Department of Respiratory Medicine

 

Brief History

This department was started at the extension building of Yangon General Hospital on 19 February 1982. It was initially founded by Senior Consultant Physician Dr Kyaw Myint with the great aid of staff nurse Daw Thein Yee. Later, both of them were promoted to Professor and Sister. This department was reinforced by Dr Tin Maung Cho at 1987. Currently, this department is fully equipped with respiratory instruments and machines.

Heads

1. Professor Kyaw Myint MBBS (Rgn), MRCP (UK), FRCP (Edin), FRCP (Glas), FRCP (London), FCCP, Dr.Med.Sc (Hon) 1982 – 1996
2. Professor Tin Maung Cho MBBS (Rgn), M.Med.Sc (Int. Med), FRCP (Edin), FCCP (USA) 1997 – Oct 2008
3. Professor Win Naing MBBS (Rgn), M.Med.Sc (Int. Med), MRCP (UK), FRCP (Edin), FCCP (USA), Dip.Med.Edu Oct 2008 – to date

Teaching Faculty

1. Prof. Dr. U Win Naing Professor and Head Department of Respiratory Medicine University of Medicine (1), Yangon
2. Prof. Dr. Daw Toe Sanda Professor/Senior Consultant Department of Respiratory Medicine University of Medicine (1), Yangon
3. Associate Prof. Dr. Daw Yin Mon Thant Associate Professor/Senior Consultant Department of Respiratory Medicine University of Medicine (1), Yangon
4. Dr. Htun Htun Win Consultant Physician Department of Respiratory Medicine Yangon Specialty Hospital
5. Dr. Win Win Myint Consultant Physician Department of Respiratory Medicine Yangon Specialty Hospital
6. Dr. Ye Thu Han Consultant Physician Department of Respiratory Medicine Yangon Specialty Hospital

Departmental Objectives

  1. Lead and maintain as a tertiary care centre for respiratory diseases
  2. Higher training and teaching centre for respiratory diseases
  3. Lead and involve in control of infectious and other respiratory diseases

Department of Respiratory Medicine – Telephone No. and Email

No Name Rank Phone Number Email
1. Prof. U Win Naing Prof/Head 092000488 drwinnaing.chest@gmail.com
2. Prof.Dr. Daw Toe Sanda Professor 095086615 toesanda@gmail.com
3. Dr. Yin Mon Thant Asso: Professor 095148819 dr.yinmonthant@gmail.com
4. Dr. Htun Htun Win Jr. Consultant 092035265 drhtunhtunwin.med@gmail.com
5. Dr. Win Win Myint Jr. Consultant 095178637 winmyint261@gmail.com
6. Dr. Ye Thu Han Jr. Consultant 09261005700 yethuhan@hotmail.com
7. Daw Htay Htay Myint Ward Sister 095405393
8. Department of Respiratory Medicine YSH 012301628 ext.146, 09420060475

Current News and Activities

Current activities in Department of Respiratory Medicine are as follow:

  1. Weekly CME programme

    CME programme is carried out in our department every Wednesday. Updated news in respiratory medicine and advanced diagnostic and therapeutic techniques are discussed. Management of medical emergencies and basic life support care are refreshed for junior doctors and nurses.

  2. Biweekly Chest Conference

    Chest conference is performed biweekly in Department of Thoracic Surgery. Interesting cases are shared and cases with diagnostic and management problems are discussed among thoracic surgeons, radiologists and respiratory physicians to get the best option.

  3. Interventional Bronchoscopy
    1. Video bronchoscopy

      Bronchoscope gives us a mean to visualize the inside of the airway, which is very informative for assessing various pathologies affecting the airways. Apart from the visualization of the airway and their structure as well as patency, it can also be used to take tissue biopsy, collect secretions from the proximal airways and cellular elements from the distal alveoli in the form of bronchoalveolar lavage.

      Although rigid bronchoscopy is considered the gold standard for the removal of foreign bodies from the airways, our experience showed that flexible bronchoscopy can be safely and effectively used in stable adult patients.

      Bronchoscopy
      Bronchoscopic foreign body removal
      Foreign body (piece of areca nut)
    2. Use of Electrosurgical unit (Electrocautery, Hot biopsy, Electrosurgical snare)

      Bronchoscopic electrocautery coagulates, vaporizes or cuts tissue (endobronchial tumor) depending on the power setting.

      Mostly, bronchoscopic electrocautery is used to reduce hemorrhage following bronchoscopic forceps biopsy without affecting the diagnostic yield.

      Bronchoscopic electrocautery with hot biopsy forceps is also used in recanalization of central airway obstruction by tumor.

      By using electrosurgical snare, we can successfully remove endobronchial tumor (both benign and malignant), especially polypoidal growth to reaerate of collapsed segment/lobe.

      Bronchoscopy
    3. APC (Argon Plasma Coagulation)

      APC is an electrosurgical, non-contact thermal ablation technique by using argon gas to generate heat, which, in turn, can be used to resect tissue and/or to achieve hemostasis during bronchoscopy.

    4. EBUS/TBNA

      Endobronchial ustrasound plays a pivotal role in the minimally invasive staging of non-small cell lung cancer. The role of EBUS is progressively expanding to include the evaluation of peribronchial lesions, pulmonary nodules, and other mediastinal abnormalities. Recently, EBUS has assisted in the diagnosis of many other disease entities, including malignancies and other disease entities such as tuberculosis and sarcoidosis.

      EBUS
      EBUS
      Tissue sample from EBUS/TBNA
  4. Advanced pleural procedures

    To diagnose pleural diseases, in addition to simple pleural aspiration and closed pleural biopsy by using Abram’s needle, medical thoracoscopy (by using semi rigid pleuroscope) is currently performed as an advanced pleural procedure in undiagnosed exudative pleural effusion cases. In recurrent malignant pleural effusion patients, pleurodesis by using talc powder via pleuroscope (talc paudrage) can also be done in our department. Talc slurry (placing of talc powder mixed with normal saline via ICD tube) is an alternative.

    Pleuroscopy
    Pleuroscopy showing tumor deposits in parietal pleura
    Pleuroscopic biopsy
    Pleurodesis by talc powder (talc paudrage)
  5. Sleep Studies

    In our sleep laboratory, polysomnography (PSG) can be done (as both level 1 an level 3 studies) to help diagnose:

    • Sleep-related breathing disorders, especially obstructive sleep apnea
    • Narcolepsy (PSG followed by multiple sleep latency test (MSLT) subsequent titration study and therapeutic trial of CPAP are performed for sleep apnoea patients who need PAP therapy.
    Sleep study by PSG
    CPAP therapy
  6. Ventilatory support by using Non-invasive positive pressure ventilation (NIPPV)

    For critically ill-patients especially respiratory failure cases, NIPPV is the ventilator support carried out in our department.

    NIV in HDU
  7. Pulmonary function test and Cardiopulmonary exercise test

    In Department of Respiratory Medicine, pulmonary function tests including spirometry, DLCO, lung volume measurement are currently performed not only to diagnose various pulmonary diseases but also to assess disease progression an treatment response.

    In our department, cardiopulmonary exercise test is also carried out for the patients who are planning for surgery. This test is mainly used to assess maximum O2 consumption (VO2 max) in order to give pre-operative fitness.

    Pulmonary function test
    Cardiopulmonary exercise test