Best Doctors in India for Bronchoscopy

Profile Highlights:

  • Dr. Aakanksha Chawla is one of the best young pulmonologists in Delhi. She is a practicing consultant in Respiratory Medicine/ Pulmonology at Indraprastha Apollo Hospital, New Delhi.
  • Dr. Chawla holds a diploma and fellowship in critical care medicine. She specializes in Chest, Critical Care, Respiratory, Pulmonology, Asthma, COPD, TB, ILD, and Tuberculosis treatment.
  • Dr. Chawla has offered great satisfaction from her treatment with a small experience of 10 years. She is a good communicator too.
  • Dr. Chawla has co-authored many research studies on Respiratory Distress

Profile Highlights:

  • Dr. Nikhil Modi is a young pulmonologist from India with having specialization in Critical Care, Respiratory, and Sleep Medicine.
  • He has nearly 13 years of experience treating critically ill patients in many verticals.
  • Dr. Modi is currently working as a consultant Pulmonologist in the Department of Pulmonology, Critical Care at Indraprastha Apollo Hospital, New Delhi.
  • He got vast exposure to fibreoptic bronchoscopy and managing other chest disorders.
  • Dr. Nikhil Modi is active in paper presentations at conferences, and research as well. He has also published papers and studies in various medical journals.

Profile Highlights:

  • Dr. M S Kanwar is one of the best Pulmonologists and Respiratory Medicine specialists in Delhi, with an impressive 48 years of experience in the field.
  • He practices as a Senior Consultant Tuberculous and chest Diseases Specialist and Pulmonologist at Indraprastha Apollo Hospital, New Delhi.
  • Dr. Kanwar is an expert in Interstitial lung disease, Sleep Disturbance, Tuberculosis (TB), Sleep Study, Cystic fibrosis, Insomnia Treatment, and Obstructive Sleep Apnea Treatment.
  • He was an integral part of CHEST – INDIA as an Editor.

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.

Profile Highlights:

  • Dr. Jebin Roger is a Pulmonologist from South India having 7 years of experience.
  • He offers a range of services related to respiratory conditions that help patients in the diagnosis and treatment of their condition.
  • He contributed research papers to many journals of National and International repute.
  • Dr. Roger also contributed as a faculty and Coordinator for Diploma in Allergy and Asthma at CMC.

Profile Highlights:

  • Dr. Narasimhan R is a well-known Interventional Pulmonologist of India serving for nearly 36 years in the field.
  • He has performed more than 20000 investigative bronchoscopies, the highest ever in South India.
  • Dr. Narasimhan is also a regular writer in The Hindu, an Editor for a couple of medical periodicals, and held several prestigious positions.

Profile Highlights:

  • Dr. Raj B Singh is a renowned Internal Medicine specialist having a significant experience of 40 years in this field.
  • In his career, Dr. Singh treated Respiratory Tract infections and Bronchitis. He also offers Mediastinoscopy, Pulmonary Function Test, Tracheostomy, Pneumonectomy, and Decortication.
  • Dr. Singh has published 32 write-ups in Indian & International periodicals, magazines, and conference papers.

Best Hospitals in India for Bronchoscopy

Indraprastha Apollo Hospital, New Delhi

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 hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • 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 Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Medanta-The Medicity, Gurgaon

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.

Max Super Specialty Hospital, New Delhi

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.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty 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 Bone Marrow Transplant 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.

Gleneagles Global Hospitals, Chennai

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Fortis Hospital, Mulund, Mumbai

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Kokilaben Dhirubhai Ambani Hospital, Mumbai

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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