Patient-Focused Compassionate Care

Kidney Dialysis Centre

The Dialysis Unit at the Centre for Nephrology offers the most comprehensive medical care for patients suffering from end-stage renal disease and acute renal failure. Our team of skilled nephrologists and trained dialysis staff use multidisciplinary approach to diagnose, treat, and manage patients with a variety of chronic or acute chronic renal failure conditions requiring dialysis treatment.

The dialysis unit is a state-of-the-art facility providing both haemodialysis, and online haemodiafiltration as per AAMI standards. The main aim of dialysis is to replicate the function of the kidney. It is used as the most advanced treatment option for patients suffering from conditions where their kidney is incapable of performing its function to filter the waste and water from a human body.

Dialysis is usually given to the patient  

  • End Stage Renal Disease (ESRD)
  • A certain subset of acute kidney failure 

We follow a coordinated patient-centric multidisciplinary approach that starts right from the diagnosis and goes to kidney treatment and aftercare. Our doctors evaluate a patient’s condition by a number of considerations such as availability, convenience, underlying medical problems and age, for haemodiafiltration. Here’s all you must know about the two types of dialysis:

Haemodialysis

It is an artificial way of cleaning the blood by removing the toxins from it. The procedure is performed at the dialysis unit in the hospital where a dialysis nurse or technician inserts two needles in patient’s arm which transfers the blood into the filter present in dialysis machine through a soft tube. The dialysis machine then filters the blood and returns it into the patient’s body. For the process of Haemodialysis, the process of Renal Replacement Therapy (RRT) is performed. It is a therapy that replaces the blood-filtering function of the kidneys using:

  • Online Haemodiafiltration: It is a method of therapy that utilizes the dialysis machine's ultrapure dialysate as a replacement fluid. This enables large quantities of fluid to be exchanged during therapy, resulting in dialysis that more strongly resembles the kidney's natural function. At present, this method of treatment is the best and most efficient therapy for replacing the kidney. Online HDF decreases the risk of heart problems. Blood pressure and anaemia can be better regulated with this technique. The operation also gently removes surplus water and more effectively filters toxins from the blood of a patient.
  • Acute Intermittent Haemodialysis (iHD): It is a blood purification method that is used for brief intervals. It collects blood from a patient’s body which is pumped through a dialysis filter and is returned to a patient following removal of surplus water and wastes. 
  • Continuous Renal Replacement Therapy (CRRT): Provided as a continuous 24 hour per day therapy. It involves the purification of blood by removing it from a patient, pumped through a dialysis filter and returned to the patient following removal of surplus water and wastes. 
  • Slow Low-Efficiency Daily Dialysis (SLEDD): It is a hybrid of Intermittent Haemodialysis IHD and CRRT
  • Plasma Exchange: It is a medical procedure involves the removal of plasma from the blood for a process of plasma exchange (where unhealthy plasma is swapped with healthy plasma).

Peritoneal dialysis (PD)

It is one of the most effective home dialysis treatment options that allow a patient to perform the dialysis process at home. As per the patient's condition, it is advisable to perform peritoneal dialysis 3 to 7 times a week, usually at night before sleeping. For the process, a soft, flexible catheter is placed in the patient’s abdomen using Fluoroscopic Guided Permanent Catheter Placement method. This catheter is placed permanently in the patient’s body and is responsible for passing dialysate in and out. PD is usually of two types:

  • Continuous Cycling Peritoneal Dialysis (CCPD): It automates the process of filling and draining dialysate using a cycler machine.
  • Continuous Ambulatory Peritoneal Dialysis (CAPD): A patient can perform dialysis exchanges manually without using a machine.

Our trainers at the Centre for Renal Sciences and kidney transplant offers a detailed training to each patient to make them feel comfortable about the use of PD on their own, with proper catheter care and certain precautionary guidelines to avoid any kind of infection.
 

Find Complete Relief from Nanavati Experts

If you think you are facing similar conditions, or have suffered from them in the past, please contact the Nanavati team to schedule an appointment at : +91 22 2626 7500

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