Dr kamendra singh pawar
Interventional Pulmonologists (chest Physician) Sleep Super-Specialist Critical care Consultant
Critical care is also called as intensive care. Patients may have serious injury or illness, who have are at risk of or are recovering from conditions that may be life threatning.
Critical care can be provided wherever life is threatened – at the scene of an accident, in an ambulance, in a hospital emergency room, or in the operating room. Most critical care today, however, is delivered in highly specialized intensive care units (ICU). Various terminologies like Critical Care Unit (CCU), Intensive Therapy Unit (ITU), Coronary Care Unit (CCU) may be used to describe such services in a hospital.
Critical care is provided by multiprofessional teams of highly experienced and professional physicians, nurses, respiratory care technicians, pharmacists and other allied health professionals who use their unique expertise, ability to interpret important therapeutic information, access to highly sophisticated equipment and the services of support personnel to provide care that leads to the best outcome for the patient.
Patients are rarely admitted directly to the critical care unit. Rather, they are usually admitted from the emergency room, or surgical area where they are first given care and stabilized. The continuum of critical care begins at the moment of illness or injury and continues throughout the patient’s hospitalization, treatment and subsequent recovery.
Sleep Related problems
1. obstructive sleep apnea
It is a condition in which breathing stops involuntary for brief periods of time during sleep.
2. central sleep apnea
It is a disorder in which your breathing repeatedly stops and start during sleep because your brain doesn’t send proper signal to the muscles that control your breathing.
Snoring means hoarse or harsh sound from nose or mouth that occurs when breathing is partially obstructed while sleeping.
Insomnia is a sleep disorder in which you have trouble falling or staying asleep. The condition can be short-term (acute) or can last a long time (chronic). It may also come and go. Acute insomnia lasts from 1 night to a few weeks. Insomnia is chronic when it happens at least 3 nights a week for 3 months or more.
Hypersomnia is a condition in which you feel excessive sleepiness during the day. It may occur even after long stretches of sleep. Another name for hypersomnia is excessive daytime sleepiness (EDS).
Narcolepsy is a chronic sleep disorder characterized by overwhelming daytime drowsiness and sudden attacks of sleep. People with narcolepsy often find it difficult to stay awake for long periods of time, regardless of the circumstances.
7. Restless leg syndrome (RLS)
Restless legs syndrome (RLS) is a condition that causes an uncontrollable urge to move your legs, usually because of an uncomfortable sensation. It typically happens in the evening or nighttime hours when you’re sitting or lying down. Moving eases the unpleasant feeling temporarily. It is also known as Willis – Ekbom Disease.
A parasomnia is a sleep disorder that causes abnormal behavior while sleeping. The behavior can occur during any stage of sleep, including the transition from wakefulness to sleeping and vice versa. If you have a parasomnia, you might move around, talk, or do unusual things during sleep.
9. shift work sleep disorder (SWSD)
Shift work sleep disorder (SWSD) is a circadian rhythm sleep disorder characterized by insomnia, excessive sleepiness, or both affecting people whose work hours overlap with the typical sleep period.
An allery is a reaction by your immune system. An allergy is an immune system response to a foreign substance that’s not typically harmful to your body. These foreign substances are called allergens. They can include certain foods, pollen, or pet dander. Your immune system’s job is to keep you healthy by fighting harmful pathogens.
Most Common Types Of Allergy :
- Drug allergy: An abnormal reaction of the immune system to a medication.
- Food allergies: An unpleasant or dangerous immune system reaction after a certain food is eaten.
- Contact dermatitis: A skin rash caused by contact with a certain substance.
- Latex allergy: An allergic reaction to certain proteins found in natural rubber latex.
- Allergic asthma: Asthma triggered by exposure to the same substances that trigger allergy symptoms.
- Allergic rhinitis: An allergic response causing itchy, watery eyes, sneezing and other similar symptoms.
- Animal allergy: An abnormal immune reaction to proteins in an animal’s skin cells, saliva or urine.
- Anaphylaxis: A severe, potentially life-threatening allergic reaction.
- Allergy to mold: An abnormal allergic reaction to mould spores.
respiratory (lungs) Problems
Respiratory diseases may be caused by infection, by smoking tobacco, or by breathing in secondhand tobacco smoke, radon, asbestos, or other forms of air pollution. Respiratory diseases include asthma, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, pneumonia, and lung cancer.
1. pulmonary hypertension
Pulmonary hypertension (PH or PHTN) is a type of high blood pressure that affects the artries in your lungs and trhe right side of your heart. Symptoms include the blood vessels in lungs become narrow, blocked or destroyed, shortness of breath, syncope, tiredness, chest pain, swelling of the legs, and a fast heartbeat.
2. asthma (bronchial asthma)
A condition in which a person’s airways become inflamed, narrow and swell and produce extra mucus, which makes it difficult to breathe. It can be minor or sometimes it become life threatening attack.Asthma may cause difficulty breathing, chest pain, cough and wheezing. The symptoms may sometimes flare up.
Bronchiectasis is a condition where the bronchial tubes of your lungs are permanently damaged, widened, and thickened. These damaged air passages allow bacteria and mucus to build up and pool in your lungs. This results in frequent infections and blockages of the airways.
4. lung cancer
Lung cancer is characterized by uncontrolled cell growth in tissue of the lungs and is the most often occurs in people who smoke.Two major types of lung cancer are non-small cell lung cancer and small cell lung cancer. Causes of lung cancer include smoking, second-hand smoke, exposure to certain toxins and family history.
Tuberculosis (TB) is a disease caused by bacteria called Mycobacterium tuberculosis. The bacteria usually attack the lungs, but they can also damage other parts of the body. TB spreads through the air when a person with TB of the lungs or throat coughs, sneezes, or talks.
6. pleural effusion and pleural diseases
A build-up of fluid between the tissues that line the lungs and the chest. Pleural effusion, sometimes referred to as “water on the lungs,” is the build-up of excess fluid between the layers of the pleura outside the lungs. The pleura are thin membranes that line the lungs and the inside of the chest cavity and act to lubricate and facilitate breathing.
7. interstitial lung disease
A group of disorders that cause progressive scarring of lung tissue. Interstitial lung disease (ILD) is another term for pulmonary fibrosis, which means “scarring” and “inflammation” of the interstitium (the tissue that surrounds the lung’s air sacs, blood vessels and airways). This scarring makes the lung tissue stiff, which can make breathing difficult.
8. COPD disease
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing.