The current coronavirus pandemic is imposing unpreceded challenges to the practice of pediatric gastroenterology.These are highlighted in their impact on performing aerosol-generating endoscopy procedures and the need...The current coronavirus pandemic is imposing unpreceded challenges to the practice of pediatric gastroenterology.These are highlighted in their impact on performing aerosol-generating endoscopy procedures and the need to accommodate longer room turnaround time for disinfection,ensuring appropriate and consistent safety measures for patients,staff and providers,and emphasizing the importance for screening patients for active coronavirus disease(COVID)infection before endoscopy when possible.Pediatric patients are less likely to exhibit severe COVID-related symptoms so survey-based screening would not be a sensitive measure to identify patients with active infections.To address the restrictions of patients coming for face to face clinic encounters,there has been rapid expansion of telehealth services in a very short time period with several difficulties encountered.To survive these challenges,pediatric gastroenterology practices need to adapt and accept flexibility in clinical operations with ongoing commitment to safety for patients and healthcare workers.展开更多
Multidisciplinary pediatric aerodigestive centers have been proposed to address the needs of children with complex multi-system problems affecting the respiratory and upper gastrointestinal tracts.The setup of a multi...Multidisciplinary pediatric aerodigestive centers have been proposed to address the needs of children with complex multi-system problems affecting the respiratory and upper gastrointestinal tracts.The setup of a multidisciplinary service allows for the complex coordination needed between different subspecialties.This allows for rapid communication and family-centered decision making and agreement on further diagnostic and/or therapeutic next steps such as offering triple endoscopy when indicated.Triple endoscopy entails performing rigid upper airway assessment,flexible bronchoscopy and upper gastrointestinal endoscopy and has been linked to reduced time to diagnosis/treatment,reduced costs and anesthesia exposure.This review summarizes the available literature on the structure and benefits of multidisciplinary pediatric aerodigestive services.展开更多
文摘The current coronavirus pandemic is imposing unpreceded challenges to the practice of pediatric gastroenterology.These are highlighted in their impact on performing aerosol-generating endoscopy procedures and the need to accommodate longer room turnaround time for disinfection,ensuring appropriate and consistent safety measures for patients,staff and providers,and emphasizing the importance for screening patients for active coronavirus disease(COVID)infection before endoscopy when possible.Pediatric patients are less likely to exhibit severe COVID-related symptoms so survey-based screening would not be a sensitive measure to identify patients with active infections.To address the restrictions of patients coming for face to face clinic encounters,there has been rapid expansion of telehealth services in a very short time period with several difficulties encountered.To survive these challenges,pediatric gastroenterology practices need to adapt and accept flexibility in clinical operations with ongoing commitment to safety for patients and healthcare workers.
文摘Multidisciplinary pediatric aerodigestive centers have been proposed to address the needs of children with complex multi-system problems affecting the respiratory and upper gastrointestinal tracts.The setup of a multidisciplinary service allows for the complex coordination needed between different subspecialties.This allows for rapid communication and family-centered decision making and agreement on further diagnostic and/or therapeutic next steps such as offering triple endoscopy when indicated.Triple endoscopy entails performing rigid upper airway assessment,flexible bronchoscopy and upper gastrointestinal endoscopy and has been linked to reduced time to diagnosis/treatment,reduced costs and anesthesia exposure.This review summarizes the available literature on the structure and benefits of multidisciplinary pediatric aerodigestive services.
