Division of Pulmonary and Critical Care
Clinical Services in the Division of Pulmonary and Critical Care Medicine
The Division provides a wide variety of patient related clinical services.
These are varied and an important part of the function of the division. These
include both in-patient and out-patient
In-patient Clinical Services
- The Medical Intensive Care Unit (Dr. Shanholtz, director) provides
the highest level of care for the sickest patients on the medical service
at University Hospital.
This unit is a state-of-the-art facility that includes not only the intensive
care area, but a step-down or intermediate unit as well. Diseases commonly
treated in the MICU include sepsis, acute lung injury, oncologic emergencies,
respiratory failure, and liver and renal failure.
In addition to state-of-the-art therapy, the MICU also has active clinical
trials of new treatments into many of these disorders. The MICU receives patients
from the local area, statewide, and from the Mid-Atlantic region. Physicians
wishing to transfer patients to the MICU can do so through Maryland ExpressCare.
Call 410-328-1234 or 1-800-373-4111.
- The In-patient Consultation Service is an important function
of the Division that provides consultation services to the rest of the adult
medical and surgical services, including solid organ and bone marrow transplant
In addition, the consultation services is responsible for managing the
bronchoscopy service which performs diagnostic and therapeutic bronchoscopy
as well as other clinical procedures.
- VA Medical Center - The Division also is responsible for the running
the ICU and consultation services at the VA medical center.
- University Specialty
Hospital - Chronic
Ventilator Unit and Weaning Program - this unit expedites discharge of
patients from intensive care units to a facility that is specialized in aggressive
ventilator weaning and airway management as well as high quality care for
those patients that require ongoing mechanical ventilator support.
- University Specialty Hospital - Pulmonary
Rehabilitation Program - this program offers a variety of inpatient and
outpatient treatment services. The primary goal of this program is to improve the quality of
life for each patient. Expert staff works with every patient and their family
to develop a tailored treatment plan. The program emphasizes patients taking
an active role in their health care.
Out-patient Clinical Services
- Sleep Disorders Center: This is a multidisciplinary center for the
evaluation and management of sleep disorders including sleep apnea, insomnia,
restless leg syndrome, poor sleep habits, narcolepsy and many more. The center
is under the direction of Dr. Scharf.
Click here for more information about the center. To contact the Sleep
Disorders Center center, call 410-706-4771.
- Lung Transplantation Service: The University of Maryland Medical
Center's Lung Transplantation Program is nationally preeminent, with a tradition
of excellence dating back to 1992 when it performed the first single lung
transplant in Maryland. In 1995, the program performed the state's first bilateral
Today, with a one-year survival rate of 75 percent -- well above the national
average -- the program continues to gain international prominence. The lung
transplant program is headed by Drs. Bart Griffith and Aldo Iacono. Dr. Griffith
is a world-renowned cardiac and pulmonary transplant surgeon. Dr. Iacono is
the Medical Director of the Lung Transplantation program. Drs. Griffith and
Iacono have a long history of working together in evaluating and managing
patients with end-stage lung disease for lung transplant. Dr. Iacono is an
expert all aspects of lung transplantation and has pioneered new techniques
in anti-rejection therapy. Dr. E. James Britt, a dedicated clinical pulmonologist
and Dr. Robin Pierson, a transplant surgeon and physician/scientist, are studying
mechanisms of rejection, and Dorothy Eddington, the transplant coordinator,
round out the core faculty of the lung transplant program.
Click here for more
information about the Lung Transplant Center, or to call for an appointment,
- Interstitial Lung Disease: Interstitial
lung diseases lead to deposition of scar tissue within the lung as well as
inflammation in the lung substance. This group of diseases includes idiopathic
pulmonary fibrosis, and interstitial pneumonitis. Some of these diseases are
associated with other diseases such as lupus, rheumatoid arthritis and similar
diseases. Evaluation and Treatment involves physicians from many different
The University of Maryland Interstitial Lung Disease Program includes the
ILD Clinic, directed by Drs. Jeffrey Hasday and E. James Britt, and Dr. Jeffrey
Galvin, a world-renowned expert in interstitial lung diseases, rheumatologists
with special expertise in lung diseases, and dedicated pulmonary pathologists.
The ILD takes an aggressive approach to arresting and reversing interstitial
lung diseases based on close patient monitoring and frequent medication adjustment.
The ILD and lung transplantation programs are closely coordinated ensuring
that the transplant option is available to patients with ILD.
To arrange for an appointment, contact Drs. Britt, Todd, Hasday or Shah at (410) 328-8141.
- Chronic Obstructive Pulmonary Disease (COPD): This terms refers to
the smoking related diseases such as chronic bronchitis or emphysema. These
diseases which attack the airways of the lung and lung substance itself are
common causes of shortness of breath, chronic coughing, pulmonary infections
and need for frequent medical care.
Modern day medicine has more to offer patients with COPD than ever before.
In addition to traditional treatment with inhaled medicines and oxygen, we
can now offer appropriate patients pulmonary rehabilitation, and in select
cases lung volume reduction surgery and even lung transplantation.
To arrange for a consultation, call Drs. Britt, Todd, Hasday or Shah at (410) 328-8141.
- Asthma treatment center: Asthma is a common and distressing disease
leading to wheezing, shortness of breath and cough. Asthma is caused by inflammation
of the airways of the lung. The many advances in asthma care mean that there
are more treatment options than ever.
If you think you have asthma or would like a consultation, please call (410) 328-8141.
- Bronchoscopy: The Pulmonary and Critical Care Division runs one of
the busiest bronchoscopy services in the area performing over 500 procedures
each year. Patients with a wide range of disorders including interstitial
lung disease, infectious lung disease and primary and metastatic cancer are
referred to our center.
The following procedures are available:
- Transbronchial and Endobronchial forceps biopsy
- Transbronchial Needle Aspiration of mediastinal and hilar lymph nodes
- Transbronchial Needle Aspiration of solitary pulmonary nodules
- CT-guided bronchoscopy
- Foreign body removal
- Hemoptysis management
- Endobronchial Brachytherapy
- Endobronchial Ultrasound Examination and Biopsy
Bronchoscopies are scheduled by one of the pulmonary physicians following proper
consultation. To arrange for a consultation call:
This page was last updated on:
| Dr. Britt
| Dr. Shah
| Dr. Todd
| Dr. Hasday
August 3, 2010.
For patient inquiries, call 1-800-492-5538
or click here
to make an appointment.