Paediatric Respiratory Medicine

Provides a first point-of-reference on paediatric respiratory problems
Comprehensively covers rare and common conditions with details on presentation, diagnosis and management.
Aids diagnosis with over 30 x-rays and chest CT scans and line drawings.
This handbook has been written to provide the reader with a practical guide to paediatric respiratory medicine which will be a useful first point of reference for paediatricians faced with children with acute or chronic respiratory problems.

This book will appeal to general paediatricians and specialists in paediatric respiratory medicine at both consultant and trainee level. It deals with common problems seen by all paediatricians and the rarer conditions more often seen at specialist centres, but managed in collaboration with general paediatricians. The information is in a readily accessible format, with extensive use of bullet points. The focus is on clinical presentation, diagnosis and management of respiratory problems. Information is provided on background history, such as epidemiology, where it provides an insight into clinical presentation and management, and also where this information would be helpful to the parents.

This book is divided into 5 sections. Section 1 provides a practical approach to acute and non-acute clinical problems. Section 2 provides detailed information about common and more rare clinical conditions. Section 3 provides useful information on supportive care, including for example, use of non-invasive ventilation and the care of a child with a tracheostomy. Section 4 gives details on how to perform several practical procedures, such as ciliary brush biopsy, flexible bronchoscopy and inserting a chest drain. The appendices provide information on lung function testing and tables of age-corrected normal values for several respiratory parameters.

This book has been written by 2 consultants who work in a tertiary respiratory unit and a respiratory trainee. This combination of authors has provided the experience necessary to deal with topics where there is an absence of published evidence and to present the information in a format that both consultants and trainees will find useful.

Approach to clinical problems
1: Examining the respiratory system
2: Poorly controlled asthma
3: Recurrent or persistent 'chest infection'
4: Chronic cough
5: Stridor
6: Infant apnoea
7: Cystic fibrosis: Poor weight gain
8: Cystic fibrosis: Loss of lung infection
9: Chest pain
10: Haemoptysis
11: T immuno-comprimised child
12: Muscle weakness
13: Pneumonia on the ICU
Specific conditions
14: Asthma
15: Cystic fibrosis
16: Respiratory pathogens
17: Community-acquired pneumonia
18: Bacterial infection
19: Viral infection
20: Fungal infection
21: Parastic and protozoal infection
22: Tuberculosis
23: HIV infection
24: Structural problems of the upper and lower airway
25: Sleep disordered breathing and other sleep problems
26: Respiratory control disorders
27: Sudden infant death syndrome
28: Apparent life-threatening events
29: Cerebral palsy
30: Gastro-oesophageal reflux and aspiration disease
31: Foreign body aspiration
32: Inhalational lung disease
33: Non-CF bronchiectasis
34: Primary ciliary dyskinesia
35: Primary immunodeficiency
36: Post-infectious bronchiolitis obliterans
37: Pleural effusion
38: Pneumothorax
39: Chronic lung disease of prematurity
40: Chest wall deformity and scoliosis
41: Congenital lung abnormalities
42: Craniofacial abnormalities
43: Atopic eczema and allergic rhinitis
44: Food allergy
45: Heart disease
46: Interstatial lung disease
47: Hypersensitivity pneumonitis
48: Neuromuscular weakness
49: Thoracic tumours
50: Pulmonary complications of cancer treatment
51: Pulmonary hypertension
52: Pulmonary infiltrates with eosinophilia
53: Sickle cell disease
54: Rare diseases affecting lungs or airway
55: Lung transplantation
Supportive care
56: Use of oxygen
57: Inhalers and nebulisers
58: Airway clearance techniques
59: Immunisation
60: Dealing with non-adherence to therapy
61: non-invasive ventilation
62: Tracheostomy
Practical procedures
63: Airway management
64: Bronchoscopy
65: Chest drain
66: Changing a tracheostomy tube
67: Ciliary brush biopsy
68: Lower airway samples
69: Exercise testing
70: Exhaled and nasal nitric oxide measurement
71: Skin prick testing
Appendices
1: Blood gas analysis and acid base balance
2: Fitness to fly
3: Polysomnography
4: Measuring lung function
5: Lung function - normal values