Comprehensive Management of End-Stage Renal Disease at Desun Hospital, Kolkata

December 13, 2025

Background and Patient Profile

A 52-year-old man from South 24 Parganas, living with long-standing diabetes, arrived at Desun Hospital, Kolkata in a critical condition. He had been experiencing breathlessness, swelling of the legs, uncontrolled hypertension, and extreme fatigue, which are all prominent indicators of end-stage renal disease (ESRD). His biochemical tests showed dangerously high levels of potassium, abnormal buildup of waste products like urea and creatinine in blood, and fluid overload, a combination that puts patients at significant risk of cardiac arrest.

Emergency Stabilisation and Critical Intervention

The first challenge for Desun’s Nephrology and Critical Care teams was to stabilise the patient’s electrolyte imbalance and prevent life-threatening complications. Given the urgency, the team promptly initiated CRRT(Continuous Renal Replacement Therapy), a specialised dialysis technique used for hemodynamically unstable patients, which led to gradual flushing of toxins, fluid, and electrolytes from the system, preventing sudden blood pressure fluctuations. Nephrologists simultaneously managed his diabetic status, blood pressure, and cardiac monitoring. The Critical Care team ensured precise fluid management and close observation. Within 24 hours, his potassium levels normalised, breathlessness reduced, and urine output improved. With Desun recently receiving JCI (Joint Commission International) accreditation, the global gold standard in patient safety and quality care, treatment protocols have been further strengthened and levelled at par with international standards.

Transition to Routine Dialysis and Holistic Long-Term Care

Once stabilised, the patient was shifted to Desun’s state-of-the-art 20-bedded dialysis unit, one of the most advanced in the region. He was placed on routine haemodialysis thrice weekly. Dietitians designed a renal-friendly diet plan tailored to his diabetes and fluid restrictions, while nursing teams educated him and his family on early warning signs and lifestyle adaptations. Over the following weeks, the nephrology team emphasised on long-term vascular access planning, an essential component in dialysis-dependent patients. He successfully underwent AV fistula procedure under the guidance of Desun’s Vascular Surgeons and Nephrology specialists, ensuring a reliable and safe dialysis route for the future.

Rehabilitation, Monitoring, and Life Beyond Crisis

After stabilisation, the patient regained strength, resumed daily activities, and his cardiac and renal parameters began showing steady improvement. Today, he visits Desun Hospital thrice a week for maintenance dialysis. Each session is seamlessly coordinated, ensuring minimal wait time and maximum patient comfort. Regular evaluations, including cardiac echocardiography, HbA1c tracking, iron studies, and dialysis adequacy assessments, ensure his chronic kidney disease (CKD) remains well-managed. The integrated ecosystem of Nephrologists, Endocrinologists, Dietitians, and the Nursing staff continues to optimise his quality of life.

Outcome and Clinical Significance

This case highlights how timely renal replacement therapy, skilled emergency care, and multidisciplinary coordination can save even patients with ESRD from the most severe complications. From initiating CRRT to establishing long-term dialysis support, Desun Hospital’s Nephrology services demonstrate clinical efficiency, technological capability, and patient-centric care. Today, the patient leads a stable and productive life, an outcome made possible by Desun’s commitment to excellence in Nephrology and critical renal care.