Pediatric Pulmonary Medicine: Clinical Practices and Challenges

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Pulmonology".

Deadline for manuscript submissions: 31 May 2024 | Viewed by 812

Special Issue Editor


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Guest Editor
Pediatric Anesthesia and Intensive Care, Ospedale dei Bambini Vittore Buzzi, Milano, Italy
Interests: pediatric respiratory physiology; pediatric intensive care; pediatric anesthesia; pediatric emergencies; point-of-care ultrasound; pediatric echocardiography; pediatric lung ultrasound
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Special Issue Information

Dear Colleagues,

Pulmonary medicine is a continuously evolving field with the utmost relevance in children, as the greatest changes in the anatomy and function of airways and lungs occur during the first years of life. There remains much to be learned about normal development and physiology as well as the consequences of diseases—infectious and not—and surgery for this particular category of patients. We will consider articles on asthma, bronchopulmonary dysplasia, cystic fibrosis, recurrent and persistent pneumonias, infections, aerodigestive disorders, congenital lung malformations, neuromuscular disorders leading to chronic lung problems, interstitial lung disease, apnea, and sleep-related breathing problems. Articles based on clinical and translational research are also welcome in this Special Issue, as well as papers on new technologies.

Dr. Anna Camporesi
Guest Editor

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Keywords

  • pediatric lung diseases
  • lung ultrasound
  • bronchiolitis
  • bronchiectasis
  • congenital lung malformations
  • pediatric lung surgery
  • neuromuscular disorders and lung impact
  • pulmonary hypertension
  • atelectasis
  • cystic fibrosis
  • pneumonia
  • sleep disorders with breathing problems
  • apneas
  • asthma
  • electrical impedance tomography

Published Papers (1 paper)

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Research

11 pages, 1037 KiB  
Article
Prognostic Value of the Area of Lung Involved in Severe and Non-Severe Bronchiolitis: An Observational, Ultrasound-Based Study
by Anna Camporesi, Luigi Vetrugno, Rosa Morello, Cristina De Rose, Stefania Ferrario and Danilo Buonsenso
J. Clin. Med. 2024, 13(1), 84; https://doi.org/10.3390/jcm13010084 - 23 Dec 2023
Viewed by 672
Abstract
Background: Point of care lung ultrasound (LUS) has a definite role in viral bronchiolitis when combined with clinical data. Previous data showed a bigger involvement of the superior lung zones in more severe cases. The aim of the present study is to describe [...] Read more.
Background: Point of care lung ultrasound (LUS) has a definite role in viral bronchiolitis when combined with clinical data. Previous data showed a bigger involvement of the superior lung zones in more severe cases. The aim of the present study is to describe whether different lung areas are implicated to different degrees in patients admitted to a Pediatric Intensive Care Unit (PICU) and needing ventilation compared to those with less severe forms. Methods: observational, prospective study. LUS scores of single lung areas and clinical data were collected for all children aged 0–12 months presenting with bronchiolitis to the participating centers and used as covariates for logistic regression having “PICU admission” as outcome. A subsequent analysis was carried out to investigate factors concurring with different lung zones’ involvement. Results: 173 patients were enrolled. Difficulty in feeding, presence of wheezing, SpO2 were all risk factors for PICU admission. Superior lung areas’ LUS scores presented higher Odds Ratios for PICU admission and need for ventilation than inferior ones. Age and prematurity concurred in determining their higher LUS scores. Conclusions: Superior lobes’ greater involvement could be favored by the geometrical distribution of relative bronchi, exiting with an acute angle from mainstem bronchi in small children where airway caliber is small and only small volumes of secretions can be occlusive. Full article
(This article belongs to the Special Issue Pediatric Pulmonary Medicine: Clinical Practices and Challenges)
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