Department of Respiratory Medicine
Queen Elizabeth Hospital
Kota Kinabalu
Sabah, Malaysia

WHO GUIDELINES FOR THE PREVENTION OF TB IN HEALTH CARE WORKERS

Dr Jamalul Azizi (above photos) presented his paper "Medical Thoracoscopy (Pleuroscopy) in East Malaysia: Early Experience" at the 15th World Congress for Bronchology and Bronchoesophagology in Tokyo, Japan on April 1, 2008.

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DEPARTMENTAL INFORMATION:

The Department of Respiratory Medicine provides the full range of respiratory services for inpatient and outpatient care. As part of our policy, patients with suspected lung cancers will be seen as a matter of urgency and given high priority. Given that many respiratory patients have multiple medical problems, general medicine is also practised within the department.

It is one of the training centres for Masters in Internal Medicine and Fellowship in respiratory medicine in Malaysia. Overseas physicians are welcome to do short-term attachments with us.

The unit comprises 34 beds and incorporates a bronchoscopy/pleuroscopy suite and a High Dependency Unit for the management of patients with respiratory failure requiring non-invasive ventilation (e.g. Bi-PAP and CPAP).

We have the highest workload in interventional pulmonology in Malaysia. We also have a high number of procedures undertaken in the pulmonary physiology and sleep medicine units making us one of the busiest subspecialities in internal medicine. Currently, we are one of the few internal medicine specialists in Malaysia who perform procedures under general anaesthesia every week.

Interventional pulmonology procedures undertaken within the Department include:

  • flexible bronchoscopy
  • rigid bronchoscopy - First respiratory centre in Malaysia with this expertise
  • YAP laser - First respiratory centre in Malaysia using YAP laser. It is used in the management of early lung cancer, debulking of tumours and haemoptysis
  • argon plasma coagulation (APC) - for treatment of haemoptysis and early lung cancer
  • cryotherapy - for treatment of early lung cancer, recanalisation of central airway tumours and taking large endobronchial biopsy
  • transbronchial needle aspiration (TBNA) - for sampling mediastinal or hilar lymph node/masses thus reducing the need for EUS, mediastinoscopy or PET scan. TBNA is usually done via rigid bronchoscope
  • airway stent insertion - in cases of malignant airway stenosis
  • Topical Mitomycin C - adjunct treatment of benign airway stenosis in combination with rigid bronchoscope, APC and laser
  • bronchoscopic lung volume reduction (BLVR) - for treatment of emphysaema
  • pleuroscopy - for cases of pleural effusion
  • Talc poudrage - for management of malignant pleural effusion and pneumothorax
  • Autofluorescence bronchoscopy - for detection of early lung cancer

We are also actively involved in pulmonary rehabilitation, respiratory research, clinical trials and anti-smoking services.

Last updated January 1, 2009 9:25 PM