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Cardio-pneumologists at the Paediatric Laboratory For Respiratory Function Studies

By etavares On 30 November, 2010 Open Space | 2010 Comments Off on Cardio-pneumologists at the Paediatric Laboratory For Respiratory Function Studies No tags

Over times, the study of the Respiratory Function has played a crucial role in diagnosis, in evaluating the results of therapy, and in monitoring the clinical evolution of patients with respiratory pathologies.

In Paediatrics, the development of techniques and strategies enabling respiratory functional studies throughout all paediatric age groups has proved to be extremely useful in the treatment of chronic obstructive pulmonary disease, represented by Asthma and other sibilant diseases, Cystic Fibrosis and Bronchiolitis Obliterans, and in other emerging diseases, such as bronchopulmonary dysplasia or in the pulmonary repercussion of diseases such as sickle cell anemia or neuromuscular and musculoskeletal diseases.

Initially, equipments, strategies, and recommendations employed in adults were adapted for use in children. The challenge was using them on infants and pre-school groups of children. The first required the development of specific resources and implementation under sedation. With regard to pre-school children, a no less demanding group, children are too old to be sedated and too young to be able to collaborate in the use of evaluation techniques of the respiratory function, which are particularly demanding. With this group, there was, thus, the need to develop resources and adapt recommendations to enable technical enforceability and correct interpretation. Both age groups have specificities that require technical specialization in order to offer a more appropriate answer to clinical issues.

A Paediatric Laboratory for Respiratory Function has to guarantee quality control that comply with agreed standards, and which involve environmental, hygiene, and safety control procedures. The ongoing specialization and training of Cardio-pneumologist Technicians working in these laboratories is crucial for maintained high quality standards.

The growing technical and clinical demand in paediatrics requires additional training of Cardio-pneumologist Technicians in distinct fields of their activity, so that, when dealing with so many different children on a daily basis, they can find answers efficiently using increasingly diverse new techniques and give clinical answers to extremely complex physiopathologies, which often are not entirely clear in paediatrics.

The challenge Cardio-pneumologist Technicians have to face at the Paediatric Laboratory for Respiratory Function has to do with their capacity to ensure that children between 3 years of age and adolescence cooperate in respiratory manoeuvres that are often complex to coordinate between the act of understanding and actual motor execution.

a-duarte_1

Currently, equipments have very complex software, and resources that foster children from distinct ages to collaborate, particularly when doing a spirometry test, such as games that facilitate children’s understanding of the manoeuvres and encourage their use for a longer period of time. This makes the atmosphere at the laboratory more relaxing, both for children and parents. A prior visit to the laboratory a day before the tests are made, playing and demonstrating respiratory manoeuvres in contexts that are distinct from those when the tests are actually carried out, help ensure that things go much more smoothly and successfully on the day of the actual test.

a-duarte_2

The Paediatric Laboratory for Respiratory Function has a permanent team of Cardio-pneumologist Technicians and a doctor who is responsible for the unit. They work together to attain excellence in the end results and to offer answers to the multidisciplinary teams from distinct medical and technical specialties, always trying to adjust equipments and their use to the aforementioned challenges.

The quest for new areas in paediatric respiratory function and continuous training are vital to maintain high quality standards which, in turn, will undoubtedly lead to improved health care given to patients.
Paediatric Laboratory for Respiratory Function Studies
Head Doctor: Dr. Teresa Bandeira.
Paediatric Unit – Director: Dr. Celeste Barreto.
Child and Family Department – Director: Professor Paulo M. Ramalho.
Author for purposes of correspondence: Ana Margarida Silva, Cardio-pneumologist Technician: anammsilva@gmail.com
Bibliography:

An Official American Thoracic Society/European Respiratory Society Statement: Pulmonary Function Testing in Preschool Children. Am J Respir Crit Care Med 2007; 175:1304–1345
SERIES ‘‘ATS/ERS TASK FORCE: STANDARDISATION OF LUNG FUNCTION TESTING’’, Edited by V. Brusasco, R. Crapo and G. Viegi; Number 2 in this Series : Standardisation of spirometry; Eur Respir J 2005; 26: 319–338
SERIES ‘‘ATS/ERS TASK FORCE: STANDARDISATION OF LUNG FUNCTION TESTING’’, Edited by V. Brusasco, R. Crapo and G. Viegi, Number 5 in this Series: Interpretative strategies for lung function tests; Eur Respir J 2005; 26: 948-968

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Index - News # 17 | out/nov. 2010
 Editorial Note
 Hospital for Small Children
 Recorded interview with Professor Gomes-Pedro
 Interview Professor Paulo Ramalho 
 T. Berry Brazelton, MD – João Carlos Gomes Pedro Homage
 Cultural Soirée of the 100th anniversary of FMUL
 Last Lecture by Professor João Carlos Gomes-Pedro
 Opening of the 2010/2011 Academic Year Ceremony – University of Lisbon
 Medicine Evening 2010
 Medical Students Street Party
 Facilities, Equipments, and Information Technologies Unit
 Invitation to Participate in the 13th “Education for Science” Workshop
 Publications FMUL/HSM/IMM
 Lecturers’ Participation in Academic Examination Panels in other institutions(by 31 October 2010)
 FMUL students awarded prizes at the 5th YES Meeting
 IMM Seminars
 An ongoing PhD thesis in Pediatric Research: Interventions and Outcomes in Clinical Trials of Bronchiolitis
 Words to Professor J. Gomes-Pedro
 Bags and Rucksacks: “weights” today and “burdens” tomorrow (PART I)
 Feeding newborn babies at risk
 Valuing Differences
 Sexual education in schools
 Health at Schools Programme
 Cardio-pneumologists at the Paediatric Laboratory For Respiratory Function Studies
 Neonatology, The perspective of a neonatologist at Santa Maria Hospital 
 Introduction to Medicine – Subject Development and Episodes in the Life of a Member of Staff
 Paediatric Origins of Chronic Pulmonary Disease in Adults
 Breastfeeding the Turning Point in 2010
 The importance of a multidisciplinary team in child development
 Science and Health Research 
 Hospital Indicators of the Pediatric University Unity
 Social Values Stock Exchange: “Is Laughing the Best Therapy?” Project
 Swine Flu (H1N1) Pandemics in Portugal (1918-2009): echoes and schisms of the past in the present
 Course “ABC of Clinical Genetics” 2010
 14th Annual Meeting of the Portuguese Society of Human Genetics – 18-20 November 2010
 Workshop “Looking for the Clown Inside You” – 20 November
 Food Bank Against Hunger – 27 and 28 November
 Caminho Book Market – From 29 of November to 17 of December
 ENJOY Med’10 – Deadline for submitting abstracts: 30 November
 Grande Prémio Fundação AstraZeneca 2010
 Obituary
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100 AnosPropriedade e Edição: Faculdade de Medicina da Universidade de Lisboa NIPC: 502662875  Periodicidade: Mensal  Diretor: Prof. Doutor Fausto J. Pinto Conselho Editorial: Prof. Doutor Fausto J. Pinto, Profª. Doutora Ana Sebastião, Prof. Doutor Mamede de Carvalho, Prof. Doutor António Vaz Carneiro, Prof. Doutor Miguel Castanho, Dr. Luís Pereira  Equipa Editorial:  Ana Raquel Moreira, Cristina Bastos, Isabel Varela, Joana Sousa, Maria de Lurdes Barata, Rui Gomes, Sónia Teixeira  Colaboração:  Gabinete de Relações Públicas, Internacionais e Comunicação  Versão Inglesa: AP|PORTUGAL- Language Services  Conceção: Metatexto, Lda. e-mail: news@medicina.ulisboa.pt  Sede do Editor e Sede da Redação: Avenida Prof. Egas Moniz, 1649-028 Lisboa Estatuto Editorial Anotado na ERC 

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