Vision

• To impart excellence in medical education, patient care and ethical research in Respiratory Medicine.

Mission

• To inculcate clinical skills, professionalism and patient care among Undergraduates & Postgraduates.
• To establish high standards in diagnosis and treatment of Respiratory Medicine.
• To encourage clinical research among Post Graduates and faculties.

Generic outcome

To impart knowledge and clinical skills that may enable the students to diagnose and manage common respiratory diseases and to handle respiratory emergencies.

Program Specific Outcome

• Knowledge of common respiratory diseases, their clinical manifestations, diagnosis and management.
• Ability to recognize, diagnose and manage pulmonary tuberculosis as contemplated in National Tuberculosis Control program.
• Ability to manage common respiratory emergencies in primary care setting and refer appropriately.

OUT-PATIENT SERVICES:

The Out Patient Department (OPD) works seven days a week. Senior consultants are available for consultation and management of respiratory diseases Patients are referred from out stations and other departments of the Medical Centre for expert opinion and management.

IN-PATIENT SERVICES:

The Respiratory Medicine department manages all kinds of lung problems like Bronchial Asthma, Chronic Obstructive Pulmonary Diseases (COPD), Pulmonary Tuberculosis, Pneumonia (and other lung infections), Interstitial Lung Diseases, Occupational Lung Diseases, Pleural Diseases, Cancers of the respiratory tract, snoring and sleep apnea and critically ill patients like acute exacerbation of bronchial asthma, COPD, ILD, PTE, ARDS etc., and all other undiagnosed and complicated lung diseases.

Our ward is situated in the fourth floor with 30 beds, separate isolation ward (4 beds).The wards are well ventilated, equipped with central oxygen supply, central vacuum suction facilities and jet nebulizers. We have a dedicated Respiratory ICU with 4 beds. Each bed has “state of art” monitoring facility, advanced ventilators, NIV support and various accessories required for critically ill patients. The RICU is manned round the clock by senior resident and post graduates. The nurse patient ratio is 1:1.5.

SERVICES OFFERED:

• RNTCP / DOTS
• Smoking Cessation
• Pulmonary Function tests
• Pulmonary Rehabilitation clinic
• Sleep Disorder Centre
• Critical Care Services

RNTCP SERVICES:

Revised National Tuberculosis Programme (RNTCP) – This is a unit under the control of district tuberculosis office, Pondicherry. Free microscopy and DOTS therapy are extended to deserving patients. Patients are registered under RNTCP and help them to provide DOTS therapy.

SMOKING CESSATION CLINIC:

Services offered include an initial consultation with a Pulmonologist regarding smoking habits. Patient education is provided, and the motivation to stop smoking is discussed. Pharmaceutical intervention may be offered where appropriate counseling is also offered to patients attending the clinic and on a follow up basis as needed.

PULMONARY FUNCTION TEST:

Pulmonary Function Tests (PFT’s) are useful in diagnosing various lung disorders. They also measure the degree of impairment due to disease. The progression of a disease and the effectiveness of treatments can be carefully observed with regularly scheduled testing. Pulmonary Function Tests are also used frequently to assess preoperative risk and are done supervised by chief respiratory technician.

PULMONARY REHABILITATION:

Patients with COPD, ILD and other chronic lung diseases are benefited from pulmonary rehabilitation which is provided by a team of healthcare professionals from various specialities. The team consists of a

• Pulmonary physician,
• Clinical nurse specialist,
• Exercise physiologist,
• Respiratory therapist,

SLEEP DISORDER CENTRE:

• Sleep study suite in the second floor. Fully equipped with latest state of art equipments to diagnose sleep related disorders. BiPAP and CPAP titrations are also done by trained technicians.

INTERVENTIONS OFFERED:

BRONCHOSCOPY SERVICES:

Flexible Video Bronchoscopy is done for both diagnostic and therapeutic indications. A modern endoscopy suite with fluoroscopy is available for out-patient and In-patients. A fibreoptic Bronchoscopy system with video and photographic capability is used for performing bronchoscopies which helps in the complete visual assessment of air passages and in making an accurate diagnosis of infection, cancerous changes and also in obtaining biological samples for pathological examinations.

• Diagnostic Flexible Bronchoscopy
• Interventional Bronchoscopy
  • Endobronchial Biopsy
  • Transbronchial lung biopsy
  • Baloon Tamponade
  • Endobronchial instillation of Drugs
  • Foreign body removal
  • Whole lung lavage (WLL)

INTERVENTIONAL THORACOSCOPY:

Procedure done by trained Pulmonologist to visualize the pleural cavity and biopsy of the pleura in undiagnosed pleural effusions. Interventional Thoracoscopy

• Biopsy
• Pleurodesis
• Intercostal drain insertion

Thoracic Surgery

• VATS Lung Biopsy (Open Lung biopsy)
• Pneumonectomy
• Decortication
• Pleurodesis

Our department has the backing of good thoracic surgery service from the department of Cardio Thoracic Vascular Surgery. 

OTHER FACILITIES:

• Six minutes walk test (6 MWT)
• Allergen sensitivity tests
• Intercostal tube drainage and pigtail drainage
• Multidetector CT scan (MD CT)
• Pulmonary angiogram
• Closed pleural biopsy
• CT guided FNAC of Lung /pleural mass
• CT guided biopsy of Lung/Pleural mass
• USG guided pigtail drainage
• CT guided pigtail drainage (pleural)
• Oxygen titration
• CPAP titration
• Indwelling pleural catheter drainage (Pleurx catheter)
• Bronchial artery embolisation

• Kavitha Devi M, Yuvarajan S, Vickram Reddy, Kalaikovan B. A study on the levels of IGE as a biomarker in the management of bronchial asthma patients. Indian Journal of Immunology and Respiratory Medicine, 2016; 1(3): 58-62.
• Bency K. Thomas and S. Yuvarajan. Plasma Fibrinogen in Chronic Obstructive Pulmonary Disease – A Cross Sectional Study Conducted in a Tertiary Care Hospital in Puducherry, India. British Journal of Medicine & Medical Research, 2016; 14(7): 1-8.
• Antonious S, Yuvarajan S, Praveen, Gangi Reddy TK. Left pyopneumothorax with bronchopleural fistula and closure. Indian Journal of Immunology and Respiratory Medicine, 2016;1(4): 100-3.
• Bency K. Thomas, Praveen Radhakrishnan, S. Yuvarajan. A case of mixed connective tissue disorder with interstitial lung disease: case report. JMEDS, 2016; 5(33): 1860-62.
• Yuvarajan S, Ambikapathi P, Vickram Reddy, Kalaikovan B. A study on serum magnesium level in bronchial asthma patients. Indian Journal of Immunology and Respiratory Medicine, 2017; 2(1): 4-6.
• Mathanraj S.*, Vysak Kumar, Yuvarajan S., Vikram Reddy. Correlation of serum TNF alpha level with severity of chronic obstructive pulmonary disease. Int. J of Research in Medical Sciences, 2017; 5(8): 3309-16.
• Vysakh V Kumar, Yuvarajan.S, Gangi Reddy TK, Antonious. Tracheo-bronchial diverticulosis and Bronchiectasis. Indian Journal of Immunology and Respiratory Medicine, 2017; 2(1): 25-27.
• Nanda Kishore K.S., Yuvarajan S, Gangi Reddy T.K., Suresh S. Unilateral pulmonary hypoplasia with bullous lung disease a rare case report. Indian Journal of Immunology and Respiratory Medicine, 2017; 2(3): 96-97.
• Nanda Kishore, S. Yuvarajan, Gangireddy, Kalaikovan and A. K. Badrinath. Bronchiectasis and Pulmonary Hypertension in Sjogren’s Syndrome, 2017;7(4): 163-66.
• S bronchoscopy aided endo-bronchial instillation of itraconazole for the treatment of aspergilloma Indian Journal of Medical Case Reports. An Online International Journal 2013 Vol.2 (4) October-December, pp.4-8/Yuvarajan
• Thoracoscopic pleural brushing- An addendum in diagnostic Thoracoscopy. Yuvarajan S,  K Gangi Reddy European Respiratory Journal 2017.
• Sivagnaname Y. Utility of measuring exhaled carbon monoxide (ECO) level in addition to pulmonary function test (Spirometry) in the monitoring of chronic obstructive pulmonary disease (COPD). Int J Med Sci Public Health. 2014 3:289–94.
• Sivagnaname, S. Yuvarajan, R.L.J. De Britto. Urgent need for a permanent dengue surveillance system in India. Curr Sci, 102 (5) (2012), pp. 672-675.
• Yuvarajan S. Durga K. Gerard Rakesh J. Importance Of Pulmonary Complications In Dengue 3 International Journal of Basic and Applied Medical Sciences. Vol. 5 (1) January-April, pp. 322-327.
• M KD, Yuvarajan S, Thomas BK. Anterior mediastinal mass: A case report of thymoma. Int J Med Sci Public Health. (2015), [cited October 24, 2018]; 4(5): 730-732.
• Gerard Rakesh, T. Kasturi S. Yuvarajan. Bacterial agents causing acute exacerbations in Chronic Obstructive Pulmonary Disease (COPD) patients, their antibiograms to Extended Spectrum Beta-Lactamases (ESBL) production in a tertiary care hospital, India. Int J Curr Microbiol App Sci. 2013;2(11):273-82.
• Thomas BK, Radhakrishnan P, Yuvarajan S. A case of mixed connective tissue disorder with interstitial lung disease: case report. J. Evolution Med. Dent. Sci. 2016;5(33):1860-1862, DOI: 10.14260/jemds/2016/438.

Outreach and community programs

• Community visit to Thiruvennainallur Rural Health Training Centre every Friday between 8am to 1pm.
• Respiratory Medical camp conducted twice every year in the Rural health centers.

• World TB day – 24^thMarch
• World Sleep Disorder Day – 16^th March
• World Asthma Day – 1^stTuesday of May
• World No Tobacco Day – 31^st May
• Lung Cancer Day – 1^stAugust
• World Lung Day – 1^st August
• World Spirometry Day – 14^thOctober
• World Pneumonia Day – 12^thNovember
• World COPD day – 3^rd Wednesday of November