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 ©This web site is maintained by Web Master, Department of Respiratory Medicine