Welcome to Respiratory Medicine.
The respiratory medicine inpatient ward is based on ward 23 at Bradford Royal Infirmary (BRI), a 28-bed ward which has a dedicated four-bed respiratory high dependency unit (RHDU) and four-bed acute respiratory care unit (ARCU).
These beds are used to treat patients admitted to BRI with acute exacerbations of COPD (chronic obstructive pulmonary disease) with hypercapnic respiratory failure.
We also treat patients with acute chronic respiratory failure and a background of chronic neuromuscular and musculoskeletal disease.
We have two full-time respiratory specialist nurses who provide help to patients with acute exacerbations of COPD and severe asthma.
The ward also has input from specialised respiratory physiotherapy experts who help treat patients with severe respiratory failure and patients stepped from our Intensive Care Unit.
Respiratory outpatients are seen in Outpatients West on level 1 of Bradford Royal Infirmary, in the Horton Wing of St Luke’s Hospital, and at a weekly severe asthma clinic run at the Bradford Institute for Health Research.
The respiratory medicine department holds the following clinics:
- General respiratory
- Specialist severe asthma
- Sleep and ventilation, including home CPAP (continuous positive airway provision)
- Lung cancer
- Interstitial lung disease
- Respiratory nurse-led
Respiratory patients are treated on ward 23, and include patients who present with respiratory problems such as asthma, chronic obstructive pulmonary disease (COPD), pneumonia and pulmonary embolus.
While on the ward our respiratory nurses deliver education to patients and work with community services.
We hold a weekly lung cancer multi-disciplinary team meeting. This includes the respiratory physicians, a radiologist, thoracic surgeon, medical oncologist and clinical oncologist, as well as palliative care and specialist lung nurses who gather to discuss the best treatment options and plans for patients with suspected and confirmed lung cancer.
We also run twice-weekly half-day procedure lists. Procedures include bronchoscopy, a procedure which allows doctors to use a camera to look into the airways and lungs, and EBUS, which is also a camera test but uses ultrasound to take samples of the glands near the lungs.
The department is supported by cardio-respiratory services who deliver specialist breathing tests and other diagnostic services.
The severe asthma service has access to Exhaled Nitric Oxide measurement (FeNO), and induced sputum analysis, which is used in complex severe asthma trials.