The Professorial Respiratory Centre

Contact Details

All GP referral notes should be posted to, or presented at Central Registration, Out Patients Department, Tallaght University Hospital, Dublin 24.  They can also be faxed to (01) 414 2989.     

Our consultant team can be contacted on the relevant numbers below (9am to 5pm).

Prof. Stephen Lane
Public Hospital Secretary (01) 414 4031
Private Secretary (01) 414 2703
Email: stephen.lane@tuh.ie

Prof. Eddie Moloney
Public Hospital Secretary (01) 414 2397
Private Secretary (01) 414 3026
Email: eddie.moloney@tuh.ie

Prof. Seamas Donnelly
Public Hospital Secretary (01) 414 4608
Private Secretary (01) 896 4431,
Email: tallaghtfibrosis@tuh.ie

Pulmonary Fibrosis Office / Referrals
Phone: (01) 414 4608
Email: tallaghtfibrosis@tuh.ie
Pulmonary Fibrosis Specialist Nurse Service - Mary Poland (086) 210 5695.

Dr. John Cullen (01) 414 3247

Description of Department

The Professorial Respiratory Centre treats and cares for adult patients with all forms of breathing related difficulties including, but not limited to
• Asthma
• Chronic Obstructive Pulmonary Disease
• Lung infection
• Pulmonary Fibrosis
• Disorders of sleep and ventilation, and
• Patients with lung cancer

Our team of consultants, specialist respiratory nurses, specialist respiratory physiotherapists and Pulmonary Technologists work hard to enable those with respiratory disease lead as normal a life as possible. We constantly strive to provide world class treatment, guidance and education to patients and medical staff and we use our research expertise to advance our understanding of how best to diagnose, treat and care for our patients.

We care for many of our patients within Tallaght University Hospital, but also manage a 25 bed specialist Respiratory Rehabilitation Unit at Peamount Healthcare in Newcastle Co. Dublin.

We are proud to be the home of Ireland’s first National Centre for the treatment of Pulmonary Fibrosis. Lead by Professor Seamas Donnelly, this state of the art medical unit provides specialised care for patients. Its Specialist Nurse Service offers assistance and advice to GPs, patients, and to their families.

We run an extensive programme of patient clinics. These are located in the Out Patients area in TUH and Peamount Healthcare.

Our Services

The Professorial Respiratory Centre offers specialised treatment for a wide range of breathing related disorders.

1.  Severe Asthma and allied allergic and vasculitic respiratory disorders
We have a special interest in caring for patients with severe asthma, respiratory allergy and pulmonary vasculitis. Our team of doctors, clinical nurse specialists and pulmonary physiologists treats a large cohort of patients with the main asthma phenotypes such as allergic asthma, eosinophilic asthma and aspirin-exacerbated respiratory disease. We have a therapeutic interest in Monoclonal Antibody Therapy, Bronchial Thermoplasty, and Allergen Immunotherapy. The Professorial Respiratory Centre is a member of the Tallaght Vasculitis & Allergy Group (TVAG). This interdisciplinary grouping of consultants is involved in the management of rare vasculitis and allergic lung conditions such as Churg Straus Syndrome, Wegener’s Granulomatosis, Hypereosinophilic syndrome, Anaphylaxis and Immunodeficiency. We run an active clinical research unit and are involved in multiple ongoing investigational studies into these conditions.

2.  Pulmonary Fibrosis
In our National Pulmonary Fibrosis Centre, we care for patients with Pulmonary Fibrosis referred nationally from Consultant and GP colleagues. One of the largest in Europe, we have a multidisciplinary team of specialist nurses, physiotherapists, pulmonary function specialists, pharmacists and medical doctors who look after referred patients. In addition, the Centre runs joint clinics with our Rheumatology and Nephrology colleagues. It supports the cutting-edge research which is ongoing within the Professorial Respiratory Centre and Trinity College Dublin, seeking to discover why people get Pulmonary Fibrosis, and trying to develop potentially novel therapies to treat the disorder.

3.  Disorders of Sleep and Ventilation
We help and treat patients with respiratory symptoms of Obstructive Sleep Apnoea (snoring, witnessed apnoeas, nocturnal arousals and daytime sleepiness). We investigate using inpatient full or limited sleep studies, or home overnight oximetry studies. We manage patient treatment with nocturnal continuous positive airway pressure (CPAP) in our 25 bed Respiratory unit in Peamount Healthcare. This includes therapy setup, titration, and monitoring.

We also assist patients with ventilatory failure caused by a variety of conditions including obesity hypoventilation disorders, OSA/ COPD overlap syndrome, Kyphoscoliosis, Muscular dystrophies and Motor Neuron Disease. We care for and manage the treatment of these patients with inpatient non-invasive ventilation (NIV) therapy setup, titration, and monitoring in our Respiratory unit in Peamount Healthcare.
We provide clinic follow-up for patients on both CPAP and NIV therapy.

4.  COPD We provide acute management of patients with Chronic Obstructive Pulmonary Disease through the Emergency Department and the Acute Medical Unit in Tallaght University Hospital. We assist and support patients with Early Supported Home Discharge from Tallaght University Hospital through our special COPD Outreach service. For those in need of ongoing inpatient care, we provide in patient rehab in our 25 bed Respiratory unit in Peamount Healthcare.

We run an Oxygen and NIV Assessment clinic, and offer a variety of educational and training courses for patients. These include diagnosis, inhaler technique, and smoking cessation. We also offer an eight week outpatient rehabilitation course at both Tallaght University Hospital and Peamount Healthcare.

5.  Lung Cancer
Our Lung Cancer Service operates in conjunction with our sister service at St. James’s Hospital, Naas General Hospital and Peamount Healthcare. The Centre treats c.170 new cases of lung cancer per annum. Patient care is provided by a multidisciplinary team of consultant staff including respiratory physicians, thoracic surgeons, radiation oncologists, medical oncologists, radiologists and histo pathologists, specialist lung cancer nursing staff and database co-ordinators backed up by our pulmonary function laboratory and bronchoscopy services. Lung cancer clinics for patients are held weekly, as is a formal multidisciplinary clinic. These provide the focal point of this care.

Our Team

Our multi-disciplinary team of respiratory specialists is led be Professors Lane, Donnelly, Moloney and Dr. Cullen

Our Clinics

Our team of medical consultants, specialist respiratory nurses and physiotherapists and pulmonary technologists run an extensive programme of patient clinics. These are located in the Out Patients area in Tallaght University Hospital and Peamount Healthcare. 

Lung Cancer Clinic
Monday Morning - Out Patients Dept, Tallaght University Hospital (Prof. S. Lane)

Sleep and Disorders of Ventilation Clinic
Monday Afternoon - Out Patients Dept., Peamount Healthcare (Prof. E. Moloney)

Severe Asthma and Immunotherapy Clinic
Wednesday Morning - Burkitt Ward, Tallaght University Hospital (Prof. S. Lane)
Friday Morning - Burkitt Ward, Tallaght University Hospital (Prof. S. Lane)

General Respiratory Clinic
Wednesday Afternoon - Out Patients Dept., Tallaght University Hospital (Prof. S. Lane)
Friday Afternoon - Out Patients Dept., Tallaght University Hospital (Prof. E. Moloney)

General Internal Medicine / Respiratory Clinic
Thursday Morning - General Internal Medicine Dept., Tallaght University Hospital (Dr. J. Cullen)

Chronic Obstructive Pulmonary Disease
Wednesday Afternoon - Out Patients Dept., Peamount Healthcare (Prof. E. Moloney)

Pulmonary Lung Fibrosis Clinic
Thursday Afternoon - Out Patients Dept., Tallaght University Hospital (Prof. S. Donnelly)
Friday Morning - Out Patients Dept., Tallaght University Hospital (Prof. S. Donnelly)

Asthma, Allergy and Immunotherapy Clinic
Friday Afternoon - Out Patients Dept., Peamount Healthcare (Prof. S. Lane)

Patient Advice Information

If you are coming to have a Bronchoscopy performed
You should fast from midnight before the procedure. If there are essential medications that you need to take in the morning – you should check with your doctor whether you can omit them on the morning of the bronchoscopy.

You will be written to with a specific time to present yourself to the Endoscopy suite, Floor 2, Tallaght University Hospital. As Bronchoscopy lists generally are full, please ensure that you arrive on time.

A nurse will welcome you and bring you to your cubicle. The nurse and doctor will ask you a few questions. The doctor will explain about the test and answer any questions you may have. You will then be asked to sign a consent or permission form for the procedure. Blood tests may be taken before the procedure and the doctor will insert a cannula in your arm to allow a relaxant medication to be given to you just before the procedure.

At the appropriate time you will be wheeled down to the bronchoscopy room. A nurse will welcome you and introduce you to other nurses and doctors in the room. You will be prepared for the test and this will include:
• putting a blood pressure cuff on your arm,
• a rubber ring on your finger which measures your oxygen in your blood
• nasal cannula under your nose which gives you oxygen
• mouth guard to protect your gums or teeth

You will then be given a sedative through the cannula in your arm. This will put you into a light sleep.

The bronchoscopy will take 15 minutes for a standard procedure, to up to 40 minutes if additional biopsies are required.
After the procedure, you will be brought back to your cubicle. You will sleep for a while and nurses will check that you have fully recovered and are ready for home.

It is most important that a friend or relative drives you home as you will have a sedative in your system and you would not be able to drive home yourself.

COPD

Chronic Obstructive Pulmonary disease (COPD) is a common, preventable and treatable lung condition caused mainly by smoking.  It is used as a collective term for both bronchitis and emphysema. The main symptoms of COPD are shortness of breath, coughing, clearing sputum and wheeziness.  Some people may also have symptoms of asthma along with their COPD and this is known as Asthma COPD overlap syndrome, which can often be referred to as ACOS.

The key to managing your COPD is knowing your symptoms and what to do when you have a flare up. Stopping smoking is one of the most important things you can do for your lungs. It is also important to know your inhalers and medications, to maintain a reasonable level of activity and have a healthy diet.  This short educational video provides you with the necessary information to help manage your COPD.

Additional links to learn more about COPD, please link in with your doctor for any further clarifications or concerns.

Inhaler Technique https://www.asthma.ie/about-asthma/resources/inhaler-technique-videos

Management of breathlessness (Pursed lip breathing and diaphragmatic breathing)
https://www.youtube.com/watch?edufilter=NULL&v=WfF23do1Roo
http://copd.ie/living-with-copd/breathe-easier/pursed-lip-breathing/

Chest clearance technique: Active Cycle Breathing Technique
http://copd.ie/living-with-copd/breathe-easier/active-cycle-of-breathing-techniques-actb/
https://www.youtube.com/watch?edufilter=NULL&v=sawZdkp7QtQ

Exercises https://www.blf.org.uk/support-for-you/keep-active/exercise-video
Smoking Cessation www.quit.ie
COPD Information www.copd.ie

Websites recommended by The Professorial Respiratory Centre

Cystic Fibrosis Ireland www.cfireland.ie
Asthma Society of Ireland www.asthma.ie
Irish Sleep Apnoea Trust www.isat.ie
Irish Sleep Society www.irishsleepsociety.org
Sarcoidosis Support Network www.isarc.ie
Irish Society for Immunology www.irishimmunology.ie
Irish Lung Foundation www.irishlungfoundation.ie
Lung Cancer Support www.cancer.ie/cancer-information/lung-cancer/living-with#sthash.81hxFmf6.dpbs
COPD Support Ireland www.copd.ie
Irish Thoracic Society www.irishthoracicsociety.com
British Thoracic Society www.brit-thoracic.org.uk
National Clinical Program for COPD www.hse.ie/eng/about/Who/clinical/natclinprog/copdprogramme
National Clinical Programme for Asthma www.hse.ie/eng/about/Who/clinical/natclinprog/asthma
National Cancer Control Programme www.hse.ie/eng/services/list/5/cancer

Work With Us and Learn

The Professorial Respiratory Centre is an excellent place to learn. Medics work under the direct guidance of renowned respiratory consultants and are based in Tallaght University Hospital & Peamount Healthcare. They learn how best to treat and care for patients with Asthma, COPD, Pulmonary Fibrosis, Lung Cancer and Respiratory Sleep & Ventilation disorders. They gain experience working in the 10-bed ICU Unit in Tallaght, and in the 25-bed Respiratory Sleep & Ventilation Unit in Peamount. Those with a special interest in research have the opportunity to seek admission to a three year research programme in Trinity College Dublin under the leadership of Professor Seamas Donnelly, Head of Medicine TCD.

Why did you choose Respiratory Medicine and Tallaght University Hospital?

Dr. Chithra Vargarse"I was initially attracted to work in Respiratory Medicine as it is a perfect blend of clinical and practical skills; it is very tangible too. I found working on rotation in Tallaght a great learning experience. Everyone was friendly, and I received great support and guidance from consultant colleagues. Working in Intensive care as a part of the SpR rotation was invaluable, as was working in the Respiratory unit in Peamount Healthcare.

It was a great opportunity for me to gain in-depth knowledge and experience in the management of ventilatory and sleep disorders."  Dr. Chithra Varghese, Registrar

"Tallaght Hospital is a very friendly place to work. The Professorial Respiratory Centre provides a variety of experience and learning Dr. Aoife O'Reillyopportunities. I began my training in the Intensive Care Unit where I learned under supervision how to perform many practical procedures and care for critically ill patients. Starting off my SpR year in such an important area was a valuable experience.  I look forward to working in the Ventilation Unit in Peamount Hospital.  It will be a good opportunity for me to learn how to treat and care for patients with sleep disorders." 
Dr. Aoife O'Reilly 

 If you are interested in joining the team please click HERE to see if there are any current vacancies.