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December 2007  
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Home - Cover Story - Article

Delhi Heart and Lung Institute

Delhi Heart and Lung Institute (DHLI), committed to provide complete cardiopulmonary care, is the dream-child of two eminent doctors, cardiac surgeon Dr Ganesh K Mani and cardiologist Prof (Dr) Kamal K Sethi. This 100-bed Hospital, situated at Panchkuian Road, was conceived as a centre of excellence designed to cater to patient care and research alike.

The Institute, established in June 2003, has witnessed an annual growth of 20 per cent. The average daily number of patients in the OPD is 100. Employee and doctor numbers are 520. The Hospital, a unit of Apex Heart Care, has so far performed nearly 2,000 cardiac surgeries, more than 2,000 angioplasties and more than 6,000 angiographies.

Everything Modern


Dr Kamal Sethi

Co-Chairman & Managing Director

The Institute offers state-of-the-art facilities for consultation, investigation, intensive care management, interventional cardiology, paediatric cardiology cardiac surgery and pulmonology. The Institute's cutting-edge core competencies are well sustained by equally efficient support services including biochemistry, blood bank and clinical pathology.

Says Prof (Dr) Sethi, Co-Chairman & Managing Director and HOD, Cardiology, "A three-dimensional arrhythmia mapping system enables us to map and cure even complex rhythm disorders of the heart. A highly-trained team is able to carry out paediatric and neonatal congenital cardiac investigations, interventions and surgeries."

Equipped with an extensive array of machinery to determine a patient's cardiac status, the non-invasive cardiac laboratory provides strong back-up to DHLI. The use of full range of equipment and tests ensures that a complete picture emerges before preventive and curative measures are worked out. The Institute makes a constant effort to add the latest technology to its infrastructure. It has a 3D echocardiography plus echo pak, stress echocardiography, treadmill testing, holter monitoring, tilt testing, executive (preventive) health check-up, high-risk cardiac profile, pacemaker check, ECG and external counter pulsation.

Intensive Continuing Care

The 33 ICU beds along with nine-bed high dependency unit (HDU) are equipped with modern ventilators, where invasive and non-invasive haemodynamic monitoring is managed by a team of skilled doctors, nurses and specially-trained pulmonary physiotherapists. An emerging paradigm of critical care and continuity of care is the theme of post-surgical care ICU. Dr Mani, Chairman and Managing Director and HOD, Cardiac Surgery describes, "It is equipped with state-of-the-art monitors and ventilators and other supportive equipment required in modern ICUs. Patients are transferred to the HDU on the second day after surgery, where they are placed on telemetry to monitor heart rhythm while they become mobile."

All Things Lung

The Institute's pulmonology unit is a one-stop specialist centre for every kind of respiratory ailment. Medical thoracoscopy is done to accurately diagnose a variety of cases of pleural effusion and pneumothorax. The centre is equipped with a new generation pulmonary function laboratory with capability of performing spirometry, lung volumes and diffusion studies. There is a modern and comprehensive sleep laboratory for the evaluation of sleep-related breathing and neurological disorders.

The sleep disorders laboratory provides a comprehensive facility for the diagnosis, evaluation and treatment for snoring, excessive daytime sleepiness and choking spells. It also includes a lung station for the application of non-invasive ventilation, nebuliser and oxygen therapy for patients with chronic respiratory insufficiency. To improve the patients' longevity and quality of life, the Institute extends respiratory support at home also. This serves to really bring home the benefits of the Hospital.

Surgical Spectrum

Diagnostic and therapeutic video assisted thoracoscopic surgery (VATS) for benign and malignant pulmonary, oesophageal, mediastinal, pleural and diaphragmatic pathology are available at the Institute. Also, VATS sympathectomy and thymectomy for myasthenia gravis can be performed.

The Institute is an established centre for Lung Volume Reduction Surgery (LVRS) for emphysema, tracheal resections, surgery for multi drug resistant (MDR) tuberculosis and a host of other pulmonary and pleural diseases. The Institute is considering initiating pulmonary endarterectomy for chronic thromboembolic pulmonary disease and lung transplant surgery.

Non-stop Lab

In order to have a reliable and efficient diagnosis, an in-house laboratory is functional seven days a week. It is equipped with the latest automated haematology cell counter, coagulometer, electrolyte and blood gas autoanalysers. Aerobic, anaerobic, and fungal cultures are done routinely. "Microscopes for cytopathology and histopathology have imaging systems which can be connected to the Internet and pictures transmitted anywhere in the world for conferencing, discussion and reporting," says Dr Vivek Verma, Joint Medical Superintendent.

IT Systems

"IT is used in online laboratory, blood bank, pharmacy and billing," says Dr Verma. Sophisticated computer systems allow instant access to all patient-data and information for evaluation and follow-up. The family remains updated through regular interaction with the doctor-in-charge of their patient.

Ready For the World

The Hospital participates in exhibitions abroad for promoting medical tourism. "We have also tied up with hotels and travel companies, upgraded suites and other rooms to make foreign patients comfortable, are offering affordable packages and have installed permanent representatives based abroad," says Dr Sethi.

Plugging Social Gaps

With two to three per cent of budget earmarked for CSR, the Institute holds free camps for Hole in the Heart—a scheme for congenital heart defects, heart and lung check-up camps, sponsoring CMEs and periodic lectures by eminent experts. "We have organised several free cardiac check-ups with specialised investigative facilities under the supervision of senior specialists," says Dr Mani. The Hospital is also undertaking extensive awareness programmes within the community to spread knowledge about prevention of heart diseases, through education on lifestyle management and healthy living. The objective is to strive towards prevention of heart diseases by early detection and treatment.

DHLI also holds Kailash Mansarovar Yatri's Medical Check-up. 'Health First Card' is a social scheme, where on a one-time payment of Rs 500, four members of a family get a host of benefits for one year including free consultation, blood sugar test and ECG on first visit and discounted health check-up packages, laboratory and radiology services.

Towards Tie-ups

The Institute is conducting research in cardiology and is already a part of multi-centric international studies to introduce new techniques in interventional cardiology and arrhythmia management. "In cardiac surgery, we plan to start robotic surgery soon," says Dr Mani.

However, the Institute is not planning expansion of beds nor any acquisitions. “Instead, we would reach out to areas in Delhi-NCR which don't offer cardiac surgery and interventional cardiology through setting up of satellite centres to act as support units to the main facility. Tie-ups with small nursing homes are also being looked at," explains Dr Verma.

 

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