Respiratory Services delivered at UPMC Jameson comprise a combination of diagnostic tests and therapeutic treatments, as well as rehabilitation services for recovering patients.
- Arterial Blood Gases (ABG) — evaluates blood oxygen levels and measure how well the lungs and heart perform gas exchange.
- Pulse Oximetry — a noninvasive method of allowing the monitoring of oxygenation of a patient’s blood. Studies are also performed for home oxygen evaluation.
- Pulmonary Function Tests (PFT) — diagnoses obstructive and restrictive airway disease, along with gas exchange abnormalities and lung volume abnormalities.
- Methacholine Chloride Challenge Testing — used to diagnose hyperactive airway disease in patients who have a chronic cough and shortness of breath with normal breathing tests. This is used to diagnose asthma and similar conditions.
- Electroencephalography (EEG) — records the brain’s electrical activity. EEGs are useful in ruling out seizures, tumors, headaches, and strokes.
- Electromyography / Nerve Conduction Studies (EMG/NCS) — useful in the diagnosis of nerve and muscle damage such as carpal tunnel syndrome and pinched nerves.
- Evoked Potentials — auditory and visual electrical potentials recorded from the patient’s nervous system.
Therapeutic services are offered in relation to treatment modalities for respiratory services include:
- Oxygen therapy
- Ventilator care
- Incentive spirometry
- Aerosol therapy
- Pulmonary rehabilitation
- Chest physiotherapy (CPT)
- Postural draining
UPMC Jameson is a clinical teaching site for students of Youngstown State University and Laurel Technical Institute for respiratory and pulmonary care.
Bronchoscopy provides a view of the airways leading into the lungs and allows sampling of respiration tract secretions and cells, as well as biopsy of the airway, lung, and mediastinal structures. A bronchoscopy may be used to diagnose and treat the following conditions:
- Persistent or unexplained cough, hoarseness, or vocal cord paralysis
- Haemoptysis (coughing up of blood from respiratory tract), generally indicates severe infection
- Wheezing and shortness of breath
- Chest pain
- Evaluation for lung transplant rejection
- Evaluation for chest or airway trauma
- Lung cancer diagnosis and staging
- Positive sputum cytology regardless of a normal chest x-ray
- Suspected tracheoesophageal fistula
- Removal of foreign bodies from the lungs
Endobronchial Ultrasound (EBUS) is a technique that uses ultrasound with a bronchoscope to visualize the airway wall and structures adjacent to it. EBUS provides a minimally invasive alternative for staging lung cancer or evaluating future lesions.
Endobronchial Ultrasound Transbronchial Needle Aspiration (EBUS-TBNA)
This procedure uses an ultrasonic bronchoscope, specifically designed for diagnostic biopsies and staging in the lung. The scope’s design enables physicians to see lymph nodes and surrounding vessels in real time via ultrasound while simultaneously viewing the endoscopic image. EBUS-TBNA may be used to diagnose:
- Lung cancer
- Distant metastasis of other known or unknown cancer types
- Lymphoma (benign or malignant disease of the lymph nodes)
- Histoplasmosis (fungal disease)
Bronchial thermoplasty, a procedure for treating asthma, uses a small catheter to deliver controlled thermal energy to the airways of the lungs, reducing the amount of excessive airway smooth muscle and decreasing the frequency of asthma attacks. A non-medical therapy, the procedure may be done on an outpatient basis. Three treatment sessions, each about three weeks apart, focus on different areas of the lung. Benefits may include fewer emergency department visits and hospitalizations due to asthma, less frequent severe asthma attacks, and less time lost from school, work, or other daily activities.
Pulmonary Rehabilitation is an exercise program offered for patients with COPD, emphysema, asthma, and chronic bronchitis, as well as patients recovering from cancer and lung surgery. Pulmonary Rehab is available to outpatients through a doctor’s referral. Each patient is individually assessed and provided with a wide variety of equipment, including:
- Stationary bicycles
- Arm ergometers
- Pulse oximetry
Patients are constantly monitored and provided with supplemental oxygen if needed. Individual exercise programs are established to enhance pulmonary efficiency and to promote energy conservation by teaching activities of daily living. The participant also is given instruction of proper breathing techniques, proper use of medications and equipment, and is instructed in self-monitoring to detect acute lung infections. A dietitian is also available for diet and nutritional counseling.
UPMC Jameson Respiratory and Neurodiagnostic Services
1211 Wilmington Ave.
New Castle, PA 16105