Paediatric Respiratory Medicine: (Oxford Specialist Handbooks in Paediatrics)

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.

Table of Contents:
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