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Respiratory Endoscopy Unit (REU)

By etavares On 31 October, 2012 News Report / Profile | 2012 Comments Off on Respiratory Endoscopy Unit (REU) No tags

Bronchology has been practiced since the foundation of the service in the 1950s, at first with rigid bronchoscopy started by Thomé Villar, subsequently continued by Freitas e Costa and his colleagues.

The advancement of technology in this area has been huge. The emergence of the bronchoscope in the late 1960s revolutionized diagnostic and therapeutic procedures in Pulmonology. The 1990s saw the appearance of interventional bronchoscopy.

The REU was structured in January 2003 when Professor Bugalho de Almeida headed the service. It has two intervention rooms with negative pressure ventilation system – one for Bronchology and the other used for Pleural Techniques (thorascoscopy and others) – a recovery room with 3 beds equipped with patient monitoring units, the team’s working room, and an area for equipment storage and washing equipped with systems that comply with established standards.

The REU has a care providing and a training component in the field of pulmonology endoscopic techniques. It carries out about 200 tests per year and, almost always, it has two interns training in-house. In terms of provision of health services, the work of this unit covers patients allocated to several hospitals nationwide, in addition to caring after our own patients. The level of bronchology prevention on a 24-hour basis must also be stressed, as it is the only one in Greater Lisbon and in the entire southern part of the country.

Tests are performed three times a week, under sedation for additional tests (waked sedation), or under general anesthesia with the collaboration of the Anesthesiology Department.

Bronchial fibroscopy and video bronchial fibroscopy have the highest percentage of tests. Rigid bronchoscopy for diagnosis and intervention, particularly laser therapy and the placement of tracheobronchial prostheses, are a very important differentiating activity performed on patients with benign and malignant pathology of the trachea and obstructive pathology of the large airways, mainly patients with lung cancer. About 50-70 patients are subjected to these procedures per year. Within the field of bronchology, we also perform paediatric rigid bronchology (removal of alien bodies). Its 15 years of experience have resulted in the publication of a paper in the “Journal of Bronchology and Interventional Pulmonology” in April 2007.
Endobronchial ultrasound, which is a very importan
t technique for the diagnosis and staging of lung cancer, started to be performed in 2007. Brachytherapy, introduced in Portugal by Salvato Feijó, is performed in collaboration with the department of Radiotherapy. Total Lung Lavage is one of the least used techniques. It is used in cases of alveolar proteinosis, a rare disease that requires close collaboration with Anaesthesiology due to the need for general anaesthesia and changes in mechanical ventilation during the performance, which takes a long time. A review article about this experiment was published in “Revista Portuguesa de Pneumologia” in February 2009.

Thoracoscopy is the most important pleural technique performed for diagnosis and treatment. About 50/60 procedures are conducted per year.

Among other members, REU has two assistants of the Faculty of Medicine of Lisbon, one of whom is currently conducting a PhD. In terms of postgraduate teaching, REU has contributed to the training of all interns of the pulmonology specialty in the department, as well as interns from other departments and specialties, particularly intensive care professionals studying Special Studies.

Since the restructuring of REU in 2003, several works have been presented at the annual congresses of the Portuguese Society of Pulmonology (SPP), at the European Respiratory Society, the American Thoracic Society, and at other scientific meetings:
– 7 papers,
– 22 posters.

Two articles have been published in the “Journal of Bronchology and Interventional Pulmonology”, in April 2007 and January 2011; two review articles have been published in “Revista Portuguesa de Pneumologia”, in July 2004 and February 2009, and two chapters in “Atlas de Pneumologia”, published in 2009 by SPP.
Dr. Rosal Gonçalves
Respiratory Endoscopy Unit (REU)

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Index - News # 29 | set/out. 2012
 Know better in order to do better
 Training for non-teaching staff of UL
 University of Lisbon among the best universities in the world
 Employability of UL graduates
 Comunicado Reitor da UL – Fusão da UL e da UTL
 Faculty of Medicine, University of Lisbon: the training of health professionals
 Sessão de Apresentação Pública do Biobanco-IMM
 Nomeação Nova Diretora da Clinica Universitária de Pneumologia da FMUL
 Atribuição de Títulos ao Professor Fausto J. Pinto
 Interview with Professor Bugalho de Almeida – Director of the Pulmonology University Clinic
 Some Notes on the Oncological Pulmonology Unit of the Pulmonology University Clinic of FMUL/HSM
 Respiratory Intensive Care Unit
 Respiratory Endoscopy Unit (REU)
 Respiratory Physiology Unit
 Ward Pulmonology Unit 1 – Santa Maria Hospital, Northern Lisbon Hospital Centre
 Outpatient /Ambulatory Clinic
 Cystic Fibrosis – Specialist Centre for the Treatment of Cystic Fibrosis
 WORKSHOP – Plano de Melhorias 2012/2013
 Welcome to FMUL 2012/2013
 2012/2013 Introduction Week FMUL – Video presentation
 LIVE IN – O Estudante de Medicina na Comunidade Científica
 Staff training in the University of Lisbon
 The Admission and Student’s guides of the University of Lisbon
 Apply to the 16th “Education through Science” Programme and to the Gulbenkian/FMUL Scholarships
 Institute for Advanced Training FMUL – Postgraduate Training
 FMUL students awarded prizes at the UL/FAD Scholarships Forum
 FMUL student receives Prize at 2012 YES Meeting
 Scientific Publications
 Portuguese scientists win research grants worth millions of euros.
 Academic Examinations at the Faculty of Medicine of the University of Lisbon
 Motivational communication with patients dependent on substances
 ULness Academy – 2012/2013
 Science and Health Research
 Evaluation Questionnaire of FMUL Newsletter
 Assessment of the Subject – Pulmonology Educational 2012/2013
 Evolution of Access to Medical School nationwide over the last 10 years
 Management of Professional Training in FMUL, 2009-2011 – Strategy and Performance Indicators
 VII Encontro de Nutrição do Serviço de Dietética do Hospital Pulido Valente – 26 de Outubro
 Masters in Education in the University in Lisbon – 2012/2013
 Prémio Universidade de Lisboa 2013 – 15 de Dezembro de 2012
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100 AnosPropriedade e Edição: Faculdade de Medicina da Universidade de Lisboa NIPC: 502662875  Periodicidade: Mensal  Diretor: Prof. Doutor Fausto J. Pinto Conselho Editorial: Prof. Doutor Fausto J. Pinto, Profª. Doutora Ana Sebastião, Prof. Doutor Mamede de Carvalho, Prof. Doutor António Vaz Carneiro, Prof. Doutor Miguel Castanho, Dr. Luís Pereira  Equipa Editorial:  Ana Raquel Moreira, Cristina Bastos, Isabel Varela, Joana Sousa, Maria de Lurdes Barata, Rui Gomes, Sónia Teixeira  Colaboração:  Gabinete de Relações Públicas, Internacionais e Comunicação  Versão Inglesa: AP|PORTUGAL- Language Services  Conceção: Metatexto, Lda. e-mail: news@medicina.ulisboa.pt  Sede do Editor e Sede da Redação: Avenida Prof. Egas Moniz, 1649-028 Lisboa Estatuto Editorial Anotado na ERC 

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