4th Clinic of Pulmonary Medicine
The 4th Pulmonology Clinic combines all available modern diagnostic and therapeutic tools with applied knowledge derived from both international and national clinical guidelines, hospitalizes, treats and monitors patients across the full spectrum of Clinical and Interventional Pulmonology.
The primary goal of the physicians at the 4th Pulmonology Clinic is the timely diagnosis and effective management of respiratory diseases through a personalized and holistic approach, respecting the needs and preferences of both patients receiving healthcare services and their families/caregivers.
Medical care is provided through 24-hour assessment in the Emergency Department, daily monitoring of hospitalized patients, and the evaluation of outpatient cases by appointment in the Outpatient Clinic.
Activities
Follow-up and treatment of patients with purely respiratory diseases (such as respiratory infections, COPD, asthma, bronchiectasis, diffuse interstitial lung diseases, lung malignancies, tuberculosis, etc.), or with respiratory issues as part of other conditions (such as cardiological, neurological, rheumatological, nephrological, hematological diseases, morbid obesity, thoracic or spinal deformities, etc.). Preventive respiratory screening is also provided for individuals at high risk, such as smokers.
In collaboration with the Pulmonary Function Laboratory, the following tests are performed:
- Comprehensive pulmonary function testing (spirometry before and after bronchodilation, diffusing capacity test, static lung volumes with body plethysmography, measurement of respiratory muscle strength, blood gas analysis).
These tests are used both for the diagnosis and follow-up of respiratory diseases, for assessing the effectiveness of pharmacological treatments, as part of preoperative evaluations, for occupational health purposes, for insurance requirements, or as part of routine preventive check-ups.
- Ergospirometry or Cardiopulmonary exercise testing (CPET) for the investigation of dyspnea on exertion, the assessment of each system's contribution to exercise, and the identification of potential issues under stress/exercise conditions. This test is particularly important for the accurate evaluation of athletes' physical condition.
- Enrollment of patients in Pulmonary Rehabilitation Program.
Pulmonary rehabilitation can benefit individuals with chronic respiratory diseases whose symptoms, such as dyspnea and exertional fatigue during daily activities, significantly impact their quality of life. It is provided as a complementary therapy alongside other treatments the patient may be receiving (medication, oxygen therapy, and non-invasive mechanical ventilation) and is conducted in a safe, controlled environment under continuous interdisciplinary supervision.
In collaboration with the Broncholytic Laboratory, the following procedures are performed:
- Bronchoscopy (using video) with mild sedation administered by an anesthesiologist, for the investigation of bronchial tree and pulmonary parenchyma lesions. This procedure allows for the use of endobronchial ultrasound (EBUS, radial EBUS) for the assessment of lesions in the mediastinum or peripheral regions, respectively. Through bronchoscopy, targeted diagnostic biological samples can be collected for further microbiological, internal medicine, and cytology assesment, as part of the investigation for malignancies as well as other non-malignant respiratory diseases. If deemed necessary, a “bronchial toilet” can be performed in cases of problematic bronchial secretion management. In selected cases, endobronchial interventions are available (such as foreign body removal, bronchial obstruction reopening with electrocautery or laser, hemostasis, etc.)
- Pleural fluid drainage for diagnostic or therapeutic purposes, with the option of ultrasound-guided small-bore drainage catheter placement under local anesthesia.
In collaboration with the Sleep Study Laboratory:
- Polysomnography (sleep study) for the investigation, treatment, and long-term follow-up of patients with sleep disorders. This laboratory is recognized as one of the most advanced and experienced centers for the study of sleep disorders.
Smoking cessation:
A personalized approach is offered to patients wishing to quit smoking, combining medication and counseling.
Equipment
Fully equipped Pulmonary Function Laboratory with a spirometer capable of measuring diffusion capacity (using the “single breath” method), assessment of respiratory muscle strength (MEP, MIP), body plethysmography (“body-box”), as well as ergospirometry with the use of treadmill or cycle ergometer.
Fully equipped Broncholytic Laboratory with video-bronchoscopy and endobronchial ultrasound (ΕΒUS, radial) capabilities.
Application of non invasive mechanical ventilation devices (BPAP/CPAP) if indicated.
Use of low-dose computed tomography for lung cancer screening in long-term smokers.