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EXCELLENT, YET NURTURING CARE

Our Suite of Services

Pulmonary Institute (Center for Thoracic and Critical Care Medicine)

Pulmonary Function Test (PFT)

Sleep Laboratory

Pulmonary Institute caters to patients with:
- Restrictive lung diseases like pneumonia, neuromuscular diseases, pulmonary fibrosis and others
- Obstructive lung diseases like asthma, emphysema, bronchiectasis and others
- We also cater to patients for clearance prior to surgery and patients needing ventilatory support

Services offered include:

AEROSOL THERAPY/NEBULIZATION
It is the delivery of aerosolized medications to the airways to liquefy/hydrate dried secretions. Bronchodilators or mucolytics may be used to ease difficulty of breathing.

- The best time to administer nebulization is before a meal. However, if the patient has just eaten, the procedure will be delayed for 30 minutes to one hour.
- The procedure will take around 15 minutes or until the medication is consumed.

ULTRASONIC NEBULIZATION (USN)
Similar to nebulization however, this procedure delivers a larger volume of medication. Particles penetrate to reach the smallest airways of the lungs. This is used to hydrate and liquefy dry, retained secretions.
- Preparation is the same as aerosol therapy
- Procedure will take 15-20 minutes

CHEST PHYSIOTHERAPY
The application of vibration/percussion to the chest wall to dislodge and for easier expectoration of respiratory secretions. Patient positioning may also be utilized to drain secretions by the use of gravity.
- This procedure is done after aerosol therapy or USN.
- This will take around 7-10 minutes for both lung fields.

INCENTIVE SPIROMETRY (IS)
This uses visual feedback to encourage the patient to take slow, deep, sustained inspirations to improve lung function and for the prevention of alveolar collapse. This is usually requested for post thoracic and abdominal surgery patients.
- Height and age is needed to compute the patient’s reference value.

INTERMITTENT POSITIVE AIRWAY BREATHING (IPPB)
A therapeutic positive pressure device using medical gas to deliver aerosolized medications. It also prevents collapse of the lungs.
- Preparation is the same as aerosol therapy
- Patient should be cooperative because this requires patient effort.

INTRAPULMONARY PERCUSSIVE VENTILATION (IPPV)
A therapeutic positive pressure device used to deliver aerosolized medications and to help individuals with lung disease clear sputum. It is a combination of aerosol therapy and chest physiotherapy. It is used to assist individuals with cystic fibrosis, amyotrophic lateral sclerosis (Lou Gehrig's disease), emphysema, and other lung ailments.
- Patient should be cooperative because this requires patient effort.

COUGH ASSIST
A non-invasive air delivery that clears secretions from the lungs by gradually applying positive and negative pressure to the airway.
- The best time to administer this procedure is before a meal. However, if the patient has just eaten, it will be delayed for 30 minutes to one hour.
- Patient should be cooperative because this requires patient effort.

OXYGEN THERAPY
This is a treatment to support the patient’s breathing by using oxygen. Helpful to hypoxemic patients. Different oxygen apparatus are used depending on the patient’s needs.

MECHANICAL VENTILATOR
A life saving device hooked to patients suffering from acute respiratory failure or other debilitating conditions to support the work of breathing .

SPONTANEOUS BREATHING PARAMETERS (SBP)
This makes use of measurement tools to determine whether the patient is ready to be weaned off the ventilator.
- Patient should be awake, cooperative.
- Rest periods in between determinations may be allowed.


SPUTUM INDUCTION
This procedure is done by using the USN machine and hypertonic sodium chloride (3%) solution as medication to collect sputum for AFB staining. Hypertonic sodium chloride solution is used to irritate the airways to produce phlegm. This is usually done for 3 consecutive days.
- Preparation is the same as aerosol therapy.
- The procedure will take 15-20 minutes.
- Bring request from your attending Physician.
- A separate request for hypertonic sodium chloride must be presented to the Pharmacist who will prepare the medicine.
- Hypertonic sodium chloride is good for 24 hours only.

ARTERIAL BLOOD GAS (ABG)
An invasive diagnostic test which involves blood extraction to determine the oxygenation and acid base balance of a patient. Arteries are used as site for extraction.
- The prescribed oxygenation should be given to the patient for at least 15-30 minutes prior to the extraction.
- If oxygen source was disconnected, procedure will be delayed for 30 minutes to stabilize oxygenation of the patient.

VENOUS BLOOD GAS
An invasive diagnostic test to determine serum bicarbonate level. This is helpful in the assessment of the kidneys. Blood is extracted from the vein. No preparation is needed.

PLEURAL FLUID pH
Using pleural fluid as sample, this test is a diagnostic predictor of the need for pleural space drainage. A pH of less than 7.2 is an indication of chest tube drainage.

PULMONARY FUNCTION TEST (PFT)
A diagnostic test to determine lung function. Patient will be asked to do different breathing maneuvers to rule out or determine the severity of restrictive or obstructive lung disease.
A. Simple Spirometry
B. Complete Sirometry with Lung Diffusion and Body Plethysmograph
C. Impulse Oscillometry (IOS) – an alternative procedure to Simple Spirometry. This is usually requested to the very young or the very old patients who cannot execute this maneuver properly.

Preparation needed:
o Patient should abstain from short acting bronchodilators for 8-12 hours prior to the test. If long acting bronchodilators are used, this requires 24 hours abstinence.
o Wear comfortable, loose clothing
o Patient may have a light meal prior to the test. If a heavy meal was taken, procedure will be delayed for 2 hours.
o Water may be brought.
o The procedure will take 1 to 2 hours for Simple Spirometry, Complete Spirometry will take 2 to 3 hours, while IOS will take around 5 minutes.
o By appointment
o Patient must be in the unit at least 15 minutes before the scheduled time, to process the assessment and other transactions.
o Bring request from your attending Physician.

PULSE OXIMETRY
A non-invasive diagnostic modality which measures the patient’s oxygen saturation and pulse rate.
- Patient should be in the prescribed level of oxygen for at least 15 minutes.
- Spot check or bedside pulse oximetry may be requested. Spot check will take about 5 minutes.

PEAK EXPIRATORY FLOW RATE (PEFR)
This makes use of a diagnostic device that measures the severity of airway obstruction like asthma. PEFR measurements are taken on a daily basis to detect changes in lung function. Pre and post nebulization determination may be used as basis to assess patient’s response to medication.

SLEEP STUDY (POLYSOMNOGRAPHY)
Polysomnography is a series of tests performed on patients while they sleep. It is an overnight procedure that evaluates sleep disorders. This is done on patients who have difficulty having a restful sleep at night.
- Bring your current medications due to be taken during the time you are in the lab.
- On the night of the procedure, abstain taking sedatives if regularly taking. You may bring it in case the sleep specialist shall allow intake.
- No coffee, tea, cola, caffeine and alcohol intake.
- Do not eat after 8pm.
- No nap and exercise during the day.
- Take a full bath before the test. Urinate before the start of the test to avoid disturbance in sleep.
- Do not put hair spray, gel, creams, lotion on your hair after bathing.
- Pajamas or loose t-shirt (with opening in front) must be worn during the study.
- Bring your own pillow if you wish.
- Bring an overnight bag with your usual toiletries (toothbrush, toothpaste, soap, shampoo)
- Clothes for the morning.

- The procedure will take 8-12 hours
- Cellphones must be turned off.
- By appointment
- Bring request from your attending Physician.
- Bring Senior Citizen Card for discount.
- Patient must be in the unit 30minutes before the scheduled time, to process the assessment and other transactions.

BRONCHOSCOPY
It is a procedure in which a hollow, flexible tube called a bronchoscope is inserted into the airways through the nose or mouth to provide a view of the tracheobronchial tree. It can also be used to collect bronchial and/or lung secretions and to perform tissue biopsy.
- Fasting for 6-8 hours
- Hold anti-coagulant or blood thinners such as aspirin, Coumadin etc. (days of hold will depend on the doctor’s advised)
- Hold non-steroidal anti-inflammatory products such as ibuprofen
- Know of any drug allergies or major drug reactions that the patient may have experienced

Contact Numbers: 727 0001 local 4210 or 4211
Operating hours: 24/7

Pulmonary Function Test (PFT)

Sleep Laboratory