Pediatric Pulmonology

Completely revised and updated, the second edition of this authoritative guide provides the latest information on the diagnosis, treatment, and ongoing management of pulmonary issues in children. The book covers genetic, congenital, and allergic conditions, as well as acquired and infectious respiratory ailments. Pulmonary issues related to other systemic disorders are also covered, along with respiratory care and pediatric sleep medicine. More than 300 finely detailed images complement the text. New Second Edition Features Expanded content on sleep medicine, including sleep development and maturation, insomnia, parasomnias, sleep-related movement disorders, and obstructive sleep apnea Cystic fibrosis newborn screening and CFTR-related metabolic syndrome Expanded coverage of pneumonia, including when caused by COVID-19 Expanded coverage of primary ciliary dyskinesia Vaping and other forms of nicotine exposure Content Highlights Foundation--anatomy; physiology; physical examination; pulmonary testing; imaging; and bronchoscopy Allergic Conditions--bronchopulmonary aspergillosis; hypersensitivity pneumonitis; eosinophilic pneumonia; and asthma Anatomical Disorders--congenital abnormalities of the upper airway; congenital lung anomalies; and chest wall and spinal deformities Upper Airway Infections--croup, epiglottitis, and bacterial tracheitis Lower Airway Infections--bronchiectasis; bronchiolitis; viral pneumonia (including when caused by COVID-19); nonviral pneumonia; complications of pneumonia; recurrent pneumonia; tuberculosis; and nontuberculous mycobacteria Noninfectious Pulmonary Disorders--atelectasis; respiratory disorders associated with systemic inflammatory diseases; interstitial lung disease; bronchopulmonary dysplasia; pleural effusion (noninfectious); pneumothorax and pneumomediastinum; and pulmonary hemorrhage Pediatric Sleep Medicine--sleep development and maturation; obstructive sleep apnea; home sleep testing; sleep-related movement disorders; insomnia; parasomnias; narcolepsy and other disorders of excessive somnolence; sudden infant death syndrome and brief resolved unexplained events; and congenital central hypoventilation syndrome Other Pulmonary Issues--acute aspiration and aspiration-related lung disease; lung transplant; asthma and other respiratory disorders associated with obesity; and functional respiratory disorders Genetic Disorders--cystic fibrosis; cystic fibrosis newborn screening and CFTR-related metabolic syndrome; and primary ciliary dyskinesia and other genetic lung diseases Lung Disease Associated With Systemic Disorders--respiratory considerations in children with cardiac disease; lung disease associated with endocrine disorders; pulmonary complications of gastrointestinal diseases; pulmonary complications of sickle cell disease; pulmonary manifestations of oncological disease and treatment; pulmonary complications of immunologic disorders; and pulmonary complications of neuromuscular disorders Treating and Managing Pulmonary Disease--airway clearance techniques; aerosol delivery of medication; bronchodilators; antibiotics for pulmonary conditions; nutritional aspects of pulmonary conditions; oxygen therapy; and nicotine and tobacco

Focuses on the assessment and treatment of pulmonary disorders commonly encountered in clinical practice. Abundant tables examine differential diagnosis, lab values/radiologic studies, treatment/therapy options, and when to refer to a specialist. A consistent organization throughout makes review easy, and chapters end with lists of key points.

This fully updated second edition is a definitive guide to imaging and differential diagnosis for pediatric pulmonary diseases and disorders. This edition is fully updated to include coverage of the latest imaging and diagnostic techniques, modalities, and best practices. Beginning with clinical algorithms, chapters provide a framework for clinical diagnosis. This image-based text presents a comprehensive, multi-modality approach, with an emphasis on plain film and cross-sectional imaging. The imaging sections, including a new chapter on pediatric thoracic MRI, are correlated with pathology and clinical findings to help readers learn what the modality of choice can enable them to see. This information and guidance is applied directly to diseases and disorders seen in everyday practice, including pleural effusion, focal lung disorders, pulmonary hypertension, cystic fibrosis, and asthma, as well as a new chapter on pediatric pulmonary embolism. In addition, a new chapter on the genetics of pediatric lung disorders has been added. This essential guide gives pediatric pulmonologists and radiologists the information to identify the differentials by symptom complex, accordingly determine what test would be effective, how to proceed, and to essentially provide the best care for their patients.

SECTION 1: General Considerations SECTION 2: Investigations in Pulmonology SECTION 3: Respiratory Infections SECTION 4: Asthma SECTION 5: Noninfectious Diseases SECTION 6: Congenital Malformations SECTION 7: Pleural Diseases SECTION 8: Neoplasms SECTION 9: Intensive Care in Pulmonology SECTION 10: Therapeutics

The opening chapter of the book illustrates how improved understanding of cellular physiology is leading to novel approaches to respiratory disorders. This is followed by an up-to-date review of modern imaging techniques of the pediatric chest and the outlook for further developments in this field. The state of the art in the management of childhood asthma is presented in the next two chapters: one focuses on the therapy of acute asthma, while the other outlines preventive approaches. Other topics covered include the diagnosis and management of sleep apnea, the applications of both rigid and flexible bronchoscopy in the pediatric age group, as well as laryngotracheal abnormalities and the new developments in surgical techniques for anomalies causing upper airway obstruction. Toxic insults to the lungs by environmental toxins, drugs, acid reflux or pulmonary disease secondary to systemic disorders are very thoroughly discussed as is the approach to the child who develops signs of chronic lung disease. The final chapter focuses on lung transplantation in children with terminal disease and presents results from the center with the greatest experience to date.

Over the past 20 years, diagnostic tests for pediatric pulmonologists have revolutionized care of children afflicted with respiratory disorders. These tests have been used to not only help in diagnosis, but also in the management and treatment of these children. Bronchoscopic, imaging and physiologic advances have improved clinical care of these children and have been used as outcome measures in research trials. Diagnostic Tests in Pediatric Pulmonology: Applications and Interpretation describes the various diagnostic modalities (especially the newer ones) that are available for the evaluation of pediatric respiratory disorders. It also provides an understanding of the advantages and limitations of each test so that the clinician may choose the most appropriate ones. An internationally renowned group of authors describe how best to interpret the key findings in a variety of tests as well as the possible pitfalls in incorrect interpretation. This volume focuses on the main diagnostic modalities used in the evaluation of pediatric patients with respiratory disorders and presents up-to-date information on the advantages and limitations of each test for a variety of conditions encountered in the practice of pediatric pulmonology. Clinical utility of these tests is also highlighted. This valuable resource is well suited to practicing clinicians, including pediatric pulmonologists, pediatricians and primary care practitioners, as well as trainees, respiratory therapists and clinical researchers.

A practical approach to treating the respiratory aspects of pediatric conditions.