Working place:
Polyclinic:
Within the Chest Diseases Unit, 3 polyclinics are provided in Dışkapı Hospital, 3 in Mevki Hospital, one of them belong to the health board and 1 in Hasköy. Sleep Policlinic and Occupational Diseases Policlinic in Dışkapı Hospital; There is a Smoking Cessation Clinic at the Mevki Hospital.
When the patients discharged after the service follow-up, they will followed up separately in The outpatient clinic,. For the follow-up of lung cancer, pulmonary vascular diseases and rare lung diseases (such as interstitial lung diseases), the service at the minor branch clinic level is provided in the outpatient follow-up room available next to the service.
Outpatient clinic service is provided in working hours and patients are given a sequence number from the official registration and entrance departments. Patients with an appointment in the MHRS system are admitted to the outpatient clinic at the time of appointment, and other patients, upon their turn, and the necessary examinations are requested and evaluated. Patients are directed to the service for hospitalization and appropriate interventional procedures (Arterial blood gas removal, pleural interventions, fiberoptic bronchoscopy).
Service
There is a 23-bed service in the Chest Diseases Unit. There is a 6-bed Sleep Clinic in the same building.
Patients who are accepted fort he hospitalization are :
those who found appropriate from the outpatient clinic, they leav the hospitalization card given to them to the service secretary, then called by phone in order and accepted to the service.
Patients who are evaluated in emergency conditions from the emergency department and accepted as emergency, and patients who are hospitalized in other services under seizure conditions are taken into the service. The transfer of the said patients to the service is accompanied by personnel and nurses in terms of patient safety and health and clinical information sharing is provided about the patient. Unless otherwise stated (such as already having an empty bed), patients are admitted in the afternoon (13:30), after cleaning and adjusting the rooms after discharge. The patients are evaluated by the service assistant doctors and presented to the service doctor and the treatment plan of the patients is made.
Nurse visitis is performed at 08:00 every day. On workdays, at 09:00 lecturer and the head of the department (Prof. Dr. Bahar Kurt) are accompanied by a patient visitis attended by doctors and nurses. In this visit, treatment decisions about patients, assistant training about their diseases, and discharge and follow-up plans of patients who are deemed appropriate are made. During the visit, the patients relatives are taken the out of service and they back again at the end of the visit. Every day, before the seizure transfer, on weekends and official holidays, at 09:00 in the morning under the supervision of a service senior assistant doctor, a seizure delivery and patient assessment visite is performed. Similarly, between 23:00 and 24:00 every night, patients are seen again at night visit with the service on-duty assistant and nurses.
Noninvasive mechanical ventilation is applied to patients with respiratory failure hospitalized in the chest diseases clinic, and the patient's need for respiratory support after discharge is evaluated with daily blood gas monitoring.
Service cleaning is carried out daily by the existing cleaning staff. Waste control of the service is monitored by the responsible nurse and other nurses; convenes three times a day in accordance with hospital standards
Intensive care
Chest Diseases Intensive Care service provides service with 4 isolation beds. Patients who require respiratory failure and other intensive care follow-up are followed in isolated single rooms. Patients' breathing is supported by mechanical ventilation support and weaning, which are invasive and noninvasive. If necessary, patient comfort is ensured at the mentioned stages with High-Flow oxygen treatment.
Under the supervision of Associate Professor Serdar Akpınar, patients are evaluated twice a day in the intensive care unit on weekdays and, if necessary, on weekends and official holidays, and treatment decisions are made. In the intensive care unit, assistant doctors from many branches receive training on intensive care follow-up.
Patients who require intensive care follow-up are transferred to the intensive care unit from the emergency room or other services, especially the chest diseases service. At the first entry, if the patient's consciousness is suitable, the patient or their first degree relative is informed about the condition of the disease and the procedures that can be done and appropriate consent is obtained. Daily information is given to one patient relatives on weekdays.
The regular patient care is carried out daily under the supervision of a nurse, paying attention to patient privacy with staff. And by the thanks to the single rooms that allow isolation, the spread of infection has been minimized.
Interventional Transactions:
Patients are informed in advance for all procedures and fill in appropriate consent forms. Diagnostic fiberoptic bronchoscopy, diagnostic and evacuating thoracentesis and pleural biopsy are performed as interventional procedures. There is a special intervention room for bronchoscopy and an additional intervention room for other interventional procedures.
For endobronchial ultrasonography (EBUS) and minimally invasive bronchoscopic volume reduction surgery (with the COIL wire method), patients are assessed by going into the service the day before and are directed for intensive care follow-up after the procedure if necessary.
EBUS transaction is performed by the Associate Professor. Serap Duru Akçalı under general anesthesia in operating room conditions.Since 2019, nearly 300 patients were evaluated with a diagnosis success of around 90% without going to surgical methods that were more invasive thanks to EBUS.
Clinical Training Program
The Chest Diseases Clinic has a seminar time every Wednesday between 12:30 and 13:30 and a literature time on Friday at the same time. Training officers, assistants, rotational assistants and specialists attend the training program.
Clinical Statistical Analysis Report (2018 and 2019 half year statistical data)
Disease profile: Chronic obstructive pulmonary disease, sleep apnea, interstitial lung diseases, lung cancer
Number of active outpatient clinics: 9
Average number of polyclinics per day: 367-320
Number of patients hospitalized: 2693-1534
Service bed occupancy (percent): 73.9-79.2
Service average length of stay (days): 3,5-3
Number of fiber-optic bronchoscopy: 271-144
Thoracentesis number: 654-229
Number of non-invasive mechanical ventilation applications: 1251-630
Arterial blood gas sampling: 3161 (2018)
Academic Study, Awards and Projects (2018 and 2019 half year)
International work:
A global randomized, open-label phase 3 study comparing regn2810 (anti-pd-1 antibody) and platinum-based chemotherapy in primary care in patients with advanced or metastatic pd-l1 + non-small cell lung cancer.