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The Pulmonology Laboratory of Cosmoclinic specializes in the diagnosis of respiratory system diseases. Detailed examinations are performed on-site using modern equipment, contributing significantly to the prevention, detection, and monitoring of chronic or acute cases.
The Laboratory's goal is to support the therapeutic work of the physicians at the Pulmonology Clinic. Our pulmonologists evaluate the test results and, based on the respective information, develop comprehensive treatment plans for each patient.
The following examinations are performed at our Laboratory:
What it is:
Spirometry is a simple, fast, and reliable test used to evaluate respiratory function. It records the flow and volume of air entering and exiting the lungs, allowing for the diagnosis and monitoring of conditions such as asthma, chronic obstructive pulmonary disease (COPD), emphysema, bronchiectasis, and interstitial lung diseases (such as pulmonary fibrosis).
How it is performed:
During the test, the patient breathes into a special mouthpiece connected to a spirometer—a device that records respiratory flows and volumes. Initially, the patient is asked to inhale deeply and then exhale sharply and continuously for at least 6 seconds. The process is repeated to ensure the reliability of the measurements. The patient's height, weight, and gender are taken into account to compare results with normal values.
When it is indicated:
The test is recommended for:
Individuals with a chronic or recurrent cough.
In cases of dyspnea, especially during exertion.
Patients with wheezing.
When asthma or COPD is suspected.
Smokers with or without symptoms.
As part of a preoperative evaluation.
Preventively, for individuals over 40 or those with occupational exposure to inhaled substances (dust, fumes, chemicals).
Children with frequent infections or signs of asthma.
Patient Preparation:
Avoid smoking for at least 8 hours before the test.
Do not consume heavy meals 2 hours before the test.
Avoid intense physical exercise 2 hours before the test.
It is recommended to discontinue any inhaled medication from the previous evening (according to physician instructions).
You need to know your exact height and weight; otherwise, they are measured on-site before the test.
Duration:
The test lasts approximately 5 to 10 minutes.
What it is:
This is a specialized blood draw that allows for the evaluation of respiratory function and oxygenation of the body. It provides valuable information regarding oxygen and carbon dioxide levels, as well as the body's acid-base balance (pH). With this measurement, the pulmonologist can detect the presence of chronic or acute respiratory failure and estimate the degree of hypoxemia or hypercapnia.
How it is performed:
A blood sample is taken from an artery, usually the wrist (radial artery). The sample is analyzed immediately to determine levels of:
Oxygen (PaO₂)
Carbon dioxide (PaCO₂)
Blood pH
Bicarbonate (HCO₃⁻)
Oxygen saturation (SaO₂)
When it is indicated:
The test is recommended for:
Individuals with acute dyspnea or rapid deterioration of respiratory status.
Patients with chronic respiratory failure (e.g., COPD, pulmonary fibrosis).
Patients with suspected hypoxemia or hypercapnia.
Individuals exhibiting sleepiness, confusion, or cyanosis without an obvious cause.
Patients receiving oxygen therapy or non-invasive mechanical ventilation (CPAP/BiPAP).
Patients with neuromuscular diseases or severe obesity who may exhibit hypercapnia.
Individuals about to undergo general anesthesia or surgery.
Patient Preparation:
No special preparation is required. You must be at rest for a few minutes before the blood draw. If you are on oxygen therapy, the flow and delivery method must be recorded, and it must be discontinued for 30 minutes before the test to allow for evaluation on room air.
Duration:
1 minute for the draw and 15 to 20 minutes for result analysis. After the arterial draw, pressure must be applied to the site for approximately 5 minutes.
What it is:
Sleep apnea testing is a diagnostic procedure aimed at recording and evaluating breathing disorders during sleep. Early diagnosis is crucial, as untreated sleep apnea is associated with hypertension, cardiac arrhythmias, strokes, and an increased risk of traffic accidents due to daytime sleepiness.
How it is performed:
The test is conducted via polysomnography (PSG), the most reliable and complete method for studying sleep. The patient stays in a specially designed, quiet room overnight, wearing sensors that record:
Respiratory movements of the chest and abdomen
Airflow through the nasal and oral passages
Blood oxygenation (oximeter)
Electroencephalogram (EEG) to record sleep stages
Electrocardiogram (ECG), leg movements, and potential snoring disturbances
When it is indicated:
The test is recommended for individuals exhibiting:
Loud or intermittent snoring.
Episodes of apnea during sleep.
Morning headaches or a feeling of choking upon waking.
Daytime sleepiness or exhaustion.
Reduced concentration, irritability, or memory difficulties.
Resistant hypertension, heart disease, or metabolic syndrome.
Increased body weight or neck circumference.
Unexplained arrhythmias – atrial fibrillation.
Patients with heart failure or nocturnal angina.
Patient Preparation:
On the afternoon before the test, avoid consuming coffee, alcohol, or energy drinks, heavy meals, and the use of sleeping pills, unless otherwise instructed by the physician.
A normal sleep schedule the previous night is recommended.
Duration:
The recording lasts 6 to 8 hours, the duration of a full night's sleep cycle. Results are analyzed by a specialized pulmonologist and, if necessary, an ENT evaluation follows.