Ambulance

Acute Ambulance
Operating Hours:Continuous Operation 
Telephone Contact: +420 26608 2081, +420 26608 2077
E-mail: pneumoambulance@bulovka.cz
Chief Medical Officer: Attn. As. MUDr. Lydia Slušná
Staff Nurse: Bc. Alena Kráľová

From 15.30-7.00 and on Saturdays and Sundays, treatment is charged a regulatory fee for the use of the medical emergency service in the amount of 90 CZK. The fee can be paid in cash at all machines on the hospital premises, some of which can also be paid by card. For a list of machines, see HERE.

Chronic (Specialized) Ambulance
Operating Hours:Mon-Sat 8am-3pm, Thu 8am-12pm, Fri 8am-2pm.
Phone Contact: +420 26608 2081, +420 26608 2077
E-mail: pneumoambulance@bulovka.cz
Chief Medical Officer: union. as. MUDr. Jaroslav Lněnička

Conditions for admission to chronic outpatient monitoring:

  • Relevant pulmonary diagnosis or suspicion (COPD, asthma bronchiale, complicated inflammatory lung diseases, interstitial lung processes, tobacco dependence, indications for sleep-disordered breathing and treatment of respiratory insufficiency - oxygen therapy, non-invasive lung ventilation).
  • Recommendation of a general practitioner or specialist.
  • Patient must bring: insurance card, list of medications and medical reports (documentation related to the issue under examination)

Chronické (specializované) ambulance

Interstitial pulmonary processes

Lead Physician:Doctors: odb. as. Michaela Cimrova, M.D., Daryna Hrek, M.D., Iryna Bondarenko, M.D., odb. as. MUDr. Ing. Jindřiška Martínková

  • diagnosis and treatment of all interstitial lung diseases
  • we are a center for the treatment of idiopathic pulmonary fibrosis (IPF) with ability to administer center-based biologic therapy
  • diagnostic process is multidisciplinary and team-based (pulmonologist, radiologist, thoracic surgeon and possibly pathologist- evaluate biopsies)
  • we examine patients prior to lung transplantation
  • conduct clinical trials in prospective international studies

Difficult-to-treat asthma

Chief Medical Officer:Doc. MUDr. Norbert Pauk, Ph.D.
Doctors. MUDr. Lydia Slušná, odb. as. MUDr. Jaroslav Lněnička, MUDr. Věra Bártová, MUDr. Aneta Opravilová

  • diagnosis and treatment of severe refractory asthma
  • we are a centre for the treatment of refractory asthma with the possibility of administering centre-based biological therapy
  • conducting clinical trials in prospective international studies

Diagnosis and treatment of COPD

Chief Medical Officer:Doc. MUDr. Norbert Pauk, Ph.D.
Doctors: Anastasiia Solodkova, MUDr. Karolina Rúcklová

  • diagnosis and treatment of chronic obstructive pulmonary disease (COPD)
  • conducts clinical trials in prospective international studies

Centre for Tobacco Dependence

Chief Medical Officer:MUDr. Karolina Rúcklová

  • Tobacco dependence brief interventions take place in all departments of our clinic, but the Centre for Tobacco Dependence is dedicated to the highest form of treatment, i.e. a comprehensive tobacco cessation strategy. This involves a combination of psychotherapy training for risk situations and usually medication support for cessation. We monitor the progress of cessation by questionnaire tests and also by measuring tobacco fumes in exhaled air.
  • The initial examination at our centre takes approximately 45-55 minutes, with follow-ups taking about 15-20 minutes.
  • The success rate of our treatment is around 40-45% in the long term, with a maximum quit rate of up to 5% without medical assistance.

Centre for the diagnosis and treatment of sleep-disordered breathing

Chief Medical Officer:odb. as. MUDr. Igor Jurikovič 
Doctors: Alexander Golubov, MUDr. Erick Camargo Konecny

Operating Hours: MON-FRI 8.00-15.00 (new patients examined 8.15-10.00)
Arrangements: appointments are made by calling +420 26608 2085 or by emailing igor.jurikovic@bulovka.cz

The laboratory provides diagnosis of sleep-disordered breathing and their treatment.

Nightly sleep monitoring includes:

  1. Polygraphic monitoring with Porti 7 device which monitors breathing, blood oxygen saturation, snoring, chest and abdominal breathing effort, ECG curve, transit pulse time, body position during sleep. We have 3 of these devices. Another device of the same category, the NOX T3, complements the above devices and senses the same parameters in addition to the ECG curve.
  2. Polysomnographic monitoring Porty 8 monitors four EEG electrodes, two eyeball movements and two chin muscle tension electrodes in addition to polygraphic parameters. The monitoring is an online recording of the image and sound, which is captured overnight by a camera and microphone.
  3. Treatment of all forms of obstructive sleep apnoea and hypopnoea by regimen measures, surgical plastics at the ENT clinic of the Bulovka Hospital or treatment with CPAP and VPAP non-invasive ventilatory support in monitoring room with bed. The monitoring is usually done 4 days a week.

The laboratory staff consists of a full-time physician, two part-time physicians and one part-time laboratory technician. The laboratory has two monitoring rooms with beds. Monitoring is usually done every weekday. Polysomnographic monitoring occurs once a week, always on Thursdays.

Pulmonary Function Laboratory

Chief Medical Officer:odb. as. MUDr. Jaroslav Lněnička
Doctors. MUDr. Igor Jurikovic, MUDr. Yelyzaveta Zhuber

Operating Hours:Mon-Fri 7.30-15.00 (on Fridays only spirometry and blood gas testing).

Examinations are booked by calling +420 26608 2067 or by request form, which patients present for examination.

The laboratory provides the following examinations:

  1. Spirometry examination - basic ventilation examination.
  2. Blood gases - examination of respiration and acidobasic balance from arterialized or arterial.
  3. Examination of lung volumes, airway resistances using BODYTEST whole-body plethysmography.
  4. Examination of diffusing capacity of the lungs.
  5. Exercise spiroergometry - exercise, expiratory.
  6. FENO examination - test of carbon monoxide concentration in the breath (monitoring inflammatory bronchial diseases, especially asthma).
  7. Examination of respiratory muscle strength.
  8. Oscillometry - examination of airway resistance.

Home non-invasive ventilation

Lead Physician: odb. as. MUDr. Jaroslav Lněnička

We treat patients with chronic hypercapnic respiratory insufficiency including non-invasive ventilatory support in neuromuscular diseases and  "High-intensity NIV" in COPD. Furthermore, we offer the indication and setting of airway depressurization therapy (oxygen therapy) for home non-invasive ventilation in patients with complicated sleep-disordered breathing (overlapping COPD + OSA, OSA + hypoventilation syndrome in obesity, OSA with hypoxia in comorbidities, etc.) or in patients in whom the sleep laboratory has failed to satisfactorily set up pressor therapy.

Patients are examined and introduced to treatment either on an outpatient basis or during hospitalization depending on the patient's ability to commute, and primarily on the severity of the disease.

An appointment can be made by calling 266 08 2081 or better yet, by email atjaroslav.lnenicka@bulovka.cz.

The referring physician's referral and detailed medical records are required for the examination. For patients already examined in the sleep lab, we also ask for electronic data from the polygraph and outpatient titration so that we can smoothly follow-up and not repeat tests already performed.

Pneumooncology

Lead Physician: odb. as. MUDr. Jana Krejčí 
Doctors:

Operating Hours:Mon-Thurs 8 a.m.-3 p.m., Wed 8 a.m.-2 p.m., Thurs 8 a.m.-12.30 p.m., Fri 8 a.m.-1 p.m.
Please call to make an appointment:+420 26608 2267

The Pneumooncology Outpatient Clinic of the Department of Pneumology of the Faculty of Medicine is one of the specialized centres in the Czech Republic, which are dedicated to the diagnosis and complex treatment of lung cancer and other malignancies of the chest area. We are one of the largest centres of its type in our country. On the basis of a properly established histological diagnosis with support molecular genetic tests, we are able to refer patients for state-of-the-art biological treatment or immunotherapy according to current therapeutic standards. Patients who meet the entry criteria are also enrolled in prospective international clinical trials with access to innovative and unreimbursed drugs. We actively collaborate with the Institute of Radiation Oncology of the Faculty of Medicine and the Surgical Clinic of the Faculty of Medicine, where through interdisciplinary seminars, we indicate adequate surgical or radiotherapeutic procedures according to the extent of tumor involvement and the overall condition of the patient.

Department of Bronchology

Chief Medical Officer:odb. as. MUDr. Michaela Cimrová
Doctors. MUDr. Ing. Jindřiška Martínková, MUDr. Marek Oršula

Operating Hours.00-14.00 

Examinations are booked by phone on 266 08 2467 or by a request form, which patients present for examination.

The department is focused on the diagnosis of lung diseases by bronchoscopic examination, which is performed mainly under local anesthesia with a flexible bronchoscope, exceptionally under general anesthesia with a rigid bronchoscope. Bronchoscopic examination is used to diagnose diseases of the airways and lung parenchyma by means of the brush method, endobronchial aspiration and excision. We also perform bronchoalveolar lavage and perbronchial puncture. Bronchoscopic airway toileting is performed in long-lying patients, and inhaled foreign bodies are removed by bronchoscopy.