Clinical Services | Dr. Pavan Yadav M.V.

Minimally Invasive

Interventional Pulmonology

Over 15,000 bronchoscopy and thoracoscopy procedures performed across 18+ years of clinical practice. Advanced minimally invasive operations include flexible and rigid bronchoscopy, endobronchial ultrasound (EBUS-TBNA), cryobiopsy for interstitial diseases, and complex airway stenting.

Conditions for Thoracoscopy

Transplant Program

Lung Transplant Evaluation

Part of the largest thoracic transplant program in India with over 760 procedures done, and instrumental in setting up 2 large and comprehensive lung transplant programs in Bangalore, Karnataka. Rigorous candidacy assessment, organ donor listings, and ECMO bridging.

Post-Op Care

Post-Transplant Management

Long-term care regimens for lung transplant recipients. Supervised monitoring of immunosuppressive therapies, drug toxicity, viral prophylaxis, and diagnostics for acute or chronic organ rejection.

Biologics & Asthma

Severe Asthma Care

Comprehensive diagnostic profiling, including spirometry and airway inflammation assessments. Customized management structures for brittle, severe, or steroid-resistant asthma utilizing targeted biologic therapies.

Immunotherapy

Allergy & Immunology

Comprehensive diagnostic testing and personalized treatment for allergic rhinitis, respiratory allergies, drug and food hypersensitivities, allergen immunotherapy, and targeted biologic treatments.

Chronic Care

COPD & Emphysema Control

Tailored treatment pathways to reduce breathlessness and prevent exacerbations. Interventions include specialized inhaler training, lung volume reduction evaluations, and home oxygen therapies.

Pulmonary Rehab Criteria

Sleep Medicine

Sleep Medicine & Sleep Studies

Screening and diagnosis for obstructive sleep apnea (OSA), snoring, and insomnia. In-lab polysomnography (sleep study) services, CPAP/BiPAP titration, and long-term sleep respiratory monitoring.

Sleep Disorders & Warning Signs

Fibrosis Care

Interstitial Lung Disease (ILD)

Advanced diagnostic profiling and treatment paths for progressive pulmonary fibrosis and systemic autoimmune-related lung scarring. Monitoring and optimization of advanced anti-fibrotic medications.

Infectious Care

Advanced Pulmonary Infections

Expert clinical diagnosis and management of severe respiratory infections, including complicated community-acquired pneumonia, atypical bacterial infections, and pulmonary tuberculosis.

Critical Care & ICU

Critical Care & ECMO Support

ICU-based management for acute respiratory distress syndrome (ARDS) and acute lung failure. Integration of Extra-Corporeal Membrane Oxygenation (ECMO) as a bridge to transplant or recovery.

Clinical Indications & Diagnostic Criteria

Specialized Conditions & Evaluation Criteria

Evidence-based referral guidelines and clinical red flags detailing when specialized medical thoracoscopy, dedicated sleep disorder diagnostics, and supervised cardiopulmonary rehabilitation are warranted.

10 Clinical Indications

Interventional Pulmonology & Pleural Diseases

Conditions Warranting Thoracoscopic Evaluation

Medical thoracoscopy (pleuroscopy) offers direct visualization, targeted parietal biopsies, and therapeutic pleurodesis under conscious sedation for complex pleural conditions:

01
Unexplained Dyspnea Persistent breathlessness with suspected pleural etiology or non-diagnostic imaging
02
Recurrent Pleural Effusion Repeated accumulation of fluid around the lungs requiring definitive diagnosis & intervention
03
Exudative Pleural Effusion Undiagnosed exudate of unknown etiology despite previous diagnostic thoracentesis
04
Suspected Pleural Malignancy Staging and tissue diagnosis for mesothelioma or secondary metastatic pleural seeding
05
Fever with Pleural Effusion Suspected empyema, complicated parapneumonic collection, or tuberculous pleurisy
06
Hemorrhagic Pleural Effusion Persistent bloody pleural fluid requiring direct visualization, targeted biopsy & hemostasis
07
Pneumothorax with Air Leak Recurrent spontaneous pneumothorax or persistent alveolar-pleural air leakage
08
Trapped / Non-Expanding Lung Visceral pleural peeling assessment, adhesiolysis, and indwelling catheter guidance
09
Weight Loss with Pleural Disease Unexplained systemic wasting or constitutional symptoms accompanied by pleural changes
10
Complex Pleural Collections Post-traumatic or post-surgical multiloculated fluid collections refractory to simple drainage

10 Warning Symptoms

Sleep Health & Clinical Red Flags

Conditions Warranting Sleep Specialist Consultation

Recognizing clinical warning signs of chronic sleep architecture breakdown. Timely evaluation prevents long-term cardiovascular, metabolic, and cognitive complications:

01
Loud Habitual Snoring Chronic disruptive snoring indicating upper airway resistance, turbulence, or partial collapse
02
Nocturnal Choking or Gasping Witnessed breathing pauses, sudden snorts, or awakening with violent choking sensations
03
Excessive Daytime Sleepiness (EDS) Involuntary nodding off during conversations, meetings, reading, or while driving
04
Non-Restorative Sleep Persistent unrefreshing sleep leading to chronic daytime fatigue and low physical energy
05
Sleep Onset Insomnia Regular inability to initiate sleep within 30 minutes of lying down in bed
06
Sleep Maintenance & Awakenings Frequent fragmented nocturnal awakenings or waking too early with inability to return to sleep
07
Morning Headaches & Dry Mouth Waking with dull fronto-temporal headaches or parched oral mucosa from nocturnal mouth breathing
08
Cognitive Fog & Mood Swings Irritability, emotional lability, memory lapses, and diminished workplace executive performance
09
Restless Legs & Motor Urges Creeping sensations and an irresistible urge to move lower limbs during evening rest
10
Parasomnias & Circadian Disruptions Sleepwalking, night terrors, dream enactment, and rotating shift-work sleep misalignment

10 Core Disorders

Comprehensive Sleep Medicine Spectrum

Sleep Disorders Diagnosed & Managed

Advanced diagnostic screening, overnight polysomnography, and customized therapies across the full classification of sleep and circadian rhythm disorders:

01
Obstructive Sleep Apnea (OSA) Upper airway collapse causing repetitive hypoxemia, nocturnal arousals & cardiovascular load
02
Central Sleep Apnea (CSA) Neurological respiratory drive failure, Cheyne-Stokes breathing patterns & periodic hypopneas
03
Obesity Hypoventilation Syndrome (OHS) Daytime hypercapnia combined with sleep-disordered hypoventilation in elevated BMI
04
Insomnia Disorder Acute and chronic inability to initiate or sustain restful sleep, managed via CBT-I & pharmacotherapy
05
Shift Work Sleep Disorder (SWSD) Circadian phase misalignment, insomnia, and excessive sleepiness linked to atypical work shifts
06
Restless Legs Syndrome (RLS) Sensorimotor neurological urge to move legs during evening rest or recumbency, relieved by motion
07
Periodic Limb Movement Disorder (PLMD) Repetitive, involuntary nocturnal limb jerks causing cortical micro-arousals and sleep disruption
08
REM Sleep Behavior Disorder (RBD) Loss of physiological REM muscle atonia leading to motor dream enactment and potential injury
09
Narcolepsy & Idiopathic Hypersomnia Central disorders of hypersomnolence characterized by sudden sleep attacks & sleep inertia
10
Sleep-Related Bruxism Involuntary nocturnal teeth clenching or rhythmic grinding associated with sleep arousals

9 Target Conditions

Supervised Cardiopulmonary Conditioning

Conditions Requiring Pulmonary Rehabilitation

Structured, medically supervised exercise training, breathing retraining, and energy-conservation strategies designed to reverse breathlessness and physical deconditioning:

01
COPD & Chronic Emphysema Airflow obstruction causing progressive exertional dyspnea, dynamic hyperinflation & exercise limitation
02
Interstitial Lung Disease (ILD) Idiopathic pulmonary fibrosis, hypersensitivity pneumonitis, and connective tissue lung scarring
03
Bronchiectasis Abnormal bronchial dilatation requiring specialized airway clearance therapy and endurance conditioning
04
Severe & Uncontrolled Asthma High-dose dependent or brittle asthma with frequent exacerbations and significant functional decline
05
Pulmonary Hypertension (PH / PAH) Elevated pulmonary arterial pressures requiring closely monitored low-intensity rehabilitation regimens
06
Cystic Fibrosis (CF) Specialized mucus clearance protocols, respiratory muscle training & progressive aerobic conditioning
07
Post-COVID Pulmonary Fibrosis Prolonged post-viral respiratory sequelae, exertional desaturation & lingering breathlessness
08
Post Lung Transplant Care Pre-operative physiological conditioning ("prehab") and structured post-transplant functional recovery
09
Post Thoracic Surgery Recovery Targeted restoration of lung mechanics and vital capacity following lobectomy or pneumonectomy

Bespoke Respiratory & Lung Care