Pulmonology

Pulmonology is a medical specialty that deals with diseases involving the respiratory tract. Pulmonology is synonymous with pneumology ,respirology and respiratory medicine.

Pulmonology is known as chest medicine and respiratory medicine in some countries and areas.Pulmonologists are specially trained in diseases and conditions of the chest, particularly pneumonia, asthma, tuberculosis, emphysema, and complicated chest infections.

At Emirates Hospital you will find the best Pulmonary Services in Dubai, UAE. Our qualified doctors specialize in the management of all aspects of chest and lung disorders, including Bronchial Asthma, COPD, Bronchiectasis, Pneumonia, Vascular and Interstitial lung diseases. . We deal with sleep disorders and its co-morbidities. Patients with Allergy related disorders including urticaria, allergic rhinitis and allergic asthma are also treated at our Hospital. Patients with Pulmonary and chest manifestation secondary to other systemic disorders including autoimmune disorders, vaculitis and cardiovascular diseases has a significant attention and special care at our clinics. If you are facing any of the above-mentioned adversities then call us now!


Diagnosis

The pulmonologist begins the diagnostic process with a general review focusing on:

  •  hereditary diseases affecting the lungs (cystic fibrosis, alpha 1-antitrypsin deficiency)
  • exposure to toxins (tobacco smoke, asbestos, exhaust fumes, coal mining fumes)
  • exposure to infectious agents (certain types of birds, malt processing)
  • an autoimmune diathesis that might predispose to certain conditions (pulmonary fibrosis, pulmonary hypertension)

Physical diagnostics are as important as in the other fields of medicine.


Procedures

  • Laboratory investigation of blood (blood tests). Sometimes arterial blood gas measurements are also required.
  • Pulmonary Function Test (the determination of air flow rates, lung volumes and diffusion capacity with response to bronchodilatators and diffusion of carbon monoxide)
  • Bronchoscopy with bronchoalveolar lavage (BAL), endobronchial and transbronchial biopsy and epithelial brushing
  • Chest X-rays
  • CT scanning (MRI scanning is rarely used)
  • Scintigraphy and other methods of nuclear medicine
  • Positron emission tomography (especially in lung cancer)
  • Polysomnography (sleep studies) commonly used for the diagnosis of Sleep apnea


Surgical procedures

Major surgical procedures on the heart and lungs are performed by a thoracic surgeon. Pulmonologists often perform specialized procedures to get samples from the inside of the chest or inside of the lung. They use radiographic techniques to view vasculature of the lungs and heart to assist with diagnosis.


Treatment and Therapeutics

Medication is the most important treatment of most diseases of pulmonology, either by inhalation (bronchodilators and steroids) or in oral form (antibiotics, leukotriene antagonists). A common example being the usage of inhalers in the treatment of inflammatory lung conditions such as asthma or chronic obstructive pulmonary disease. Oxygen therapy is often necessary in severe respiratory disease (emphysema and pulmonary fibrosis). When this is insufficient, the patient might require mechanical ventilation.

Pulmonary rehabilitation has been defined as multidimensional continuum of services directed to persons with pulmonary disease and their families, usually by an interdisciplinary team of specialists, with the goal of achieving and maintaining the individual’s maximum level of independence and functioning in the community. Pulmonary rehabilitation is intended to educate the patient, the family, and improve the overall quality of life and prognosis for the patient. Interventions can include exercise, education, emotional support, oxygen, noninvasive mechanical ventilation, optimization of airway secretion clearance, promoting compliance with medical care to reduce numbers of exacerbations and hospitalizations, and returning to work and/or a more active and emotionally satisfying life. These goals are appropriate for any patients with diminished respiratory reserve whether due to obstructive or intrinsic pulmonary diseases (oxygenation impairment) or neuromuscular weakness (ventilatory impairment). A pulmonary rehabilitation team may include a rehabilitation physician, a pulmonary medicine specialist, and allied health professionals including a rehabilitation nurse, a respiratory therapist, a physical therapist, an occupational therapist, a psychologist, and a social worker among others.

In the United States, pulmonologists are physicians who, after receiving a medical degree (MD or DO), complete residency training in internal medicine, followed by at least two additional years of subspeciality fellowship training in pulmonology. After satisfactorily completing a fellowship in pulmonary medicine, the physician is permitted to take the board certification examination in pulmonary medicine. After passing this exam, the physician is then board certified as a pulmonologist. Most pulmonologists complete three years of combined subspecialty fellowship training in pulmonary medicine and critical care medicine.



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