

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, Head
of Respiratory Department 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.
Dr Kunji Kannan successfully submitted the paper to the Journal of Bronchology and Interventional Pulmonology in June 2009 (In Press).
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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.
General medicine is also practised within the
department.
It is one
of the training centres for Master in Internal Medicine and
Fellowship in respiratory medicine in Malaysia. We can consider
accepting overseas respiratory physicians who wish to do
short-term clinical attachments with us. Overseas Post-graduate Medical Officers who wish to complete their final year Fellowship at our department are also welcome to apply.
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 for interventional pulmonology in
Malaysia. We also perform a high number of procedures in the
pulmonary physiology and sleep medicine units making us one
of the busiest subspecialities in internal medicine.
Currently, we are among the few internal medicine
specialists in Malaysia who perform procedures under general
anaesthesia every week.
Interventional pulmonology procedures
undertaken within the Department other than flexible
bronchoscopy include:
-
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
-
airway
stent insertion - for malignant airway
stenosis (mechanical palliation)
- 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
- Endobronchial valve (EBV) - for
persistent air leak
We are also actively involved in
pulmonary rehabilitation, respiratory research, clinical
trials and anti-smoking services.







Last updated July 4, 2009 9:22 PM
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