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Other Pulmonary Disorders01:17

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Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
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Interventional pulmonology across the globe.

Kubra Melike Bozkanat1, Dirk Schramm2

  • 1Department of Pediatrics, Division of Pulmonary, Asthma and Sleep, Stanford University School of Medicine, Palo Alto, California, USA.

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Summary

Pediatric interventional pulmonology (PIP) advances respiratory care in children, but global adoption faces challenges. International collaboration and standardized training are crucial for equitable access to these life-saving procedures.

Keywords:
bronchoscopycryotherapyendobronchial ultrasoundpediatric interventional pulmonology

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Area of Science:

  • Pediatric Respiratory Medicine
  • Interventional Pulmonology
  • Medical Technology Innovation

Background:

  • Pediatric interventional pulmonology (PIP) is a rapidly advancing subspecialty focused on diagnosing and treating pediatric respiratory conditions using procedural interventions.
  • The field aims to improve outcomes for children with complex airway diseases, congenital anomalies, and other pulmonary issues.
  • Global adoption of PIP advancements is uneven, presenting significant challenges.

Purpose of the Study:

  • To review recent technological developments in pediatric interventional pulmonology.
  • To discuss the challenges and disparities in the global adoption of these new PIP techniques.
  • To highlight the potential of PIP to transform pediatric respiratory care worldwide.

Main Methods:

  • Review of recent innovations in pediatric interventional pulmonology, including cryoprobes, bronchoscopes, and endobronchial ultrasound.
  • Analysis of the application and limitations of these technologies in pediatric airway management.
  • Examination of geographical and economic factors influencing the global implementation of PIP.

Main Results:

  • Innovations like ultra-thin cryoprobes and advanced bronchoscopes facilitate pediatric airway diagnostics and interventions.
  • Cryotherapy shows promise for biopsies, stenosis treatment, and foreign body removal; endobronchial ultrasound aids diagnosis but faces accessibility issues.
  • Emerging techniques for tracheoesophageal fistula repair and air leak management show potential but require more evidence; significant disparities exist between high-income and low-/middle-income countries.

Conclusions:

  • Pediatric interventional pulmonology holds transformative potential for pediatric respiratory care.
  • Significant global disparities in adoption necessitate international collaboration, standardized training, and resource allocation.
  • Virtual training platforms and global conferences can help bridge these gaps, promoting equitable growth and improved patient outcomes.