Outdoor dialysis Unit -20 bedded

| Most modern dialysis center

| Separate room for Hepatitis-C

Dialysis performed in 3 shifts per day

Cost of Dialysis Treatment
in Kidney Foundation :

| Dialysis Charge = 650/- Taka for acetate dialysis
                                 (9 US$ / dialysis)

                              = 1200- taka for bicarbonate dialysis
                                 (17 US$ / dialysis)

Kidney transplant Unit

| Two operation theatres
| Four bed ICU Unit
| Two reserved cabin for transplant patient preparation

Transplant operation preformed every Monday at 2-30 pm.

In patient facility :
| Male Ward
| Female Ward
| Special Ward
| Cabin block

Out door facility :
| Every day : 9AM-9PM
| Specialist consultation every Saturday :5PM-9PM


|
Kidney transplantation surgery with ICU
stay for 14 days and transplant
medicine = 2,30,000/- Taka (US$ 3000.00)

| Preparation for donor : 25,000/- taka (350 US$) along
with lab investigation and C-T renal angiogram.

| Medical officer = 20/- Taka / Patient
(0.3 US$ / patient)

| Specialist Charge = 100-150/- Taka / Patient
(1.5-2.00 US$ / Patient)
| Ward = 400/- Taka / day (6 US$ / day)

| Non AC Cabin = 1200/- Taka / day (17 US$ / day)

| AC Cabin = 1700/- Taka / day (24 US$ / day)

| Lab Service : 30% discount in all tests and 50% discount
for dialysis & transplant patients

Laboratory Services:
| All Biochemical tests performed in auto analyser.
| ELISA technique
| Microbiological test
| Routine blood, Urine, stool test

Ultra-sound examination :
All laboratory tests preformed with 30-50% discount rate
| 30% discount for all patients
| 50% discount for dialysis patient, transplant patient and research.


*** For further quires please visit our Forum. ***

Present activities of Kidney foundation

 

Adobe Systems

Adobe Systems

Adobe Systems

 

Adobe Systems

Adobe Systems

 

Adobe Systems

 

 

 

 

 

Interventional Nephrology :

|           Temporary dialysis access :Subclavian vein/Jugular
            vein catheter for  dialysis access

|           A-V fistula for permanent dialysis access

|           Renal biopsy.

Other  surgical operation :

|          Stone surgery

|           Lower Urinary tract Obstruction

|           Kidney, bladders, prostate surgery

|           Pediatric urological problem.

All procedure and surgical operation performed at affordable  prices
within your reach as compared  to profitable centers.

 

How a kidney donor is selected in kidney foundation

The following relationship with patient is evaluated first.

| The Relationship is a must : -

• Parent to sibling
• Sibling to sibling
• Maternal and paternal uncle/Aunty
• Spouse to spouse

| Age-Between 18-65 years age

| Blood Group :

• 'O' for Universal donor
• AB for Universal recipient
• A and B similar with donor & recipient

The following disease are excluded from donor

• Diabetes, Hypertension, kidney disease,systemic disease affecting kidney,cancer :

The Kidney function and other test of donor must be normal :

| eGFR > 75 ml sqm/min

| UTP < 250 mg/ day

| HbsAg, Anti HCV, HIV, VDRL-all negative

| CMV- negative

Tissue Type : Should be done in all cases :
| At least 25% match with recipient. Cross match negative including

| T cell and B cell.

| Renal C-T angiogram..

| ECG/X-ray chest/other as & when necessary.

 

How a recipient is selected :

The recipient must be End Stage Kidney Disease
           •          Age -12 to 60 years age

The Cause of ESRD to be  evaluated  for recipient :

The following diseases are contra-indicated for transplant :

           •          Obstructive  Uropathy
           •          Neurogenic bladder
           •          Accelerated Hypertension
           •          Acute myocardial infarction
           •          Severe left  ventricular dysfunction
           •          Atherosclerotic changes in medium and great vessels
           •          Cancer
           •          Chronic infection
           •          Rapidly progressive  GN of recent onset
           •          Active tuberculosis
           •          Active CMV infection.

|          Preparation for a recipient :

           •          Physical fitness
           •          Control of Hypertension and diabetes
           •          Control of infection
           •          HbsAg, HCV, HIV, VDRL-negative
           •          Blood group/tissue type
           •          Psychiatric assessment
           •          Social assessment
           •          Economic condition.

|           How a Kidney Recipient is prepared :

           •          eGFR- ? 15 ml-Preparation for RRT to be started
           •          Cause of  ESRD-.
           •          A-V fistula constructed
           •          Monthly monitoring of  renal function test.

 

Kidney foundation is also preparing to perform
cadaver/deceased kidney transplant :

Deceased kidney transplant :

| During life one can donate kidney only to close relations.
| After death, any body between 5-60 years of age can donate kidney.
| The death is defined as "Brain death" not the death of other tissue.
| Once brain tissue is dead the person is declared "death" by a team of doctor (brain death committee)

Evaluation and selection of deceased donor.
Once consent is obtained from close relations the following factors is to be considered for deceased donor.

a) Donor history on the mechanism of death
b) Period of hypotension or cardiac arrest.
c) Need for vaso-active medications
d) Previous surgery
e) Social history
f) Presence of infectious disease HIV, HbsAg, Anti, HCV, CMV
g) Specific organ function :
h) X-ray chest /ECG/ECHO

Absolute contraindication to deceased organ donation :

1. Malignancy outside CNS
2. Long standing Hypertension .
3. Prolonged warm ischaemia
4. Hepatitis-B surface antigen
5. Sepsis
6. Intravenous drug abuse
7. HIV infection

Relative contra-indication of deceased kidney donor :

Age > 60 < 6
Hypertension -
Diabetes mellitus
ATN
Cr > 2.5 mg/dl
Hepatitis -C
Prolonged warm and cold ischaemic time

Ideal deceased donors are young, brain death donors free of any disease with minimal warm ischaemic times.
Haemodynamic management of deceased donor :

1. Maintaining adequate blood pressure systolic > 100 mm of Hg
Urine out put > 100 ml/Hr

2. Maintaining adequate hydration, not over hydration.

3. Haemodynamic monitoring with
a) CVC
b) Arterial line
c) Pulmonary artery catheter

4. Vesopressure support :
a) Dopamine up to 15 mg/kg/min
(Renal dose 3-5 mg/kg/min)

5. Warm ischaemia time of less than one hour time.

Organ preservation :
Preservation of organ after retrieval is the cornerstones of successful transplantation.

Two methods for kidney preservation.
1. Static cold storage = 18-24 hour
2. Machine perfused Kidney = 24-30 hours

 

How you can help building New Kidney Foundation Hospital
at Mirpur, Dhaka [ 200 bedded Hospital ]

 

You can donate money to build Ward, Cabin, O.T, ICU and named it as per your wish.

 

-           Operation Theatre block                       -           2 Crore taka
-           Intensive Care Unit                               -           1 Crore taka
-           One floor of Hospital building                -           3.5 Crore taka
-           Diagnostic & Imaging block                  -           3 Crore taka
-           Cabin block  10 bed single                    -           2 Crore taka each
                                 10 bed double
-           6 bed ward                                           -           45 lac taka

|           Dialysis Machine                                   -           one for 8 lac taka
|           Sponsoring dialysis patients                   -           2 lac taka per patient per year
|           Sponsoring transplant patients               -           2 lac taka per patient.

The donation can be given in Cheque/Cash to "Kidney Foundation" Dutch Bangla Bank Ltd. Bangladesh or Social Investment Bank Ltd. Dhanmondi, Dhaka.

 

*** For further quires please visit our Forum. ***

 


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