Related Experiment Video

Updated: Sep 15, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

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Present and future of paediatric interventional pulmonology: addressing global healthcare disparities

Dirk Schramm1, Nor Diyana Ismail2

  • 1Department of General Pediatrics, Neonatology and Pediatric Cardiology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.

Breathe (Sheffield, England)
|July 17, 2025
PubMed

Insights

Paediatric interventional pulmonology uses advanced flexible bronchoscopy to diagnose and treat complex childhood airway conditions. Improving global access and training is crucial for equitable care worldwide.

Area of Science:

  • Pediatric Pulmonology
  • Interventional Bronchoscopy
  • Airway Management

Background:

  • Paediatric interventional pulmonology has advanced significantly since the 1970s with flexible bronchoscopy.
  • Specialized knowledge, instruments, and expertise are vital for addressing unique paediatric airway challenges.

Purpose of the Study:

  • To review the current state and future directions of paediatric interventional pulmonology.
  • To highlight technological advancements and global healthcare disparities in paediatric bronchoscopy services.

Main Methods:

  • Review of current literature and technological advancements in paediatric interventional pulmonology.
  • Analysis of global healthcare disparities and implementation strategies for resource-limited settings.
  • Exploration of educational approaches for sustainable international training programs.

Main Results:

  • Technological advances have expanded diagnostic and therapeutic capabilities, including airway dilation, stenting, cryotherapy, laser therapy, and advanced imaging (EBUS, robotic navigation).
  • Significant global disparities exist in accessing paediatric bronchoscopy services, with resource-limited settings facing substantial gaps despite a high burden of respiratory diseases.
  • Innovative educational strategies and implementation plans are proposed for establishing and sustaining services globally.

Conclusions:

  • Advancement of paediatric interventional pulmonology requires coordinated international efforts, including robust networks, funding, and addressing regulatory barriers.
  • Standardized training pathways and international collaboration are essential for establishing paediatric interventional pulmonology as a distinct subspecialty.
  • Ensuring optimal care for children with complex airway disorders worldwide necessitates addressing global access and training inequities.

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