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Pulmonology

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Pulmonology

Best Lung Hospital in Indore

  • Specialist pulmonologists managing the full breadth of respiratory conditions ranging from asthma and COPD to ILD, sleep apnea and lung infections.
  • Full PFT laboratory: spirometry, DLCO, bronchodilator reversibility, bronchoprovocation and body plethysmography.
  • Flexible bronchoscopy with BAL, transbronchial biopsy and EBUS for mediastinal sampling and lung cancer staging.
  • Dedicated Respiratory ICU with invasive mechanical ventilation, non-invasive BiPAP and high-flow nasal oxygen.
  • Sleep diagnostics: full Type 1 polysomnography and in-lab CPAP and BiPAP titration.
  • Pleural procedures: ultrasound-guided thoracocentesis, chest drain insertion and medical thoracoscopy.
  • Pulmonary rehabilitation for COPD and chronic lung disease, delivered as a supervised clinical programme.
  • Emergency respiratory cover for acute exacerbations, severe pneumonia and life-threatening breathing difficulty at all hours.

The Department of Pulmonology at CARE CHL Hospitals, Indore manages the full spectrum of chest and lung disease ranging from common airway conditions like asthma and COPD through to interstitial lung disease, sleep-disordered breathing, complex pleural conditions and respiratory emergencies. The Department of Pulmonology at CARE CHL Hospitals, Indore keeps diagnostic and therapeutic infrastructure under one roof so investigations are completed without external referral, and clinical decisions are made without waiting on reports from elsewhere. For conditions like ILD, where getting the subtype right determines whether treatment is antifibrotic or immunosuppressive, that diagnostic depth matters considerably.

Respiratory Conditions We Treat

The department manages both common and complex respiratory presentations across the full clinical range:

  • Asthma: Confirmed with spirometry and bronchodilator reversibility, not assumed from symptoms. Triggers identified, inhaler technique reviewed and treatment matched to documented symptom control.
  • COPD: COPD is the most common serious lung disease as lung damage is irreversible. It is mostly driven by tobacco use and biomass exposure. Our experts manage this condition with bronchodilators, exacerbation treatment, or supplemental oxygen to slow down the progression and improve symptoms substantially.
  • Tuberculosis: Drug-sensitive TB with DOTS regimens and drug-resistant TB and Post-TB complications are managed as separate diseases.
  • Interstitial Lung Disease: Idiopathic pulmonary fibrosis (IPF) and non-specific interstitial pneumonia (NSIP), hypersensitivity pneumonitis, sarcoidosis and drug-induced fibrosis, each requiring accurate subtype classification before treatment since the approach differs fundamentally across subtypes.
  • Obstructive Sleep Apnea: Obstructive sleep apnea is a sleep disorder in which breathing repeatedly stops and starts during sleep because the airway becomes partially or completely blocked. Our experts confirm it using advanced in-house diagnostics and manage it appropriately.
  • Bronchiectasis: Permanent airway dilatation with chronic productive cough and recurrent infection, managed with airway clearance, infection control and a consistent long-term plan.
  • Pneumonia: From community-acquired illness to severe hospital acquired pneumonia our pulmonology experts carefully assess each presentation to determine the right antibiotic strategies matched to severity.
  • Pleural Disease: Pleural effusions, empyema, pneumothorax and thickening assessed with imaging and aspiration, managed with appropriate procedural and medical intervention.
  • Pulmonary Hypertension: When unmanaged for a long time, elevated pulmonary arterial pressure can strain the right heart and lead to progressive functional decline. Early diagnosis and structured treatment are necessary to slow disease progression and preserve quality of life.
  • Lung Cancer: Early identification and multidisciplinary coordination with oncology and thoracic surgery for staging and treatment.

Diagnostics and Facilities

  • Pulmonary Function Testing
    • Spirometry measures lung capacity and airflow
    • DLCO evaluates how effectively the lungs transfer oxygen into the blood
    • Flow-volume loops analysis identifies airway obstruction or restriction
    • Bronchodilator reversibility testing checks whether airway narrowing improves after using inhaled medication
    • Bronchoprovocation testing assesses airway sensitivity to diagnose asthma
    • Body plethysmography measures lung volumes and airway resistance.
  • Imaging
    • HRCT chest for ILD pattern recognition, bronchiectasis, emphysema and nodule characterisation
    • CT pulmonary angiography for pulmonary embolism; PET-CT for lung cancer staging
  • Interventional Bronchoscopy
    • Flexible bronchoscopy with BAL, endobronchial biopsy and transbronchial lung biopsy
    • EBUS-guided mediastinal needle aspiration for mediastinal lymph node sampling and lung cancer staging
    • Rigid bronchoscopy used for the management of central airway obstruction
    • Endobronchial stenting for airway strictures
    • Balloon bronchoplasty for airway narrowing (post-inflammatory and post-intubation)
  • Pleural Procedures
    • Ultrasound-guided diagnostic and therapeutic thoracocentesis
    • Image-guided intercostal chest drain insertion for empyema, haemothorax and pneumothorax
    • Medical thoracoscopy for undiagnosed exudative pleural effusion and pleural biopsy
    • Chemical pleurodesis for recurrent malignant pleural effusion
  • Sleep Diagnostics
    • Type 1 full polysomnography records airflow, respiratory effort, oxygen saturation and sleep architecture simultaneously
    • In-lab CPAP and BiPAP titration for accurate pressure setting
  • Respiratory ICU
    • Invasive mechanical ventilation, non-invasive BiPAP and high-flow nasal oxygen with specialist pulmonology cover continuously available.

Treatments

At CARE CHL Hospitals, Indore our pulmonologists treat a wide range of respiratory conditions with advanced treatment modalities:

  • Asthma: Stepwise inhaled corticosteroid and bronchodilator therapy based on documented symptom control; trigger avoidance guidance; personalised asthma action plans; biologic therapy for severe refractory asthma where indicated.
  • COPD: Optimised long-acting bronchodilators (LABA and LAMA); prompt exacerbation management with antibiotics and systemic corticosteroids; supplemental oxygen for patients meeting criteria; pulmonary rehabilitation as a structured supervised programme.
  • Interstitial Lung Disease: Antifibrotic agents for IPF; immunosuppression for autoimmune-related ILD; antigen avoidance and pharmacotherapy for hypersensitivity pneumonitis - treatment matched to subtype confirmed on HRCT and, where required, BAL or biopsy.
  • Tuberculosis and Infections: DOTS regimens for drug-sensitive TB; specialist protocols for drug-resistant TB with toxicity monitoring; antibiotic therapy for pneumonia matched to severity and suspected organism.
  • Sleep Apnea: CPAP or BiPAP titrated in-laboratory before home initiation; surgical options including UPPP and septoplasty for anatomically amenable cases.
  • Pleural Disease: Ultrasound-guided thoracocentesis; chest drain insertion; medical thoracoscopy; chemical pleurodesis for recurrent malignant effusion.
  • Acute Respiratory Failure: Invasive mechanical ventilation, non-invasive BiPAP and high-flow nasal oxygen in the dedicated Respiratory ICU.

Achievements

The pulmonology programme at CARE CHL Hospitals, Indore has established a strong clinical standing as a respiratory care centre in Madhya Pradesh:

  • Full-spectrum respiratory care from chronic outpatient management through to critical respiratory failure in a dedicated Respiratory ICU.
  • Complete PFT laboratory with the full panel of pulmonary function investigations.
  • Active interventional bronchoscopy including EBUS, rigid bronchoscopy and endobronchial stenting.
  • Recognised clinical experience in ILD, drug-resistant TB and complex pleural disease.
  • Pulmonary rehabilitation as a supervised clinical programme for COPD and chronic lung disease.

Our Expert Team of Pulmonology Doctors

Breathing difficulties affect every aspect of daily life. The pulmonology team at CARE CHL Hospitals, Indore holds specialist qualifications in respiratory medicine and brings clinical experience across the full range of chest conditions ranging from common airway disease to complex ILD and interventional bronchoscopy.

Why Choose CARE CHL Hospitals?

Several things set CARE CHL Hospitals apart as a respiratory centre in Indore:

  • Expert Pulmonologists: Interpreting an HRCT with a reticular pattern, distinguishing UIP from NSIP, deciding between antifibrotic therapy and immunosuppression - these require subspecialty respiratory training that general internal medicine does not provide.
  • Full Diagnostic Pathway In-house: Spirometry, DLCO, HRCT, bronchoscopy, EBUS, BAL, transbronchial biopsy, polysomnography and pleural analysis all within the department, without directing patients to multiple outside facilities.
  • Respiratory ICU for the Most Severe Cases: Acute respiratory failure, severe COPD exacerbation, life-threatening asthma and ARDS managed in a dedicated Respiratory ICU with invasive and non-invasive ventilatory support under specialist cover continuously.
  • Interventional Bronchoscopy Beyond Diagnostics: EBUS-guided mediastinal sampling, rigid bronchoscopy and endobronchial stenting performed in-house by doctors with procedural training, not referred elsewhere.
  • ILD and Complex Respiratory Disease as a Clinical Focus: IPF, hypersensitivity pneumonitis, sarcoidosis, drug-resistant TB and pulmonary hypertension are conditions the department manages with specific clinical experience and appropriate subspecialty depth.
  • Pulmonary Rehabilitation as a Structured Clinical Programme: Exercise training, airway clearance and nutritional support delivered as a supervised service with defined clinical goals.

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