Dr Sampat Dash

19/11/2025

“When Breathless: Think of COPD”. Let’s pledge to fight for our lungs

Struggling to breathe? Persistent cough? Chest tightness?This episode dives deep into COPD (Chronic Obstructive Pulmonary Disease) — one of the most common y...

12/11/2025

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07/11/2025

An 80-year-old male developed sudden cough and breathlessness following accidental aspiration of a dental implant during a dental procedure.

Chest imaging revealed a metallic foreign body lodged in the right main bronchus.
The patient underwent flexible bronchoscopy under general anesthesia, during which the implant was successfully removed using grasping forceps without any complications.

The patient recovered uneventfully and was discharged the same day, highlighting the effectiveness of timely bronchoscopic intervention in elderly patients

Department of Respiratory Medicine
Ashwini Hospital, Cuttack

26/09/2025

https://youtu.be/Z5hV7i2K6Wo?si=FfDj_nUMXEfmeeQO

🫁 Want to keep your lungs strong and healthy? In this exclusive interview, renowned Pulmonologist Dr. Sampat Dash shares expert tips for maintaining lung he...

08/09/2025

“An honour to share and discuss Pulmonology with esteemed professionals of Respiratory Medicine”

04/09/2025

“From Stridor to Smooth Breathing: Endoscopic Rescue of Complex Grade 3 Tracheal Stenosis in a Young Adult”.

A 21-year-old male with prolonged mechanical ventilation developed Grade 3 complex post-intubation tracheal stenosis causing severe airflow limitation. He was neurologically unstable and unfit for definitive surgical repair.

Rigid bronchoscopy with ENDOCUT incision and CRE balloon dilation restored airway patency. A silicone tracheal stent (16 mm × 5 cm) was placed to maintain lumen calibre and prevent early restenosis, as isolated dilation carries a high recurrence risk in complex stenosis. The patient was extubated on-table, breathing comfortably, and discharged with guidance on secretion clearance and stent care.

This timely, minimally invasive approach transformed a critical airway obstruction into a stable, functional airway, highlighting the effectiveness of advanced endoscopic techniques in complex PIT which is safe and effective bridge to potential future definitive management if needed.

Department of Pulmonary Medicine
Ashwini Hospital, Cuttack

26/08/2025

A 72-year-old man endured six months of cough and sputum despite multiple antibiotics for presumed unresolving pneumonia. Bronchoscopy unveiled the real cause — Areca nut (🌰-Pan Chewing) pieces lodged in the right intermediate bronchus amid profuse secretions.Both were skillfully removed, restoring airway patency. Extubated on the table, he recovered well and was discharged on oral antibiotics and mucolytics. This case underscores the importance of suspecting a hidden foreign body when pneumonia refuses to resolve — sometimes, the smallest obstruction can cause the biggest mystery.Regards Department of Pulmonology Ashwini Hospital, Cuttack

20/08/2025

Absolutely delighted to be at PACS 2025 in Delhi – what an amazing academic fiesta! 🎉📚✨ Learning, networking, and loads of inspiration all around! 🙌

11/07/2025

Breathless but Not Beyond Hope: Life-Saving Bronchoscopic Removal of a Rare Tracheal Inflammatory Myofibroblastic Tumour

Inflammatory Myofibroblastic Tumour (IMT) is an uncommon, low-grade neoplasm that rarely affects the central airway. We report a dramatic case of a 24-year-old male who presented with progressive respiratory distress and inspiratory stridor. Urgent imaging and bronchoscopy revealed a large tracheal mass occluding approximately 80–90% of the lumen, posing an imminent threat to life.

The patient was immediately taken up for therapeutic intervention. Under general anesthesia, rigid bronchoscopy was performed. A vascular, polypoidal tumour was identified arising from the posterior tracheal wall. Initial debulking was achieved with a mechanical snare, followed by cryoextraction of tumour remnants. Argon plasma coagulation (APC) was then employed to ablate the tumour base and achieve haemostasis. This multimodal bronchoscopic approach restored airway patency successfully.

Histopathology confirmed the lesion as an inflammatory myofibroblastic tumour. The patient had a smooth postoperative recovery and was discharged with complete resolution of respiratory symptoms.

This case highlights the critical importance of early diagnosis and the potential of advanced interventional pulmonology techniques in managing central airway obstructions. Rigid bronchoscopy, combined with tools like snare, cryotherapy, and APC, offers a safe and effective alternative to open surgery, especially in urgent scenarios.

Such rare presentations remind us of the vital need for vigilance and prompt action in airway emergencies.

Regards,
Dr. Sampat Dash
Department of Respiratory Medicine
Ashwini Hospital, Cuttack

09/07/2025

Recent advances in international pulmonology highlight the growing role of precision diagnostics and minimally invasive interventions in managing complex respiratory diseases.

29/06/2025

"Successful Airway Management with Silicone Tracheal Stenting in a High-Risk Bedridden Patient with Cervical Myelitis and Tracheal Stenosis".

A 47-year-old male with cervical myelitis, bedridden status, and a grade 3 Post Intubation Tracheal Stenosis (PITS) complicated by granulation tissue and fibrosis due to prolong mechanical ventilation was referred to our centre due to respiratory distress and persistent cough. He also had associated grade 4 pressure sores. Given his poor general condition and high surgical risk, he was deemed unfit for definitive surgical repair the patient attendant opted for a less invasive approach, and the patient underwent successful placement of a silicone tracheal stent to relieve airway obstruction and stabilize his breathing. The procedure was completed without complications. Following the intervention, the patient showed marked improvement in respiratory function and remained clinically stable. This case underscores the importance of individualized, minimally invasive airway management in patients with severe tracheal pathology who are not suitable for surgery, demonstrating that silicone stenting can be an effective and well-tolerated alternative in such high-risk cases.

Department of Respiratory Medicine Ashwini Hospital, Cuttack Odisha

02/06/2025

Covid once again: Don’t panic but take precautions.