about the health of a patient as pertaining to the diagnosis, treatment, and prevention of disease.

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NEPHROLOGY



Hemodialysis, also spelled haemodialysis, commonly called kidney dialysis or simply dialysis, is a process of purifying the blood of a person whose kidneys are not working normally.

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A kidney biopsy is a procedure that involves taking a small piece of kidney tissue for examination with a microscope. A health care provider will perform a kidney biopsy to evaluate any of the following conditions: hematuria—blood in the urine, which can be a sign of kidney disease or other urinary problems.

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Plasmapheresis is a term used to refer to a broad range of procedures in which extracorporeal separation of blood components results in a filtered plasma product. The filtering of plasma from whole blood can be accomplished via centrifugation or semipermeable membranes.

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Peritoneal dialysis is a type of dialysis that uses the peritoneum in a person's abdomen as the membrane through which fluid and dissolved substances are exchanged with the blood.

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CAPD (often just called 'the bags') is one type of peritoneal dialysis. It cleans your body, helps to control the water and replaces the work of the diseased kidneys. CAPD is the most portable type of dialysis. It uses manual bags containing peritoneal dialysis fluid.

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CVVHD is an effective treatment of choice applicable to all critically ill unstable patients with CARF. It is a technique that offers clinical advantages. It is easily initiated. It offers good clearance. Its closed dialysate circuit offers accurate control of UF that is adaptable to the patient's needs. The use of a blood pump reduces the risks of heparin-induced bleeding and arterial cannulation. In all patients, the blood flow rate was maintained at 100 ml/min. or more regardless of systemic BP.

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CARDIOTHORACIC



Open-heart surgery may be done to perform a CABG. A coronary artery bypass graft may be necessary for people with coronary heart disease. Coronary heart disease occurs when the blood vessels that provide blood and oxygen to the heart muscle become narrow and hard. This is often called “hardening of the arteries.” Hardening occurs when fatty material forms a plaque on the walls of the coronary arteries. This plaque narrows the arteries, making it difficult for blood to get through. When blood can’t flow properly to the heart, a heart attack may occur.

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Heart bypass surgery, or coronary artery bypass surgery, is used to replace damaged arteries that supply blood to your heart muscle. A surgeon uses blood vessels taken from another area of your body to repair the damaged arteries.

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The aortic valve and the mitral valve are the most commonly replaced valves. Pulmonary and tricuspid valve replacements are fairly uncommon in adults. Replacing a narrowed valve: The most common valve surgical procedure is aortic valve replacement for aortic stenosis, or narrowing of the aortic valve.

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Modular Operation Theatre also known as Modular OT, manufactures and designing for hospital operation room, laboratories etc. Most integrated functions are always required in an operating department, such as cleanliness must be preserved and the safety facilities, equipment and device must be maintained any times.

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An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive treatment medicine. Intensive care units cater to patients with severe and life-threatening illnesses and injuries, which require constant, close monitoring and support from specialist equipment and medications in order to ensure normal bodily functions. They are staffed by highly trained doctors and nurses who specialise in caring for critically ill patients.

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ORTHOPEDIC



An emergency department (ED), also known as an accident & emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center.

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A broken bone is considered a complex fracture when the break is more severe than a routine fracture. Damage usually includes injury to multiple bones, joints, ligaments, and tendons and requires intensive treatment and rehabilitation. A complex fracture tends to occur with an “open fracture” with the broken bone protruding outward through the skin.

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Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal, plastic or ceramic device called a prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint.

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A surgical technique used to join two vertebrae. Spinal fusion may include the use of bone graft with or without instrumentation (eg, rods, screws). There are different types of bone graft, such as your own bone (autograft) and donor bone (allograft).

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Arthroscopy is a surgical procedure orthopaedic surgeons use to visualize, diagnose, and treat problems inside a joint. The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to look). The term literally means "to look within the joint."

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Our team of pediatric orthopedic surgeons are fellowship-trained experts. We treat kids of all ages with bone, muscle and joint problems. We also treat fractures, injuries or problems such as clubfoot and scoliosis, and have extensive experience with traumatic injuries, including reconstructive surgery. As pediatric specialists, we understand how these problems affect growing bones.

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Hand and Foot Surgery. we offer many non-surgical and surgical treatments for your specific hand and foot needs. Some common areas that are treated are: Hand. Hand pain; Carpal tunnel syndrome; Trigger fingers; Arthritis; Tendonitis; Fractures; Sports injuries; Ganglion cysts. Foot/Ankle.

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As operating rooms (OR) are one of the costliest components in secondary care, improving theatre efficiency should be at the forefront of efforts to improve health service efficiency. The objectives of this study were to characterize the causes of trauma OR delays and to estimate the cost of this inefficiency.

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We have Operation Theatre Laminer Flow for clean air for operation, like orthopedic surgery, to avoid, infections of operation wounds which may be fatal in certain cases, involving lots of legal complication these days. To keep the air clean of dust, fungus, microorganisms, filtration is the only system available.

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Physiotherapists have been trained in the use of exercise therapy to strengthen your muscles and improve your function. Physiotherapy exercises have been scientifically proven to be one of the most effective ways that you can solve or prevent pain and injury.

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Internal medicine or general medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Physicians specializing in internal medicine are called internists.

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24 X 7 Pathology Services



An emergency department (ED), also known as an accident & emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center.

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Cytotechnology is the microscopic interpretation of cells to detect cancer and other abnormalities. This includes the examination of samples collected from the uterine cervix (Pap test), lung, gastrointestinal tract or body cavities. A cytotechnologist is an allied health professional trained in cytotechnology.

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Histotechnology is the scientific discipline that studies organs and tissues of the body including their preparation for viewing under a microscope. This technology integrates biology, chemistry, histochemistry and immunology in order to identify tissue and cell types as well as microorganisms and pigments.

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Immunology is the study of the immune system and is a very important branch of the medical and biological sciences. The immune system protects us from infection through various lines of defence. If the immune system is not functioning as it should, it can result in disease, such as autoimmunity, allergy and cancer.

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Urinalysis is commonly used to diagnose a urinary tract or kidney infection, to evaluate causes of kidney failure, to screen for progression of some chronic conditions such as diabetes mellitus and high blood pressure (hypertension). It also may be used in combination with other tests to diagnose some diseases.

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24 Hours ICU



Multi-Parameter Patient Monitor, suitable for adults, pediatrics, and neonates, gives care teams the information they need, A patient monitor is an electronic medical device that consists of one of more monitoring sensors, a processing component(s), and a screen display (also called a "monitor") that provide and record for medical professionals a patient's medical vital signs (body temperature, blood pressure, pulse rate and respiratory rate) or measurements of the activity of various body organs such as ECG monitors, anesthesia monitors, or EKG monitors.


In addition to improving gas exchange by mechanical ventilation, minimizing iatrogenic lung injury and making the patient comfortable are important goals. This article reviews advanced ventilator modes and techniques that might help to accomplish these goals. Proportional assist ventilation and neutrally adjusted ventilatory assist are unique modes of ventilation that provide ventilatory support in direct proportion to patient effort and therefore may be able to better match patient need and improve comfort.


Patients can become critically ill at any time, 24 hours a day. Life-threatening conditions do not follow a schedule and do not always present during ‘‘business hours.’’ Consequently, all of the personnel and means necessary to recognize and treat acute events expeditiously must be available both day and night .

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