The follow up of complex infants in an aerodigestive clinic

Kimberley R Kaspy; Gregory Burg; Aaron P Garrison; Claire K Miller; Scott Pentiuk; Matthew M Smith; Dan Benscoter

doi:10.1016/j.prrv.2022.06.002

The follow up of complex infants in an aerodigestive clinic

Paediatr Respir Rev. 2022 Dec:44:3-10. doi: 10.1016/j.prrv.2022.06.002. Epub 2022 Jul 4.

Authors

Kimberley R Kaspy¹, Gregory Burg², Aaron P Garrison³, Claire K Miller⁴, Scott Pentiuk⁵, Matthew M Smith⁶, Dan Benscoter⁷

Affiliations

¹ Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: Kimberley.Kaspy@cchmc.org.
² Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA. Electronic address: Gregory.Burg@cchmc.org.
³ Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: Aaron.Garrison@cchmc.org.
⁴ Aerodigestive and Esophageal Center, Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: Claire.Miller@cchmc.org.
⁵ Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA; Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: Scott.Pentiuk@cchmc.org.
⁶ Division of Pediatric Otolaryngology Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA. Electronic address: Matthew.Smith@cchmc.org.
⁷ Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA.

PMID: 36411238
DOI: 10.1016/j.prrv.2022.06.002

Abstract

The current available literature evaluating pediatric multidisciplinary aerodigestive programs for the management of aerodigestive disorders in infants was reviewed. Multidisciplinary aerodigestive programs have emerged to provide coordinated and comprehensive care for the growing population of children with aerodigestive conditions, including complex airway, pulmonary, gastrointestinal, and feeding disorders, which are prevalent among infants discharged from the neonatal intensive care unit (NICU). The team approach central to aerodigestive clinics offers a comprehensive diagnostic workup and unified management plan through consolidated interdisciplinary clinics, combined endoscopic procedures, and regular team discussions, leading to improved resource utilization and health care outcomes. We review common conditions presenting in the NICU that benefit from the aerodigestive model of care, including esophageal atresia, prematurity, bronchopulmonary dysplasia with or without tracheostomy or ventilator dependence, and dysphagia.

Keywords: Aerodigestive; Aspiration; Esophageal atresia; Multi-disciplinary; Tracheostomy; Triple endoscopy.

Publication types

Review

MeSH terms

Child
Deglutition Disorders* / etiology
Deglutition Disorders* / therapy
Esophageal Atresia*
Humans
Infant
Infant, Newborn
Intensive Care Units, Neonatal
Respiratory System
Respiratory Tract Diseases*