Respiratory critical care ^{Respiratory Critical Care | Best Chest Hospital in Delhi | Moolchand Hospital}

Mechanical Ventilation and Respiratory Support

• Invasive mechanical ventilation for severe respiratory failure and ARDS

• Lung-protective low tidal volume ventilation for ARDS management

• Non-invasive positive pressure ventilation for COPD exacerbation and acute pulmonary oedema

• High-flow nasal oxygen therapy for acute hypoxaemic respiratory failure

• Prone positioning for refractory hypoxaemia in severe ARDS

• Weaning protocols and spontaneous breathing trial management

• Extubation readiness assessment and post-extubation respiratory support

Acute Respiratory Distress Syndrome Management

• Rapid ARDS diagnosis and severity stratification using Berlin definition criteria

• Lung-protective ventilation strategy with low tidal volume and high PEEP protocols

• Prone positioning for severe ARDS with refractory hypoxaemia

• Conservative fluid management strategy for ARDS outcomes optimisation

• Corticosteroid therapy for moderate to severe ARDS when clinically indicated

• Multidisciplinary management of ARDS secondary to pneumonia, sepsis and aspiration

• Long-term post-ARDS pulmonary rehabilitation and follow-up

Severe Pneumonia and Respiratory Infection Critical Care

• Emergency assessment and empirical antibiotic therapy for severe community-acquired pneumonia

• Hospital-acquired and ventilator-associated pneumonia prevention and management

• Septic shock management for pneumonia with haemodynamic compromise

• Microbiological culture, sensitivity and serological evaluation for targeted antimicrobial therapy

• COVID-19 severe pneumonia and post-COVID respiratory complication management

• Aspiration pneumonia assessment and management in the critical care setting

• Antimicrobial stewardship protocols for responsible antibiotic management

COPD and Asthma Critical Care

• Management of severe and life-threatening acute exacerbations of COPD

• Non-invasive ventilation as first-line respiratory support for hypercapnic COPD exacerbation

• Bronchodilator and corticosteroid therapy optimisation in acute COPD exacerbation

• Mechanical ventilation and weaning for COPD patients with ventilatory failure

• Status asthmaticus assessment and management including intravenous bronchodilator therapy

• Magnesium sulphate and heliox therapy for refractory severe asthma

• Post-exacerbation COPD and asthma management and discharge planning

Pulmonary Embolism Critical Care

• Rapid diagnosis and risk stratification of acute pulmonary embolism

• Haemodynamic monitoring and support for massive and submassive pulmonary embolism

• Systemic thrombolysis for life-threatening massive pulmonary embolism

• Anticoagulation therapy initiation and monitoring for pulmonary embolism

• Catheter-directed therapy coordination with interventional radiology for selected cases

• Long-term anticoagulation management and pulmonary hypertension follow-up

Respiratory Failure in Immunocompromised Patients

• Respiratory failure management in haematological malignancy and transplant patients

• Pneumocystis pneumonia evaluation and management in immunocompromised patients

• Fungal and opportunistic respiratory infection diagnosis and antifungal therapy

• Non-invasive ventilation preference to avoid intubation in immunocompromised patients

• Coordination with haematology and oncology for integrated immunocompromised respiratory care

Tuberculosis and Severe Respiratory Infection Critical Care

• Severe TB with respiratory failure evaluation and antitubercular therapy initiation

• Drug-resistant TB critical care management including MDR-TB and XDR-TB

• Isolation protocols for infectious respiratory conditions in the ICU

• Bronchoscopic evaluation for diagnostic confirmation in severe respiratory infections

• Coordination with infectious disease for complex antimicrobial management

Pleural Emergency Management

• Tension pneumothorax emergency decompression and chest tube insertion

• Massive pleural effusion drainage and respiratory decompression

• Empyema thoracis evaluation and intercostal drain management

• Haemothorax assessment and surgical referral when indicated

• Medical thoracoscopy for complex pleural conditions in collaboration with respiratory institute

Ventilator Weaning and Rehabilitation in Critical Care

• Structured weaning protocol for prolonged mechanically ventilated patients

• Spontaneous breathing trial assessment and readiness evaluation

• Tracheostomy care and decannulation management for prolonged ventilated patients

• Early mobilisation and physiotherapy within the respiratory ICU

• Inspiratory muscle training for ventilator weaning facilitation

• Seamless transition to respiratory rehabilitation following ICU discharge

Post-ICU Respiratory Follow-Up

• Structured post-ICU follow-up clinic for respiratory critical care survivors

• Post-ARDS and post-COVID respiratory function assessment and monitoring

• Pulmonary rehabilitation initiation for post-ICU functional recovery

• Psychological support for ICU-acquired post-traumatic stress disorder

• Long-term respiratory outcome monitoring and treatment optimisation

• Coordination with pulmonology outpatient services for continued care