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Chronic respiratory diseases were increasing in prevalence globally from 2005 – 2015 and projected to increase based on the global disease burden study in 2015. The Singapore burden of disease study in 2010 noted a 23.6% increase in chronic respiratory disease burden, 38% increase in disability burden and 4.8% increase in premature mortality burden. We offer a wide range of services in the treatment of chronic respiratory diseases which includes asthma, Chronic Obstructive Pulmonary Disease (COPD), bronchiectasis and interstitial lung diseases.
The Division of Respiratory and Critical Care Medicine provides quality and comprehensive service for the investigation and management of pleural diseases.
A breathing tube is inserted into the trachea or windpipe (intubation) and the tube is connected to a machine to take over the patient’s breathing. This breathing support (mechanical ventilation) may be temporary, for example in pneumonia where the lung may recover if the infection responds to antibiotics, or permanent, for example in irreversible lung disease or severe neurological (brain) disease where the patient is no longer able to breathe on his own (long-term mechanical ventilation).
This is an alternative to invasive mechanical ventilation, whereby a face mask attached to a machine is applied to the patient to assist his breathing. It is usually used for patients with Chronic Obstructive Pulmonary Disease (COPD) for treatment or it can be applied to patients being weaned off invasive mechanical ventilation. High Flow Nasal Cannula is a specialised nasal cannula for oxygen delivery at a much higher flow rates compared to the usual oxygen delivery devices e.g. face mask. It is commonly used in patients with severe pneumonia before intubation and before mechanical intubation is considered. The use of these devices would be undertaken by the intensive care physicians according to the patients’ conditions.
These are medications given when a patient’s blood pressure is dangerously low. These are usually delivered through special tubings (central venous catheters) which are inserted into the large central veins through the patients’ neck or thighs.
Dialysis replaces the function of the kidney, which is to remove waste from the blood and to regulate fluid status. A special type of tubing is inserted into a large central vein. Blood is taken from the body through the tubing and circulated through the dialysis machine where it is filtered before returning back to the body. Patients with permanent kidney failure may be successfully supported on dialysis if the other organs remain healthy.
CPR is used when someone’s heart and/or breathing stops. It includes compressing on the chest and artificial breathing. Defibrillation (electric shocks to the heart) and drugs may also be used to stimulate the heart.