Best Doctors in India for Hemodialysis
Best Hospitals in India for Hemodialysis
- City: Mumbai, India
Hospital Highlights:
- Fortis Hiranandani hospital was established in 2007.
- The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
- The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
- The hospital is NABH accredited.
- The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
- The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
- City: Gurugram, India
Hospital Highlights:
- Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
- The is supported by a team of doctors of international and national repute.
- The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
- The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
- The hospital is equipped with state-of-the-art technologies.
- City: Kolkata, India
Hospital Highlights:
- Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
- The hospital is NABH accredited.
- This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
- The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
- The hospital also has a nephrology department with over 28 advanced dialysis units.
- City: Mumbai, India
Hospital Highlights:
- SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
- The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
- L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
- The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
- City: Gurugram, India
Hospital Highlights:
- The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
- The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
- The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.
- City: Ahmedabad
Hospital Highlights:
- As a member of the Apollo Hospitals Group, Apollo Hospitals International Limited, Ahmedabad is one of the most popular and sought-after medical facilities in Gujarat.
- Through its 6 Centres of Excellence and various affiliated branches, which cover all specialties and subspecialties, the hospital provides the most advanced clinical services.
- Since its inception in 2003, the hospital has been providing each patient with the most up-to-date medical equipment and state-of-the-art technology.
- With more than 150 successful organ transplants, including liver and renal transplants, the facility has been able to build a strong and extensive organ transplant program.
- In addition to performing 600 surgeries and caring for over 1800 patients on an IP basis, the hospital sees more than 18,000 patients on average in the outpatient department.
- With one of the biggest cardiology teams in the area, the hospital provides state-of-the-art regional care treatment in Cardiac Sciences.
- Additionally, the hospital offers a broad range of Neuro Interventional techniques to help stroke patients recover more quickly.
- City: Noida, India
Hospital Highlights:
- Jaypee Hospital is the flagship hospital of the Jaypee Group.
- This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
- It holds the accreditation of the NABH and NABL.
- The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
- It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.
- City: Mumbai, India
Hospital Highlights:
- Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
- The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
- The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery
Hemodialysis
Hemodialysis is a process of filtering wastes and fluid from your body, after your kidneys are no longer healthy. Hemodialysis is one of the ways to treat advanced kidney failure and it helps one carry on an active life despite having failed kidneys.
With hemodialysis, one also needs to follow a healthy diet, take medications regularly as well as follow a strict treatment schedule. Although hemodialysis is a serious responsibility, you can work closely with a healthcare team rather than shouldering it alone. Dialysis can be done in a hospital or in your home as well. Based on your medical condition, it is always up to you and your doctor to decide, which option is best.
Purpose
Your doctor can help you determine when you should start hemodialysis based on several factors, which include your overall health, kidney function, signs and symptoms, quality of life and also your personal preferences.
Your doctor uses the estimated glomerular filtration rate, to measure how well your kidney is functioning and this helps in planning your treatment including when to start hemodialysis.
Hemodialysis helps your body control blood pressure as well as to maintain the proper balance of fluid as well as various minerals, like potassium and sodium in the body. Normally, hemodialysis begins quite sometime before your kidneys have shut down to the point of causing complications that can be life-threatening.
Diabetes, high blood pressure, blood vessel inflammation, kidney cysts are some of the main causes of kidney failure. Your kidneys can also shut down all of a sudden after a severe illness, a heart attack or complicated surgery, or any such serious problem. Sometimes certain medications might also cause kidney injury. Some people with severe long-standing kidney failure can opt for a different path, choosing maximal medical therapy, which is called maximum conservative management as well, instead of dialysis. Some can also go choose to go for a kidney transplant.
Preparation
Preparation for hemodialysis usually starts several weeks to months before your first procedure. For allowing easy access to your bloodstream, a surgeon will be creating vascular access. The access provides a mechanism for a small amount of blood to be safely removed from your circulation after which it is returned to you in order for the process of hemodialysis to work. The surgical access requires time to heal before you begin hemodialysis treatments.
There are three different types of accesses:
Arteriovenous fistula
A surgically created AV fistula, which is a connection between an artery and a vein, usually in your non-dominant arm. Due to its effectiveness as well as safety, this is the most effective as well as safe method.
Central venous catheter
If you require emergency hemodialysis, a plastic tube might be inserted into a large vein in your neck or near your groin. The catheter is for a temporary basis.
AV graft
If your blood vessels are found to be too small for creating an AV fistula, your surgeon may instead choose to create a path between an artery and a vein using a flexible, synthetic tube which is called a graft.
Procedure
During the treatment procedure, you sit or recline in a chair while your blood flows through the dialyzer, a filter that acts as an artificial kidney to clean the blood. At this time, you can read a book, watch a movie or even take a nap. If you receive it during the night, you can just sleep while the procedure is on.
Preparation
Your weight, blood pressure, temperature and pulse are checked at first. The skin which is covering your access site, which is the point where blood leaves as well as re-enters the body during treatment, is cleansed.
Starting
At first, two needles will be inserted into your arm through your access site, and taped in place to make it remain secure. Each needle is attached properly to a flexible plastic tube that connects to a dialyzer. Through one tube, the dialyzer filters the blood a few ounces at a time, which allows wastes and extra fluids to pass from your blood into a cleansing fluid which is called dialysate. Then, the filtered blood returns to your body, with the help of the second tube. The needles in your fistula or graft can be uncomfortable and most patients get used to this within some time. Talk to your dialysis care team and make sure you are comfortable during the treatment.
Symptoms
Keep in mind that you might be experiencing some symptoms like nausea or abdominal cramps. This is due to the fact that excess fluid is being pulled from the body, especially if you are having hemodialysis three times a week, rather than more often. If you feel too much discomfort, you can ask your care team to help minimize the side effects by taking measures like adjusting the speed of your hemodialysis, your medication or your hemodialysis fluids.
Monitoring
Since blood pressure and heart rate can keep fluctuating as excess fluid is being drawn from the body, your blood pressure and heart rate will be checked multiple times during every treatment.
Finishing
When the hemodialysis is complete, the needles are removed from your access site. After this, a pressure dressing is applied for preventing bleeding. Your weight might need to be recorded once more. After this, you are free to carry on your usual activities, until your next session.
Results
If you had a sudden kidney injury, you might need hemodialysis only once in a short time, until they recover. If you had reduced kidney function before a sudden injury to the kidneys, the chances of full recovery back to independence from hemodialysis are quite less.
Three-times a week hemodialysis is quite common and according to a few types of research, it has been suggested that home dialysis is linked to:
- Increased well-being
- Better quality of life
- Reduced symptoms and less cramping, headaches as well as shortness of breath
- Improved appetite, sleeping patterns, energy level and the ability to concentrate.
Your hemodialysis care team will monitor your treatment to make sure that you are getting the right amount of hemodialysis to remove enough wastes from your blood. Your weight and blood pressure are monitored very closely before, during as well as after your treatment. About once a month, you will receive these tests:
- Blood tests for measuring urea reduction ratio and total urea clearance, for making sure how well your wastes are being removed from your body.
- Blood chemistry evaluation as well as an assessment of blood counts.
- Measurements of the flow of blood through the access during your hemodialysis.
Risks
Despite its benefits, hemodialysis can also cause a variety of health problems. Some of them include low blood pressure, muscle cramps, sleep problems, itching, anemia, fluid overload, bone diseases, high blood pressure, complications in the access site complications, high potassium levels, inflammation of the membrane which surrounds the heart, amyloidosis or depression.