While inpatient Respiratory Medicine is primarily a consulting service, inpatient cystic fibrosis care is the division’s main responsibility. In addition, Respiratory Medicine follows patients in hospital requiring complex respiratory care, such as home ventilation, as well as patients with rare respiratory illnesses such as interstitial lung disease.
The division members see approximately 80 to 100 patients per week in several half-day clinics, with a total of 3,900 patient visits per year. These visits comprise the full spectrum of pediatric respiratory disease. Ongoing care is provided through CHEO’s outpatient clinic program.
Clinical Problems and Diseases Evaluated and Followed
- Cystic fibrosis
- Obstructive sleep apnea and sleep-disordered breathing
- Bronchopulmonary dysplasia
- Tracheoesophageal fistula
- Neuromuscular disease
Clinical areas of specific focus for the division include:
- General respiratory clinics treat a broad spectrum of general respiratory diseases, including asthma, supported by two qualified asthma educators
- Cystic Fibrosis clinic currently follows 100 patients who are seen approximately every three months
- Sleep clinic sees not only patients with sleep apnea and sleep-related hypoventilation but also patients with neurobehavioral issues such as nocturnal parasomnias and insomnia/suspected narcolepsy
- Complex Respiratory Care Service follows a number of patients with complex, chronic respiratory illnesses requiring a variety of technologies such as home oxygen, respiratory support devices including nighttime positive pressure ventilator support or full ventilation for continued survival
- Neuromotor Clinic is held every second Wednesday in a combined clinic with neurology, rehabilitation medicine and orthopedics. This clinic cares for children with a variety of neuromotor disorders, many of whom require partial or full ventilatory support
- Follow-up of patients with repaired tracheoesophageal fistula. This will occur either in the general chest clinic or in collaboration with a gastroenterologist in the gastroenterology clinic
- Complex Airway Clinic occurs once every two months in collaboration with Otolaryngology, following children with complicated upper airway and tracheobronchial disease