The follow up of complex infants in an aerodigestive clinic

Kimberley R Kaspy1, Gregory Burg2, Aaron P Garrison3

  • 1Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Insights

Pediatric multidisciplinary aerodigestive programs offer coordinated care for infants with complex conditions. This team approach improves diagnosis, management, and health outcomes for infants with aerodigestive disorders.

Area of Science:

  • Pediatric Gastroenterology
  • Pulmonology
  • Neonatology

Background:

  • Aerodigestive disorders are common in infants, particularly those discharged from the neonatal intensive care unit (NICU).
  • These conditions encompass complex airway, pulmonary, gastrointestinal, and feeding issues.
  • Existing literature highlights the need for coordinated management strategies.

Purpose of the Study:

  • To review the available literature on pediatric multidisciplinary aerodigestive programs.
  • To evaluate the effectiveness of these programs in managing aerodigestive disorders in infants.
  • To identify common NICU-related conditions that benefit from this model of care.

Main Methods:

  • Systematic review of current literature on pediatric aerodigestive programs.
  • Analysis of program components including interdisciplinary clinics and combined procedures.
  • Identification of prevalent conditions managed by these programs.

Main Results:

  • Multidisciplinary aerodigestive programs provide coordinated and comprehensive care.
  • The team approach facilitates unified diagnostic workups and management plans.
  • Improved resource utilization and health care outcomes are associated with these programs.

Conclusions:

  • Pediatric multidisciplinary aerodigestive programs are effective for managing complex infant aerodigestive conditions.
  • These programs are beneficial for infants with issues like esophageal atresia, prematurity, bronchopulmonary dysplasia, and dysphagia.
  • The integrated care model enhances patient outcomes and resource management.

Related Concept Videos

Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.3K
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
434
Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
1.1K
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
317
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.7K
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.2K