Respiratory Therapy Service

The respiratory care service at KHCC ensures that the lungs of our patients are especially taken care of. After all, healthy breathing and oxygen delivery to all of the body’s organs is a vital aspect of healthy living.
 
Our respiratory therapists assist and supervise those who need:
  • Oxygen therapy
  • Delivery of bronchodilators (medications to relieve narrowing of airways)
  • Chest physiotherapy (breathing exercises)
  • Breathing machines (ventilators)
  • Extubation (removing the breathing tube) once a patient recovers.
 
Our expertise
  • Pulmonary Function Testing
    • A comprehensive PFT unit that offers standard pulmonary function testing, cardio-pulmonary exercise testing as well as impulse oscillometry testing of lung function for kids who are unable to perform a standard PFT.
    • PFT testing evaluate how well the lungs are functioning by determining how much air one’s lungs can hold, how quickly air can be moved in and out, and how well the lungs can deliver oxygen and dispose of carbon dioxide. The tests include the following:
      • Spirometry: A measure of how much and how quickly a person can move air out of his/her lungs. The patient is asked to breathe into a mouthpiece that is attached to a machine. The breathing will be documented on a special chart called a “spirogram”. 
      • Gas Diffusion Test: This test measures the amount of oxygen and other gasses that move to and from your blood.
      • Lung Volume Test: This test helps in measuring the total volume of air that a person’s lungs can handle. This test can be done at our lab by two methods: lung volume by nitrogen washout or lung volume by body plethysmography
      • Cardio-Pulmonary Exercise Testing: A test performed to provide a global assessment of the integrative exercise response involving the pulmonary, cardiovascular, hematopoietic, neuropsychological and skeletal system, which is not adequately reflected through the measurement of individual organ system function.
  • Education
    • We work hard to train patients and health care providers in the proper use of inhalers, physiotherapy and incentive spirometry. This has proven to be the most successful way to manage and prevent breathing problems for our patients.
  • Multidisciplinary care
    • Respiratory therapists at KHCC are involved in multidisciplinary rounds in the floor and ICU.
  • Special training in handling ventilators
    • Including administering meter dose inhalers through close systems for patients on ventilators, handling high frequency oscillatory ventilators and the proper use of BiPAB machines.
  • Bronchoscopy
    • A bronchoscopy is a medical procedure where a tube is inserted into the airways, usually through the nose or mouth. This allows the practitioner to examine the inside of a patient's airway, in search of abnormalities such as foreign bodies, bleeding, tumors, or inflammation.
    • The practitioner often takes samples from inside the lungs: tissue for biopsies, fluid (bronchoalveolar lavage) or endobronchial brushing. The practitioner uses a tube called a “bronchoscope” to be able to go through the airways.
Other respiratory therapy services:
  • Emergency airway management
  • Handle invasive and non-invasive mechanical ventilation setting up, maintenance and troubleshooting and ensuring optimal ventilation management
  • Provide chest physiotherapy, postural drainage
  • Aerosolized bronchodilator management
  • Perform tracheal, endotracheal and nasopharyngeal suctioning including the installation of pharmacologic agents according to the center’s policy
  • Assist in the insertion, maintenance and care of the trachestomy tube
  • Perform and describe to patients the various modes of mechanical ventilation, PIPAP therapy and HFOV