Best Doctors in India for Bronchoscopy

Profile Highlights:

  • Dr. M.S. Kanwar is a distinguished pulmonologist with an impressive 46-year career, renowned both in India and internationally for his expertise in COVID-19, sleep medicine, and pulmonary care.
  • Dr. Kanwar’s pioneering spirit extends to sleep medicine, where he made history in 1995 by establishing the largest and most advanced sleep lab in India at Indraprastha Apollo Hospital in New Delhi. His work in this area has set a high standard for sleep disorder management in the country.
  • His other areas of expertise include asthma, COPD, lung infections, COVID-19, lung fibrosis, ILD, tuberculosis, lung cancer, sarcoidosis, lung transplants, ICU-related diseases, sepsis, and mechanical ventilation. He is skilled in advanced procedures such as bronchoscopy, EBUS (Endobronchial Ultrasound), and medical thoracoscopy.

Profile Highlights:

  • Dr. Nikhil Modi is a highly skilled and dedicated specialist in Respiratory Medicine, with extensive experience in managing a wide range of respiratory and critical care conditions.
  • Currently associated with the Department of Respiratory, Critical Care, and Sleep Medicine at Indraprastha Apollo Hospital, Dr. Modi brings a wealth of knowledge and expertise to his role.
  • At Indraprastha Apollo Hospital, Dr. Modi has been instrumental in treating a broad spectrum of respiratory ailments. His expertise includes fiberoptic bronchoscopy, a key diagnostic and therapeutic procedure for various lung conditions.
  • He is also skilled in managing critically ill patients, providing advanced care in intensive care units, and leading the sleep laboratory, where he deals with sleep disorders and performs polysomnography.

Profile Highlights:

  • Dr. Narasimhan R is a highly experienced and distinguished Pulmonologist, known for his pioneering contributions to the field. With over 35 years of experience, he has established himself as a leading expert in advanced respiratory procedures and treatments.
  • Currently, Dr. Narasimhan heads the Department of Respiratory Medicine at Apollo Hospitals, Chennai.
  • His expertise spans a range of innovative techniques, including bronchial thermoplasty for severe asthma, transbronchoscopic cryo-biopsy of the lung, and cryoablation for endobronchial lung tumors. He is also renowned for his work with endobronchial ultrasound (EBUS) to guide biopsies from difficult-to-reach nodes.

Profile Highlights:

  • Dr. Raj B Singh is a distinguished Respiratory Medicine Specialist with an impressive career spanning over 36 years.
  • Currently practicing at Apollo Hospitals, Greams Road, Chennai, Dr. Singh has garnered extensive experience and expertise in managing a wide range of respiratory conditions.
  • Dr. Singh’s expertise encompasses a variety of respiratory services, including Respiratory Tract Infection, Bronchitis Treatment, Mediastinoscopy, Pulmonary Function Testing, Tracheostomy, Pneumonectomy, and Decortication.

Profile Highlights:

  • Dr. Jebin Roger S is a dedicated specialist in Pulmonary Medicine with over 7 years of experience, focusing on asthma and allergy management. Currently, he is associated with Apollo Hospital, Chennai as a Consultant Pulmonologist.
  • He holds an MD in Pulmonary Medicine and a Diploma in Allergy and Asthma from CMC Vellore, complemented by a DNB in Pulmonary Medicine.
  • Dr. Jebin has made significant contributions to the field of respiratory medicine through his roles as a faculty member in various workshops on ultrasound, bronchoscopy, thoracoscopy, spirometry, and asthma and allergy. He was also the Organizing Secretary for the National Allergy and Immunology Conference (ALLERGOCON) in 2019 and 2020.

Profile Highlights:

  • Dr. Ilangho R P is one of the coveted pulmonologists in India from Chennai with about 33 years of experience in the field.
  • He has achieved many prestigious positions in various national and international medical associations.
  • His patients trust Dr. Ilangho for the most accurate diagnosis and the best care for respiratory diseases. He specializes in Decortication, Lung Surgery, and transplants.

Profile Highlights:

  • Dr. Gayathri A R is one of the best pulmonologists in Chennai, with over 25 years of experience as a Respiratory Medicine Specialist.
  • Dr. Gayathri has completed MBBS and MD from Tamil Nadu; and has a Fellowship from the College of Chest Physicians, USA.
  • Dr. Gayathri was in the management of a Heart-Lung Transplant Recipient and holds membership in a couple of medical associations.
  • She has published 20 papers and delivered 36 guest lectures to date.

Best Hospitals in India for Bronchoscopy

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Hospital Highlights:

  • Artemis Hospital, established in 2007 in Gurugram, India, is a leading multi-specialty institution known for its excellence in patient care and advanced medical technology, offering comprehensive services across specialties like Cardiology, Oncology, Neurology, Orthopedics etc.
  • Renowned for its patient-focused care, Artemis Hospital combines state-of-the-art infrastructure with a team of internationally trained doctors and surgeons, ensuring the highest standards of medical treatment.
  • Accredited by JCI and NABH, Artemis Hospital meets global healthcare quality and safety standards, reflecting its commitment to providing compassionate, personalized care.
  • The hospital is recognized for utilizing cutting-edge diagnostic and ther*peutic techniques, ensuring patients receive accurate diagnoses and effective treatments tailored to their needs.

Hospital Highlights:

  • The Apollo Proton Cancer Centre in Chennai is the most sought-after private cancer hospital in India. It is an integrated facility that provides cutting-edge, all inclusive cancer treatment to patients all over the globe.
  • The hospital is a part of the renowned Apollo Group which has a large network of over 74 hospitals in India and across the globe. Out of the 74 hospitals, 21 of them are cancer centres. However, Apollo Proton Cancer Centre is the only cancer hospital to have JCI accreditation.
  • The Centre, which was established on the principles of excellence and expertise, unites a formidable medical staff led by some of the most illustrious figures in cancer treatment.
  • The hospital follows the global ASTRO Model Policy. It is the same global policy which is followed by countries like USA, UK, and Europe.
  • Apollo Proton Cancer Centre is among the very few hospitals in India to receive patients from First World countries such as USA, Canada, New Zealand, Australia, Singapore, Thailand, etc.
  • Apart from that, it is also the first hospital in Chennai to receive patients from several countries like Uzbekistan, Kazakhstan, Turkmenistan, Georgia, Armenia, Azerbaijan, SAARC countries (Bangladesh, Nepal, Sri Lanka, Maldives, Bhutan, Afghanistan, and Pakistan), South Africa, Turkey, Egypt, etc.
  • In fact, there is a dedicated team at the Apollo Proton Cancer Centre that serves only international patients. Thus, on a monthly basis, the Centre receives patients from across 32 countries.
  • Moreover, there are certain treatments in Apollo Proton Cancer Centre that are not available in any other centre. APCC addresses all types of possible cancers that are usually not covered by any other centre.

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Hospital Highlights:

  • Fortis Memorial Research Institute (FMRI) is a premier multi-super-specialty, quaternary care hospital, known for its exceptional international faculty, top-tier clinicians, super-sub-specialists, and specialized nurses, all supported by cutting-edge technology.
  • It is the flaship hospital of Fortis Healthcare Limited, part of IHH Healthcare Berhad, a leading integrated healthcare services provider in India. As one of the country’s largest healthcare organizations, Fortis operates 28 healthcare facilities with over 4,500 operational beds (including O&M facilities) and more than 400 diagnostic centers (including joint ventures).
  • Recognized as one of the top hospitals in India, FMRI serves as a leading referral center and aspires to be the ‘Mecca of Healthcare’ for India and beyond. Its 11-acre campus is a testament to its commitment to providing world-class healthcare.
  • Accredited by JCI and NABH, FMRI is dedicated to maintaining the highest standards of healthcare quality and safety, ensuring that every patient receives the best possible care. The hospital’s reputation is further enhanced by its state-of-the-art facilities and innovative medical practices.

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Hospital Highlights:

  • Equipped with 650 beds, BLK-Max Super Speciality Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest BMT Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Hospital Highlights:

  • Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
  • Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
  • Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
  • Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
  • The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
  • The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
  • In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
  • In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Bronchoscopy

Bronchoscopy is a test which can help your doctor to examine your airways. The procedure involves your doctor threading an instrument known as a bronchoscope, through your nose or your mouth, in order to reach your lungs.

This bronchoscope is made of a flexible fiber-optic material and is equipped with a light source as well as a camera. Generally, bronchoscopes are also mostly compatible with color video, which can help your doctor to document his/her findings.

Purpose

Bronchoscopy is generally performed to find the cause of a lung condition. For example, if you have a persistent cough or an abnormal chest X-ray, then this test might be recommended by your doctor.

Some of the reasons this procedure might be performed include:

  • Diagnosis of a lung problem
  • Biopsy of tissue from the lung
  • Removal of mucus, a foreign body, or any other obstruction in the airways or lungs, like a tumor
  • To place a small tube to hold open an airway
  • Treatment of a lung problem, i.e. interventional bronchoscopy.

 

During certain procedures, special devices might be passed through the bronchoscope, such as a tool in order to obtain a biopsy, an electrocautery probe in order to control bleeding.

Preparation

Taking medicine Image

As you prepare for a bronchoscopy, it might involve restrictions on food and medications. Your doctor is going to most likely ask you to stop taking blood-thinning medications. You will also be most likely asked not to eat or drink around eight hours before your procedure.

If you will be going home right after the procedure, it is important to arrange for a friend or family member to take you home. Because of the side effects of the medications, you will not be able to drive. You might also want to have someone stay with you for the night.

The procedure might be done in a clinic or an operating room in a hospital. The entire procedure, as well as recovery time, should take around four hours.

Before the procedure, you are going to be asked to sit back or lie on a table or a bed, at your sides. You are going to be connected to monitors as well so that the healthcare team is able to track your heart rate, blood pressure as well as your oxygen level during your procedure.

Next, you are going to receive sedatives, so that you don’t feel any pain during the procedure.

Procedure

Once you are relaxed, your doctor is going to insert the bronchoscope into your nose. It passes from your nose down to your throat until it reaches the bronchi. The bronchi are the airways in the lungs.

Brushes or needles might be attached to the bronchoscope to collect any tissue samples from the lungs. These samples can help your doctor diagnose any lung condition that you might be having.

Your doctor might also use a process called bronchial washing to collect cells. This involves the spraying of a saline solution on the surface of the airways. Next, the cells are going to be washed off of the surface and then collected as well as looked at under a microscope.

Depending on your condition, your doctor might find one or more of the following:

  • Blood
  • Mucus
  • Swelling
  • Infection
  • Blockage
  • Tumor

If your airways are blocked, a stent might be required to keep them open. This device is a small tube which can be placed into your bronchi with the help of a bronchoscope.

After your doctor is done examining the lungs, the bronchoscope is going to be removed.

After the procedure

After the procedure, you are going to be monitored for several hours. Your mouth and throat might also feel numb for a couple of hours. Unless your numbness wears off, you are not going to be allowed to eat or drink. This generally helps food and liquid, from entering your airways and lungs.

Generally, you should be able to cough and swallow again, when your mouth and throat is no longer numb. You can start with sips of water, and then move on to soft foods, such as soup or applesauce.

Note that you might also experience a mild sore throat, hoarseness, cough, or muscle aches. Gargling with warm water should help you lessen the discomfort.

If you experience any of the following, call your doctor right away.

  • Have a fever that lasts over 24 hours
  • Have increasing chest pain
  • Cough more blood than normal
  • Have difficulty breathing

 

Generally, your doctor is going to discuss the results with you one to three days after your procedure. He/she will most probably talk about how to treat any lung problems if any were discovered. You might need more tests and procedures as well.

If a biopsy was taken during the test, then it is going to need reviewing by a pathologist. Since the tissue samples require special preparation, sometimes test results can take longer than others to return. Some biopsy specimens are going to be sent for genetic testing, which can take over two weeks.

Risks & complications

Complications from a bronchoscopy are not only rare but also mostly minor. They can be related to the procedure itself, or from the sedative or topical numbing medicine.

If a biopsy was taken, you may experience bleeding. Fever is common after a bronchoscopy but it is not always a sign of an infection.

In rare cases, an airway can get injured during the test, and if the lung is punctured, air might collect in the space around the lung, which can cause the collapse of the lungs. This condition is treatable but might require a hospital stay.

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