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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.
|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|
|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|
|1.||Prof. U Win Naing||Prof/Headfirstname.lastname@example.org|
|2.||Prof.Dr. Daw Toe Sanda||Professoremail@example.com|
|3.||Dr. Yin Mon Thant||Asso: Professorfirstname.lastname@example.org|
|4.||Dr. Htun Htun Win||Jr. Consultantemail@example.com|
|5.||Dr. Win Win Myint||Jr. Consultantfirstname.lastname@example.org|
|6.||Dr. Ye Thu Han||Jr. Consultantemail@example.com|
|7.||Daw Htay Htay Myint||Ward Sister||095405393||–|
|8.||Department of Respiratory Medicine||YSH||012301628 ext.146, 09420060475||–|
Current activities in Department of Respiratory Medicine are as follow:
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.
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.
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.
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.
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.
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.
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.
In our sleep laboratory, polysomnography (PSG) can be done (as both level 1 an level 3 studies) to help diagnose:
For critically ill-patients especially respiratory failure cases, NIPPV is the ventilator support carried out in our department.
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.