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Diagnostic Tests in Pediatric Pulmonology: Applications and by Stephanie D. Davis, Ernst Eber, Anastassios C. Koumbourlis

By Stephanie D. Davis, Ernst Eber, Anastassios C. Koumbourlis

Over the earlier two decades, diagnostic exams for pediatric pulmonologists have revolutionized care of kids bothered with respiration problems. those assessments were used not to simply assist in analysis, but additionally within the administration and remedy of those young children. Bronchoscopic, imaging and physiologic advances have greater medical care of those little ones and feature been used as final result measures in learn trials. Diagnostic checks in Pediatric Pulmonology: functions and Interpretation describes a number of the diagnostic modalities (especially the more recent ones) which are on hand for the overview of pediatric breathing problems. It additionally offers an knowing of the benefits and obstacles of every try in order that the clinician may possibly decide upon the main acceptable ones. An across the world well known staff of authors describe how most sensible to interpret the main findings in various assessments in addition to the prospective pitfalls in mistaken interpretation. This quantity makes a speciality of the most diagnostic modalities utilized in the review of pediatric sufferers with respiration problems and provides updated details at the benefits and obstacles of every try for numerous stipulations encountered within the perform of pediatric pulmonology. scientific software of those exams can be highlighted. This priceless source is definitely fitted to working towards clinicians, together with pediatric pulmonologists, pediatricians and first care practitioners, in addition to trainees, respiration therapists and medical researchers.

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Advances in the diagnosis and management of chronic pulmonary aspiration in children. Eur Respir J. 2006; 28:847–61. 13. Corwin RW, Irwin RS. The lipid-laden alveolar macrophage as a marker of aspiration in parenchymal lung disease. Am Rev Respir Dis. 1985;132:576–81. 14. Krishnan U, Mitchell JD, Messina I, Day AS, Bohane TD. Assay of tracheal pepsin as a marker of reflux aspiration. J Pediatr Gastroenterol Nutr. 2002;35:303–8. 15. Farrell S, McMaster C, Gibson D, Shields MD, McCallion WA. Pepsin in bronchoalveolar lavage fluid: a specific and sensitive method of diagnosing gastro-oesophageal reflux-related pulmonary aspiration.

Adjustment of bronchoalveolar lavage volume to body weight in children. Pediatr Pulmonol. 1996;21:184–8. 5. de Blic J, Mc Kelvie P, Le Bourgeois M, Blanche S, Benoist MR, Scheinmann P. Value of bronchoalveolar lavage in the management of severe acute pneumonia and interstitial pneumonitis in the immunocompromised child. Thorax. 1987;42:759–65. 6. Eber E. Bronchoalveolar lavage in pediatric patients. J Bronchol. 1998;5:227–41. 7. Ratjen F, Bredendiek M, Bredel M, Meltzer J, Costabel U. Differential cytology of bronchoalveolar lavage fluid in normal children.

In particular, children with persistent and massive atelectasis can successfully undergo selective lavage, usually with sterile saline. Mucolytics including DNase and N-acetylcysteine as well as exogenous surfactant to help prevent reabsorption atelectasis have also been used, but efficacy has not been demonstrated for these. Complications BAL is a well-tolerated and safe procedure; however, on occasion, fever, cough, transient wheezing, and pulmonary infiltrates have been observed, which usually resolve within 24 h.

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