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Best Nephrologist in Mukundapur

Critical Care Nephrology

Best Nephrologist in Mukundapur

Critical Care Nephrology is a specialised unit that provides intensive care for patients with severe renal diseases, particularly those needing close monitoring and treatment for complicated urinary tract infections, prostate problems, or cancer. Our expert nephrologists are specialists who manage kidney disorders such as kidney failure, kidney stones, acute and chronic kidney disease, and other nephrology-related problems.

Specialists in Critical Care Nephrology usually have a special interest in patients with acute renal injuries (AKIs). Although the prognosis for patients diagnosed with AKI was poor, recent advancements in treatment and diagnostics have improved patient outcomes and enhanced overall well-being. At Manipal Hospitals, Mukundapur, Kolkata, our nephrologists employ a multidisciplinary approach by working with surgical, anaesthetic, and critical care medicine specialists, as well as cardiologists, to orchestrate specific strategies of renal support and address the needs of patients in critical stages. By ensuring comprehensive and integrated care, our specialists delivering Critical Care Nephrology in Mukundapur prioritise assisting patients with recovery and achieving improved quality of life. 
 

FAQ's

Several causes may contribute to acute kidney injury (AKI) in critically ill patients, some of which include:

  • Reduced blood flow to the kidneys can arise due to conditions like hypovolaemia, heart failure, or medication side effects. 

  • Certain infections or drugs that can obstruct or damage the kidney

  • Prolonged use of medications like non-steroidal anti-inflammatory drugs (NSAIDs)

  • Manifestation of diseases like sepsis, vasculitis, interstitial nephritis, enlarged prostate, kidney stones, or co-morbid conditions like cirrhosis or history of blood clots requiring anticoagulation.

  • Cancer of the early and advanced stages, affects the colon, liver, plasma (multiple myeloma), cervix, prostate, and so forth. 

The main goals of managing acute kidney injuries (AKIs) in critically ill patients involve:

  • Maintaining renal function

  • Implementing measures to prevent further damage to the kidneys

  • Providing Renal Replacement Therapy if needed, such as Haemodialysis or Continuous Renal Replacement Therapy

  • Optimising the haemodynamic state of the patient, ensuring proper blood flow to the kidney

  • Refraining from nephrotoxic medications that harm the kidney

Patients requiring Haemodialysis are performed at home or in hospitals and are often performed at least 3 to 5 times a week. On the other hand, Peritoneal Dialysis (PD) is usually advised for patients who wish to manage their treatment more independently, often allowing them to perform dialysis at home and maintain a more flexible lifestyle. PD is typically carried out daily, 4-6 times per day during the day or night. Continuous Renal Replacement Therapy (CCRT) is executed in a critical care setting since it requires specialised instruments and constant monitoring to check vital signs, fluid balance, and machine settings.
 

Various treatment techniques and procedures are employed by nephrologists in Critical Care Nephrology, which include:

  • Renal Replacement Therapies, such as:

    • Haemodialysis involves the process of filtering blood outside the body with the help of a dialysis machine. After filtration, the blood is then returned to the body.

    • Peritoneal Dialysis is performed by administering a special fluid in the abdomen to absorb waste present in blood vessels in the abdominal cavity, followed by drainage of fluid from the abdomen.

    • Continuous Renal Replacement Therapy (CCRTs), characterised by providing round-the-clock dialysis, allows the gradual removal of waste products.

  • Kidney Biopsies to rule out inflammations or cancer

  • Plasmapheresis, which encompasses separating the plasma from the blood cells using a machine. Treatment is usually addressed for patients with autoimmune disorders such as vasculitis.

  • Vascular Access Management, which engages in the process of performing vascular interventions for Dialysis

Side effects can be specific for a particular Dialysis procedure or common. However, common ones include:

  • Infection of the blood, skin, or abdomen

  • Fatigue

  • Pruritis

  • Obstruction in vascular access site, hypotension, weakness or dizziness, blood loss or hypotension in Haemodialysis

  • Hernia or weight gain in Peritoneal Dialysis

In Continuous Renal Replacement Therapy (CRRT), risks may involve infection, thrombosis, formation of an arteriovenous fistula, and haemorrhage associated with intravascular lines. Additionally, the therapy itself can cause electrolyte imbalances, hypothermia, low blood pressure, and clearance of medications or essential amino acids. 
 

Patients diagnosed with acute kidney injuries (AKI) do not generally require Kidney Transplantation unless it leads to chronic or end-stage renal disease. The primary goal of AKI treatment is to support and allow the kidneys to heal rather than replace them permanently. 
 

Common rules or precautions you can follow to prevent kidney disease include:

  • Attending routine and regular checkups, such as urine and blood tests, to evaluate your kidney functions. 

  • Controlling your blood pressure, sugar levels, and other health parameters

  • Performing regular exercise to lower your chances of getting kidney diseases and other ailments

  • Leading an active and healthy lifestyle, which includes, cutting back on salt, sugars, fats, and red meats, and sticking to fresh fruits and vegetables

  • Refraining from smoking, drinking, and chewing tobacco

  • Checking with your doctor regarding the usage of certain medications, such as NSAIDs

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