Interventional pulmonology is a safe and noninvasive way to diagnose and treat lung disorders. Our interventional pulmonologists specialize in all pulmonary diseases and complicated problems of the airways. Patients with lung cancer, cancer of the airways, pulmonary nodules, complex airways disease, complicated asthma, and other pulmonary conditions will benefit from our full scope of advanced services. For patients with early endobronchial disease or the most complex lung condition, we offer every diagnostic and therapeutic modality available.
Interventional Pulmonology Procedures
Bronchoscopy is the most common interventional pulmonology procedure. During bronchoscopy, a doctor advances a flexible endoscope (bronchoscope) through a person's mouth or nose into the windpipe. The doctor advances the bronchoscope through the airways in each lung, checking for problems. Images from inside the lung are displayed on a video screen.
The bronchoscope has a channel at its tip, through which a doctor can pass small tools. Using these tools, the doctor can perform several other interventional pulmonology procedures.
For people with lung cancer or other cancers, interventional pulmonology biopsies can often accurately identify spread of cancer into lymph nodes. This can prevent unnecessary surgery or help determine the best choice for treatment.
Using a bronchoscope, a doctor can advance a wire mesh stent into a narrowed airway. Expanding the stent can open a bronchus and relieve symptoms caused by the constriction.
Endobronchial ultrasound (EBUS) is a technique that uses ultrasound along with bronchoscope to visualize mediastinal lymph nodes and lung nodules. It is minimally invasive technology & highly effective procedure to sample mediastinal & hilar nodes for diagnosis such as:
- Investigate enlarged lymph nodes in the chest.
- Diagnose conditions such as sarcoidosis or tuberculosis.
- Diagnose & Stage Cancer
What are mediastinal & hilar lymph nodes?
Mediastinal & hilar lymph nodes are anatomic structures that play an important role the body's lymphatic system. They are located in a region of the body called the mediastinum, which is part of the chest cavity between the heart and lungs.
What is EBUS TBNA?
Endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) is a reliable and an established technique, which can be perceived as the current gold standard that enables visualisation and sampling of mediastinal or hilar lymph nodes under real time ultrasound guidance.
How is EBUS TBNA performed?
EBUS TBNA procedure is most often performed under local anaesthesia and sedation on day care basis. Sometimes patients may need to be hospitalised.
The dedicated EBUS TBNA broncoscope is passed orally through the vocal cords into the airway. The mediastinal and hilar lymph nodes are visualised on the monitors using the ultrasound probe at the tip of bronchoscope. The EBUS-TBNA needle is inserted into the lymph nodes under real time ultra sound guidance and samples obtained.
What are the chances of making the diagnosis?
The diagnosis yield on EBUS –TBNA may vary from 74% to 95%. In our recently published scientific paper, the diagnostic yield in our setting was 89%.
Obstructive Sleep Apnea
In obstructive sleep apnea the upper airway repeatedly collapses during sleep, causing a decreased airflow that stresses the heart, the body and raises blood pressure. this condition may worsen glucose control and insulin resistance, and lead to blood sugar imbalance. for some people, their airflow decreases during sleep which causes sleep disruptions and decreased sleep quality. sleep disordered breathing may cause daytime sleepiness, headaches, lack of energy and chronic aches and paions.
- Day time fatigue and sleepiness
- Sleepiness while watching tv or reading
- Morning headaches
- Urination at night
- A dry throat on waking up
- Gasping or choking at night
- Teeth grinding
- Disrupted sleep
- Night time arm and leg movements
- High blood pressure
- Heart failure
- Increase risk of having work related or driving accidents
- Mood swings
- Poor memory, learning problems or inability to concentrate
- Personality changes
- Panic attacks
- High blood pressure
- Type II diabetes
- Chronic pain syndrome
- Women who have gone through menopause
- Prevent or delay the progression of Type 2 diabetes
- Reduce diabetic complications
- Improve daytime energy and glucose control
- Reduce the potential risk for heart attack, stroke and heart disease