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Interventional Pulmonology

Minimally Invasive Diagnosis & Treatment of Complex Lung and Pleural Diseases

The Department of Interventional Pulmonology at Apollo Adlux Hospital specialises in advanced minimally invasive procedures for diagnosing and treating diseases of the airways, lungs, mediastinum and pleural cavity. These techniques can help obtain accurate diagnostic information while avoiding more invasive surgical procedures in appropriately selected patients.

Our interventional pulmonology services include fibreoptic video bronchoscopy, bronchoalveolar lavage, bronchial brushings, endobronchial biopsy, transbronchial needle aspiration, Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA), thoracic ultrasound, diagnostic and therapeutic pleural aspiration, chest drain insertion, indwelling pleural catheter insertion, medical thoracoscopy, pleural biopsy, intrapleural fibrinolytic therapy and pleurodesis.

EBUS enables pulmonologists to visualise and sample selected lymph nodes and lesions adjacent to the central airways using real-time ultrasound guidance. It is widely used as part of the diagnostic and staging pathway for suspected lung malignancy and can also help diagnose selected inflammatory and infectious disorders.

For patients with unexplained or recurrent pleural effusion, medical thoracoscopy provides direct visualisation of the pleural space and facilitates targeted pleural biopsy and therapeutic procedures such as pleurodesis. Patients with recurrent pleural fluid accumulation may also benefit from an indwelling pleural catheter (IPC) where clinically appropriate, allowing scheduled fluid drainage outside repeated hospital procedures. By integrating interventional pulmonology with respiratory medicine, radiology, pathology, oncology, thoracic surgery and critical care, Apollo Adlux Hospital provides multidisciplinary management for complex pulmonary and thoracic conditions.

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Interventional Pulmonology is a specialised branch of respiratory medicine that uses minimally invasive procedures to diagnose and treat diseases of the airways, lungs, mediastinal lymph nodes and pleural cavity. Procedures include bronchoscopy, EBUS, pleural interventions and medical thoracoscopy.

Endobronchial Ultrasound (EBUS) combines bronchoscopy with ultrasound to identify and sample selected lymph nodes or lesions next to the central airways. It is commonly used during the evaluation and staging of suspected lung cancer and may also help diagnose selected inflammatory or infectious conditions.

EBUS is a minimally invasive bronchoscopic procedure, rather than open chest surgery. A flexible bronchoscope is passed through the airway and ultrasound is used to guide needle sampling of selected lymph nodes or lesions. Whether a patient can go home the same day depends on their medical condition, sedation, procedure findings and treating team's advice.

An Indwelling Pleural Catheter (IPC) is a small tunnelled catheter placed in the pleural space to allow repeated drainage of recurrent pleural fluid. It may be recommended for selected patients to control symptoms such as breathlessness while reducing the need for repeated hospital-based pleural aspirations.

The Pulmonology Department offers limited sleep study services for appropriately selected patients with suspected obstructive sleep apnoea or other sleep-related breathing problems. Based on the findings, patients may undergo CPAP titration and receive guidance regarding home CPAP or BiPAP therapy.

CPAP (Continuous Positive Airway Pressure) delivers continuous positive pressure to help keep the airway open and is commonly used for obstructive sleep apnoea. BiPAP (Bilevel Positive Airway Pressure) provides different pressure levels during inhalation and exhalation and may be recommended for selected patients with particular respiratory or ventilation problems.

Yes. The Centre of Excellence in Pulmonology & Interventional Pulmonology offers video fibreoptic bronchoscopy and Endobronchial Ultrasound-guided procedures (EBUS) as part of its advanced diagnostic and interventional respiratory services.

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