Excellence in Respiratory Care

Today, the MCI is known the world over as a leader in the care of respiratory disease. Using a multidisciplinary approach for diagnosis and treatment, the MCI’s expert healthcare professionals deliver the highest quality of patient care in such key areas as:

  • Asthma
  • Cystic fibrosis
  • Chronic obstructive pulmonary disease
  • Lung cancer
  • Tuberculosis
  • Occupational lung diseases
  • Pneumonia
  • Pleural diseases
  • Sleep apnea
  • Interstitial lung diseases

The MCI’s health care team is known for its empathy and for going above-and-beyond for patients. The staff takes the time to listen and understand patients’ needs, worries and goals. Together with their patients, they craft customized treatment plans that encompass all aspects of care including education, rehabilitation and psychological and social support. The goal is to help patients breathe easier and enjoy the highest quality of life possible.

MCI Clinics and Programs

The MCI offers several specialized respiratory care services including many that are unique in Quebec, Canada and the world.

Dr. Jennifer Landry speaks with Chelsea Gagnon, 27-year-old living with cystic fibrosis.

Asthma Clinic*

The clinic provides state-of-the-art care, teaching and support to patients with asthma, particularly those whose condition is more complex or difficult to control.

Chronic Obstructive Pulmonary Disease (COPD) and Pulmonary Rehabilitation Clinic*

This clinic provides state-of-the-art care, teaching, support, and rehabilitation to patients with COPD, particularly those diagnosed with severe COPD.

Cystic Fibrosis Clinic*

The MCI is a leader in the care of patients with cystic fibrosis (CF). Indeed patients with CF treated at the MCI have the highest average survival rate in Canada. The MCI’s CF clinic provides highly specialized and personalized care to patients and family members affected by the disease. CF is a complex disease that affects many parts of the body and the MCI’s expert team offers comprehensive care, treatment, and support. They work closely with the team at the Montreal Children’s Hospital and the CHU Ste-Justine to help teenagers transition from pediatric to adult care.

General Respirology Clinics*

These clinics, held every weekday morning and afternoon, provide investigation and treatment for patients with a broad range of respiratory symptoms and conditions, including asthma, COPD, bronchiectasis, pneumonia, pleural diseases, lung nodules, lung cancer, sarcoidosis, interstitial and occupational lung diseases, and many others.

Home Ventilation Program and Clinic*

This provincial program provides and supervises home ventilator support for patients with chronic respiratory failure, most often due to neuromuscular diseases such as muscular dystrophy and amyotrophic lateral sclerosis (ALS). The Home Ventilation Program was developed by the MCI and is one of only two such programs in Quebec.

Pleural Disease Program

The Pleural Disease Program is a specialized multidisciplinary service for the evaluation and treatment of patients with diseases affecting the linings around the lungs. Patients with pleural effusions or pleural masses are evaluated for possible thoracentesis, pleuroscopy (both medical and surgical) and/or biopsy. Pleural manometry is performed and home drainage systems are implanted when appropriate. In most cases, an urgent thoracentesis can be arranged within 24 hours.

Pulmonary Function Laboratories

The MCI’s laboratories can perform various lung function tests, including spirometry, lung volumes, diffusion, methacholine bronchial provocation, cardiopulmonary exercise testing, and special tests such as static lung compliance. These tests may help in the diagnosis of such diseases as asthma, exercise-induced bronchoconstriction, neuromuscular disorders, etc. These tests are also useful for monitoring the efficacy of treatments. The results help to identify the severity of pulmonary impairment.

Respiratory Acute Care Inpatient Unit

This 16-bed unit specializes in the management of various medically complex respiratory conditions, including tuberculosis, cystic fibrosis, chronic obstructive pulmonary disease, asthma, pneumonia, lung cancer, interstitial lung diseases and pleural diseases. The unit is staffed by respirologists, family physicians, residents, specialized nurses, respiratory therapists, physiotherapists, a dietician, a social worker and other multidisciplinary team members.

Rapid Investigation Clinic*

While other lung cancer investigation centers in Quebec and Canada serve to coordinate tests, the MCI’s Rapid Investigation Clinic is the only one where patients are seen rapidly, simultaneously and repeatedly by a respirologist, a thoracic surgeon and a nurse clinician, in addition to receiving standard tests. If diagnosed with lung cancer, MCI patients are directed towards the appropriate treatment as rapidly as possible.

Respiratory Day Hospital

This 10-bed unit specializes in the emergency management of asthma, chronic obstructive pulmonary disease and lung diseases. It also houses a very active interventional respirology program, including diagnostic bronchoscopy (with and without endobronchial ultrasound), medical thoracoscopy, indwelling pleural catheter placement and other pleural procedures.

Respiratory Intensive Care Unit and Weaning Unit

This seven-bed unit specializes in the management of acute and chronic respiratory failure via invasive and non-invasive mechanical ventilation. It specializes in the weaning of patients from mechanical ventilation as they recover from acute respiratory failure. Patients from across Quebec are referred to the MCI to help them transition from breathing with the support of a machine to breathing on their own.

Sleep Disorder Clinics*

These clinics offer investigation and comprehensive management of frequent and rarer sleep-related breathing disorders including obstructive sleep apnea.

Smoking Cessation Program*

This program offers individual assessment and management of tobacco addiction, as well as group-oriented educational and counseling activities.

Tuberculosis Clinic*

This clinic provides expert investigation and care for patients with suspected or confirmed latent or active tuberculosis, and serves as a referral facility for immigration- and health care-related tuberculosis screening activities.

*Physician referral required for all new patients. If you would like to make an appointment at the Montreal Chest Institute please call 514.934.8488.

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Young woman undergoing a test in the MCI’s Sleep Laboratory.