Middletown Pulmonary and Critical Care provides comprehensive treatment for a number of pulmonary and critical care medical and surgical conditions. Our experienced, skilled physicians work to bring you leading-edge pulmonary and critical care treatment and preventative care to help you live your best life.


  • Argon Plasma Coagulation (APC) Tumor Ablation – Used to treat tumors and control bleeding, this procedure channels argon gas through a thin tube, called a bronchoscope, into the affected area. A small electrical current is applied, and this kills cancer cells or stops bleeding without touching the tissue.
  • Endobronchial Ultrasound (EBUS) – A flexible bronchoscope is used to obtain an ultrasound image of lymph nodes and tumors located just outside the walls of the bronchial tree, allowing the physician to get biopsy specimens under direct vision without invading the chest wall and lung tissue.
  • Lung Cancer Screening – The Premier Health Cancer Institute offers lung screening for those at high risk for lung cancer. Patients appropriate for the screening include those who are ages 55-74 who smoke or smoked in the last 15 years with a 30-pack-per-year smoking history.
  • Navigational Bronchoscopy – This diagnostic procedure allows physicians to use electromagnetic imaging to locate lung growths and biopsy them through a bronchoscope.
  • Pleurodesis – Medication is inserted through a tube into the patient’s chest cavity to prevent repeated fluid build-up due to cancer or benign conditions.
  • Pleural drainage and catheters – This is a procedure that removes excess fluid (pleural fluid) from the space between the chest wall and lung (pleural space). A pleural effusion can make breathing difficult and may be painful.  A pleural catheter allows the fluid to be drained.
  • Pulmonary Function Testing – These non-invasive tests determine how well a patient’s lungs are functioning. These procedures test airflow, air capacity and lung volumes to help detect potential pulmonary disorders.
  • Spacers – Used with inhalers, a spacer ensures that the medication is delivered the right way to the deeper part of the bronchial tree. It attaches to the inhaler to deliver the medication into the patient’s mouth.
  • Spirometry – This procedure measures a patient’s breathing capacity. Spirometry is used in the diagnosis of asthma, helps physicians to monitor asthma and the patient’s response to treatment.
  • Thoracentesis – A procedure in which air or fluid between the lungs is removed with a needle through a small incision through the back.

Condition Care

  • Asthma action plan – A treatment plan developed by the physician and patient that details effective ways to treat his or her condition. It outlines environmental factors that impact asthma, how to handle attacks, use of medication and what to do in an emergency.
  • ICU care at Atrium – The Intensive Care Unit at Atrium Medical Center is committed to the comprehensive, quality care of serious illnesses, urgent conditions, or injuries resulting from trauma. 
  • Influenza vaccine – The influenza vaccine is a preventative measure to help you stay healthy during cold and flu season. The shot doesn’t give you the flu, it helps to protect you and others from the flu.
  • Inhalers and nebulizers – These are devices used to send medicine into the lungs for the treatment of pulmonary conditions such as asthma and chronic obstructive pulmonary disease (COPD). Inhalers are hand-held and portable, nebulizers are machines that deliver medication by aerosol through a mask or mouthpiece.
  • Pneumonia vaccine – A pneumococcal shot works on a similar principle as the flu shot. The pneumonia vaccine helps to protect you and others from contracting pneumonia.
  • Pulmonary rehabilitation – Outpatient rehabilitation therapy can help you manage shortness of breath resulting from lung conditions such as COPD and improve your quality of life. Programs are tailored to the patient’s ability to exercise and provide education that the patient can use in their day-to-day management of their lung disease.
  • Smoking cessation – Stopping smoking will not only improve your lung health, but it may decrease your risk of other health conditions. We provide smoking cessation education to help you kick the habit.

For more information about pulmonary and critical care, visit American Thoracic Society.