Respiratory and Critical Care Medicine

Phone: 020-89168661 Address: Building 3, 19th Floor Department Introduction The Department of Respiratory and Critical Care Medicine of Guangdong Second Provincial People's Hospital is a comprehensive department integrating medical care, teaching, and research. It is a provincial-level key clinical specialty, a provincial Youth Civilization Unit, a professional group of the National Medical Products Administration drug clinical trial institution, an excellent unit among tertiary hospitals for national standardized PCCM construction, and a PCCM specialized training base. It is also a single-specialty training base for interventional pulmonology, pulmonary function, and respiratory rehabilitation; a sub-center of the National Clinical Research Center for Respiratory Diseases; a sub-center for pulmonary nodule diagnosis and treatment of the China Lung Cancer Prevention and Treatment Alliance; and a member unit of the China Cough Alliance. The department currently has 44 medical and nursing staff, including 3 doctors with doctoral degrees; more than 80% of the staff in the main professional series have postgraduate or higher qualifications. The department has a respiratory specialty ward, a Respiratory Intensive Care Unit (RICU), a pulmonary function laboratory, a respiratory endoscopy room, a respiratory sleep center, and a precision laboratory. The outpatient service provides special-service expert clinics, resident expert, specialty, and disease-specific clinics, as well as outpatient services without holidays and internet-based outpatient services. Taking wholehearted service to patients as its purpose, it safeguards the health of the general public. Guided by the PCCM development plan, the department focuses on the cutting edge of respiratory disease development, takes interventional pulmonology technology as its main line, and has established and optimized a precision diagnosis and treatment system for complex pulmonary infections and a precision diagnosis and treatment system for lung cancer. It has developed distinctive medical services including respiratory critical-illness teaching and treatment, integrated full-course management of chronic pulmonary diseases, respiratory rehabilitation, and the diagnosis and treatment of sleep disorders. Among these, “bronchoscopic argon plasma coagulation, electrocautery combined with cryoablation for the treatment of benign and malignant airway stenosis” and “noninvasive ventilator titration therapy for patients with OSAHS” respectively received the second and third prizes in the hospital’s 2019 and 2020 “Three New” projects. The department is a national standardized residency training base, an authorized site for master's degree conferral of Southern Medical University and Jinan University, undertakes undergraduate teaching for Jinan University, and provides clinical instruction for observation, internships, and visiting doctors from Southern Medical University, Nanhua University, Guangdong Medical University, and other higher-education institutions. The department leads or participates in more than 20 national- and provincial/ministerial-level scientific research projects and more than 20 clinical research projects; it has published more than 100 papers in domestic and international journals, participated in compiling 2 monographs, and participated in drafting 3 clinical expert consensuses. It holds 2 utility model patents. Department Honors It has received the 2020 National March 8 Red-Banner Collective award, the 2021 Guangdong Provincial March 8 Red-Banner Studio award, the 2022 National Workers’ Pioneer award, the 2021 Advanced Primary-Level Party Organization of the Directly Affiliated Organs of the Guangdong Provincial Health Commission award, and the awards for Excellent Party Branch and Advanced Department of Guangdong Second Provincial People's Hospital. Medical Features 1. Use of interventional pulmonary technology for the diagnosis and treatment of respiratory diseases The department has the most advanced bronchoscopes currently available in the world and performs more than 3,000 bronchoscopic procedures annually, including bronchoscopic endotracheal intubation, bronchoalveolar lavage, brushing examination, forceps lung biopsy, cryobiopsy, TBNA, EBUS-TBNA, EBUS-GS-TBLB, stent implantation and removal for benign and malignant airway stenosis (metal stents and silicone stents), semi-flexible thoracoscopy for diagnosis and treatment, thermal ablation (high-frequency electrocautery, APC, and laser), cryotherapy, foreign-body removal, navigation-system procedures, balloon dilation, lung-volume-reduction surgery, and other techniques. Before interventional respiratory treatment After interventional respiratory treatment 2. Precision diagnosis and treatment of complex pulmonary infections Relying on its precision laboratory, the department uses respiratory intervention as a means and adopts advanced etiological testing methods, including multiplex PCR and high-throughput sequencing, to achieve efficient, rapid, and precise diagnosis and treatment of complex infections, significantly improving the treatment level for fever of unknown origin, severe pneumonia, and sepsis. It admits more than approximately 1,500 patients with pulmonary infections annually, with a treatment improvement rate of 96%; the oldest patient was 104 years old. The 104-year-old patient improved, was discharged, and presented a congratulatory banner 3. Treatment of respiratory critical illness The department mainly admits and treats respiratory failure caused by various conditions, including severe pneumonia, acute respiratory distress syndrome, pleural diseases, pulmonary tumors, interstitial lung diseases, and chronic airflow diseases. Its treatment success rate is high, and it has also accumulated extensive experience in treating highly pathogenic avian influenza and novel coronavirus infection. During the COVID-19 pandemic, the Department of Respiratory and Critical Care Medicine admitted a cumulative total of more than 200 confirmed and suspected cases within the hospital; none progressed to critical illness, none died, and no medical or nursing staff became infected. All members of the Department of Respiratory and Critical Care Medicine are well trained and capable of rescuing patients with acute and critical conditions such as respiratory failure, cardiac arrest, airway asphyxia, massive hemoptysis, and shock. Physicians with senior professional titles account for 75% of the department’s physicians. The department is fully equipped with rescue equipment, including bronchoscopes, ventilators, defibrillators, ECG monitoring, and endotracheal intubation equipment; the rescue success rate for critically ill patients is above 99%. A severe COVID-19 case improved and was discharged 4. Closed-loop diagnosis and treatment of chronic respiratory diseases The department is one of the first batch of national single-specialty respiratory rehabilitation bases. It currently has 5 full-time physicians/technicians specializing in respiratory rehabilitation treatment and can provide bedside rehabilitation treatment. It has established a complete set of rehabilitation treatment plans for chronic respiratory diseases such as pneumonia combined with tracheotomy, bronchiectasis with copious sputum production, and dyspnea due to chronic obstructive pulmonary disease. These include abdominal breathing training, sputum-clearance device training, cycle-ergometer testing, phrenic-nerve electrical stimulation, traditional Chinese medicine herbal packs, ultrasound drug delivery, three-ball breathing training, manual treatment for upward elevation of the diaphragm, and other methods. These measures assist patients with respiratory failure in successfully weaning from ventilators, improve health-related quality of life, improve exercise endurance, reduce readmission rates, and reduce the number of acute exacerbations of COPD. 5. Pulmonary function testing Pulmonary function testing is one of the most important examinations for diagnosing respiratory diseases, especially for the diagnosis of chronic pulmonary diseases and the evaluation of treatment efficacy and prognosis. The State Council clearly included pulmonary function testing as a routine physical examination item in the Healthy China 13th Five-Year Plan. The department began pulmonary function testing in 2008 and introduced 3 advanced pulmonary function instruments and 1 exhaled nitric oxide testing instrument. To date, it has completed nearly 50,000 examinations, and more than 95% of pulmonary function reports have reached the A-grade standard, earning recognition from peers. 6. Diagnosis and treatment of sleep-disordered diseases Obstructive sleep apnea-hypopnea syndrome (OSAHS) is mainly manifested by snoring accompanied by sleep apnea, as well as daytime sleepiness, fatigue, and decreased memory. It is an independent risk factor for hypertension, coronary heart disease, diabetes, arrhythmia, heart failure, stroke, and other diseases, and is closely related to resistant hypertension and insulin dependence. During the ten years since the Respiratory Sleep Center of Guangdong Second Provincial People's Hospital was established, it has introduced high-end polysomnography monitoring devices such as the US-made Embla system and has carried out more than 1,000 cumulative cases of sleep monitoring and titration treatment, significantly improving patients’ clinical symptoms. Service Features: Provision of closed-loop, full-course comprehensive health-management services from before admission through the ward and after discharge Before admission—screening Before admission, the department comprehensively evaluates patients’ respiratory health through Dingbei Doctor online consultations, telemedicine, expert, specialty, and disease-specific outpatient visits, chronic-disease screening, free medical consultations, and other methods. Ward—comprehensive management According to the characteristics of different diseases, the department provides rapid diagnosis, the best treatment plan, and high-quality services, aiming to eliminate acute illnesses and relieve chronic diseases. It serves patients wholeheartedly so that both their physical and mental conditions receive effective treatment. After discharge—home services For discharged patients, based on overall health abnormalities, the department develops an individualized health follow-up plan, including health education, telephone and WeChat consultations, home replacement of gastric tubes and urinary catheters, dressing changes, and other services. In recent years, the Department of Respiratory and Critical Care Medicine has developed its subspecialties in depth, established and improved medical-safety assurance measures, and steadily improved its professional capabilities and medical quality. It has been awarded Advanced Department within the hospital for 3 consecutive years. The department is committed to providing patients with the best and safest medical services. Through an integrated full-course management model of preliminary pre-admission screening, comprehensive inpatient ward management, and multiple post-discharge approaches, it provides patients with the most convenient and best medical services. Service Purpose: Everything for the patient and everything for the patient’s needs Department Motto: Virtue and excellence in medicine, pursuit of excellence Address: Outpatient: Building 1, 3rd Floor Department of Respiratory and Critical Care Medicine Ward: Building 3, 19th Floor