Respiratory Medicine & Interventional Pulmonology

SPECIALITIES

  • Respiratory medicine is the subspecialty of internal medicine that focuses on the diagnosis and management of disorders of the respiratory system, including the lungs, upper airways, thoracic cavity, and chest wall.
  • Department of Respiratory medicine expertise in diagnosis and treatment of structural, inflammatory, infectious, and neoplastic disorders of the lung parenchyma, pleura and airways, pulmonary vascular disease and its effect on the cardiovascular system, and detection and prevention of occupational and environmental causes of lung disease.
  • Diseases commonly evaluated and treated by respiratory physician include asthma, chronic obstructive lung disease (COPD), emphysema, lung cancer, interstitial and occupational lung diseases, complex lung and pleural infections including tuberculosis, pulmonary hypertension, and cystic fibrosis.
  • Special focus on
  • Interventional pulmonology
  • sleep-disordered breathing (such as sleep apnea) providing diagnostic and therapeutic services in sleep laboratories.
  • Tuberculosis – pulmonary and extra pulmonary.
  • Pulmonary rehabilitation.
  • Smoking cessation clinics.
  • Allergy clinics.
  • Oxygenation and Bipap therapy for Respiratory Failure patients
  • Inhalation Therapy- MDI, DPI, Nebulization
  • Diagnostic tools
  • Pulmonary function test
  • Sleep study – polysomnography
  • Imaging services X- ray , CT – PLAIN , CONTRAST , HRCT .

INTERVENTIONS

BRONCHOSCOPY – RIGID AND FLEXIBLE

  • Bronchioalveolar lavarge
  • Biopsies – Airway

BRONCHOSCOPY – RIGID AND FLEXIBLE

  • Pleural Procedures
  • Chest Ultrasound
  • Ultrasound-Guided Thoracentesis
  • Management and Treatment of Persistent Bronchopleural / Alveolopleural Fistulas
  • Ultrasound-Guided Small and Large Bore Chest Tube Placement
  • Surgical Chest Tubes
  • Tunneled Pleural Catheters.
  • Thoracoscopy, Pleural Biopsy and Chemical Pleurodesis

IMAGING GUIDED PROCEDURES

  • CT guided biopsies
  • USG guided – FNAC

FUTURE GOALS OF THE DEPARTMENT

THERAPEUTIC BRONCHOSCOPY PROCEDURES AND AIRWAY STENTING/DILATATION

  • Metallic, Silicone Stents and Montgomery T-Tubes
  • Balloon Tracheoplasty and Bronchoplasty
  • Whole Lung Lavage

TUMOR DESTRUCTION AND CONTROL OF CENTRAL AIRWAY BLEEDING

  • Microdebrider
  • Electrocautery
  • Argon Plasma Coagulation
  • Laser
  • Cryotherapy
  • Photodynamic Therapy

ENDOBRONCHIAL THERAPY

  • Bronchial Thermoplasty for severe asthma
  • Endobronchial valve lung volume reduction (one-way valves)
  • Steroid Injection
  • Endobronchial Administration of Mitomycin
  • Fiducial Placement
  • Lung tattooing

ADVANCED DIAGNOSTIC BRONCHOSCOPY

  • Diagnostic Modalities for Diagnosis of Early Lung Cancer
  • Narrow Band Imaging
  • Radial EBUS: Assessment of Airway Invasion
  • Diagnostic Modalities for Diagnosis of Peripheral Lung Lesions
  • Electronavigational Bronchoscopy
  • Radial EBUS and Fluoroscopy
  • Diagnostic Modalities for Lymph Node Sampling
  • Linear EBUS: Real-Time Sampling with Transbronchial Needle Aspirate

SPECIALITIES