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Lung Transplant @ Max Hopsital
Lung Transplant @ Max Hopsital
Max Hospital, Saket Receives Prestigious Jci Accreditation
Max Hospital, Saket Receives Prestigious Jci Accreditation

JCI is the world’s gold standard for healthcare quality and is recognized by several governments as the quintessential hallmark of medical quality.

The Process of Lung Transplantation and Combined Heart-Lung Transplant
Lung Transplant
Lung Transplant
Lung Transplantation and Diseases Treated Through This Procedure
Lung Transplant @ Max Hopsital
Lung Transplant @ Max Hopsital
Max Hospital, Saket Receives Prestigious Jci Accreditation
Max Hospital, Saket Receives Prestigious Jci Accreditation

JCI is the world’s gold standard for healthcare quality and is recognized by several governments as the quintessential hallmark of medical quality.

The Process of Lung Transplantation and Combined Heart-Lung Transplant
Lung Transplant
Lung Transplant
Lung Transplantation and Diseases Treated Through This Procedure

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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
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Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555
Home >> Our Specialities >> Lung Transplant

Why You Need a Lung Transplant

Lung transplant is needed when lungs become so damaged by disease that they can no longer get oxygen and carbon dioxide in and out of the blood, this is called end-stage lung disease. If because of any disease condition, the lungs are not able to perform their function effectively and the same cannot be treated with medications, Lung Transplant is the only option.

Here are the few diseases in which lung transplant can be a treatment option:

  1. Chronic Obstructive Pulmonary Disease (COPD) It refers to a group of diseases that have one thing in common i.e. ability to blow air completely out of the lungs.

    • Emphysema It is a destructive disease of the lung in which the alveoli (small sacs) that promote oxygen exchange between the air and the bloodstream are destroyed. Smoking is the primary cause of emphysema, which makes it a preventable illness.

    • Alpha-1 Antitrypsin Deficiency Alpha-1 antitrypsin deficiency (AAT deficiency) it is an inherited condition that raises your risk for lung and liver disease. Alpha-1 antitrypsin (AAT) is a protein that protects the lungs.

    • Bronchiolitis It is blockage of the small airway in the lungs due to a viral infection as these airways become inflamed; they swell and fill with mucus, which can make breathing difficult. It usually occurs in young children and infants.

    • Lymphangioleiomyomatosis (LAM) People suffering from LAM, abnormal muscle-like cells begin to grow out of control in certain organs or tissues, especially the lungs, lymph nodes, and kidneys. Over time, these LAM cells can destroy the normal lung tissue. It is rare and occurs exclusively in young women.

    • Eosinophilic granuloma Eosinophilic granuloma, also known as pulmonary histiocytosis X (PHX) or pulmonary Langerhans cell histiocytosis X (PLCH), is an uncommon interstitial lung disease that is epidemiologically related to tobacco smoking. It chiefly affects young adults, primarily occurring in the third or fourth decades of life.

  2. Interstitial Lung Diseases Interstitial lung disease (ILD), is a group of lung diseases affecting the tissue and space around the air sacs of the lungs. Symptoms include a dry cough. Shortness of breath can occur either at rest or after exertion.

    • Pulmonary fibrosis Pulmonary fibrosis is the abnormal formation of scar tissue in the lungs. This thickened, stiff tissue makes it more difficult for your lungs to work properly over time.

    • Sarcoidosis Sarcoidosis is a disease that results from a specific type of inflammation of tissues of the body. It can appear in almost any body organ, but it starts most often in the lungs or lymph nodes.

    • Scleroderma The word “scleroderma” comes from two Greek words: “sclero” meaning hard, and “derma” meaning skin. Scleroderma is a rare, autoimmune condition in which the body produces too much collagen, causing the skin and connective tissue to thicken.

  3. Airway Diseases Airway diseases are highly prevalent worldwide; however, the prevalence of these diseases is underestimated. Although these diseases have several common characteristics, they have different clinical outcomes. The difference between asthma, chronic obstructive pulmonary disease and bronchiectasis in the early stage of disease is extremely important for the adoption of appropriate therapeutic measures.

    • Cystic Fibrosis (CF) Cystic fibrosis is an inherited condition that leads to recurrent sinus and pulmonary infections, as well as gastrointestinal problems.
      In the lungs, this mucus blocks the airways, causing lung damage and making it hard to breathe. CF is a life-threatening condition, but thanks to advances in treatment and care, the average life expectancy has been steadily increasing and quality of life has improved.

    • Bronchiectasis Bronchiectasis is a disease in which there is permanent enlargement of the airways of the lung. This results in frequent infections and blockages of the airways. There is no cure for bronchiectasis, but it is manageable. With treatment, you can typically live a normal life.

  4. Pulmonary Hypertension Pulmonary hypertension is a condition in which there is high blood pressure in the lung arteries. People suffering from this disease feel breathless and tired. It can occur alone or with other illnesses.

    • Idiopathic Any disease that is of uncertain or unknown origin may be termed idiopathic.

    • Eisenmenger’s Syndrome secondary to a heart defect, or Interstitial lung diseases Eisenmenger syndrome is a condition that results from abnormal blood circulation caused by a defect in the heart. Most often, people with this condition are born with a hole between the two pumping chambers -- the left and right ventricles -- of the heart. The hole allows blood that has already picked up oxygen from the lungs to flow back into the lungs, instead of going out to the rest of the body.

Here are the symptoms if a person is suffering from the lung disease

  • Shortness of breath

  • Cough

  • Sputum

  • Fatigue

  • Dizziness

  • Blue tinge to finger nails or lips

However, a person may or may not show all these symptoms mentioned above.

People with serious lung diseases who meet certain criteria of lung function are most appropriately treated with a lung transplant.

  • If the transplant assessment confirms that the patient's lung disease is severe enough and lung transplant is the only solution.

  • The patient's general condition is good enough and that he/she can tolerate the surgery

  • The patient has no other potentially untreatable medical condition.

  • If the patient wants to get a transplant done and he/she completely understand and accept the responsibilities before and after the transplant.

  • If the patient's family member supports him or her during the process of transplant.

The team dealing with lung transplant will explain the patient and his/her family members about the benefits and the risks involved in a lung transplant and that would help them to make an informed decision. The decision to opt for a transplant or go against it will be the patient's decision and the hospital would support the choice made by the patient.

The assessment helps the patient to understand if he/she really needs the transplant and also ensure that the patient is completely satisfied with the safety measures involved in the lung transplant. The assessment also helps the doctors to analyse and advise the patients if it is the right time for him/her to have a transplant. Assessment helps one in many ways, sometimes it helps the team discover if transplantation is a viable option for the patient and in some cases, it helps identify a problem that must be rectified before lung transplant.

Assessment testing also determines the condition of the patient’s heart. The heart and lungs work closely together; lung disease may affect the heart. The reverse is also true; years of heart disease may produce lung injury. It may be decided that some patients may need both the heart and lungs transplanted.

Advantages

Below are the benefits of the Lung transplant:

  • Less shortness of breath

  • More energy

  • Fewer restrictions

  • A better quality of life

  • A longer life with a transplant

Disadvantages

One of the biggest risks after having a lung transplant is as follows:

  • To take medications for the rest of their life to control rejection

  • Follow-up transplant care for the rest of their life

  • Side effects from the medications

  • High risk of infection after transplant

  • Other medical complications

Once the patient is done with tests and consults, the lung transplant team will review the results, then there are several possible outcomes as follows:

  • Patient should be acceptable for lung transplant without any contraindications and should be prepared to go forward with a transplant process

  • Further testing is required, sometimes the assessment uncovers other medical or surgical problems that needs further investigation or management before a final decision. So, transplant can be done.

  • Lung transplant is a huge risk; the assessment may identify risk factors that would lead to poor health or threaten patient’s survival after transplant process.

While patient is waiting for a lung transplant are here are the following things that he/she should keep in mind:

  • He/she should take good care of their health

  • Identify and get treated if there are any new problems that may arise in the interim.

Patient should never miss out on regular follow up appointments with his/her transplant team, while he/she is waiting for Lung transplant. The main goal of these visits is to monitor patients clinical condition and fitness for the transplant.

The transplant team may alter or modify some of the patient’s medications as he/she is waiting on the list for the lung transplant.

Some of the tests done during the assessment may be repeated every 3-6 months or as required while he/she wait for the transplant.

The transplant team uses several criteria to match the donors with the patient on the waiting list, the most important are.

  • Blood type (ABO blood group)

  • Lung size (taken from your pulmonary function tests).

Compatible blood type is the first step to match a donor lung with the patient.

If more than one patient matches the donor blood type and approximate size, the team will decide which patient requires lung transplant urgently.

Unfortunately, not everyone who is listed for lung transplant will be transplanted, due to a shortage of donated lungs.

Single lung transplant

People that have a single lung transplant will have one incision. The incision will be on patient’s side. It is called a thoracotomy incision.

Double Lung Transplant

When patient will have double lung transplant, his/her surgeon will make a horizontal incision just below the middle of patient’s chest. This is called a transverse sternotomy incision (also called a clamshell incision) that goes underneath the breasts. The bottom part of the sternum, or breastbone, will be cut during the operation. No other bones are cut.

Once the patient will have a successful transplant, transplant team will focus on below things.

  1. Monitoring lung function
  2. Watching for signs of rejection and infection
  3. Adjusting patient's immunosuppressive medications
  4. Recovery and rehabilitation
  5. Teaching patient about living with a transplant

Team That Cares

Untitled-1 - Max Hospital
Director-Cardiac Anaesthesiology
Lung Transplant
Rahul Chandola - Max Hospital
Associate Director - – Adult CTVS, Heart & Lung Transplant Specialist
Lung Transplant
Vivek Singh
Associate Director - Pulmonology & Head - Lung Transplant Medicine
Lung Transplant
Dr. Shobha Keswani - Max Hospital
Head – Physiotherapy
Lung Transplant

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

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