Pulmonology

Specializing in the diagnosis and treatment of complex respiratory conditions and disorders, the Pulmonology Practice provides 24/7 service in the inpatient, outpatient and emergency care settings. We work closely with services like the Neonatal Intensive Care Unit, but almost 90% of our patients are treated on an outpatient basis. The team participates in clinical research involving conditions like Cystic Fibrosis (CF) and asthma. We currently have 105 CF patients participating in research projects. We are a multidisciplinary California Children’s Services (CCS) recognized Cystic Fibrosis Center.

Services Offered & Conditions Treated

Expertise

• Asthma (outpatient treatment)
• Managing patients with Cystic Fibrosis
• Sleep Apnea
• Clinical research in Cystic Fibrosis (CF) and asthma

Other Services & Conditions

• Asthma
• Valley fever
• Chronic lung disease
• Myopathies
• Sleep related disorders
• Fiberoptic bronchoscopy
• Cardiopulmonary exercise testing
• Bronchoprovocation testing
• Spirometry
• Gas dilution
• Lung volume measurement
• Plethysmography
• Infant forced expiratory compression technique (RTAC)
• Arterial blood gas analysis
• Oxygen supplement study
• Echocardiography stress testing
• Pharmacological exercise stress testing
• Athletic participation evaluations
• 6-minute walk testing
• Metabolic exercise stress testing
• Pre & post-operative and transplant assessments and evaluations
• Mechanical ventilation
• Aerosol therapy
• Bronchopulmonary hygiene techniques
• Conventional CPT
• Autogenic drainage therapy
• PEP therapy
• Mechanical vibrator test
• Flutter therapy
• IPV therapy
• Oxygen therapy
• Humity therapy
• Inhaled nitric oxide therapy
• Oximetry
• Capnography
• Airway management and care
• Cardiopulmonary resuscitation and emergency airway management
• Bronchoscopy assisting
• Sputum induction
• Patient/parent instruction
• Acute care transport
• Allergy testing
• Pulmonary function testing
• RAST testing
• Peak flow monitoring
• Identification and control of environmental precipitants
• Objective monitoring of asthma severity
• Bronchopulmonary dysplasia
• At-home support
• Allergies
• Control of breathing
• Croup
• Bronchiolitis
• Problems breathing due to muscular disorders
• Accidents such as inhalation of foreign bodies
• Sinusitis
• Ciliary abnormalities
• Lung imaging
• Allergic bronchopulmonary aspergillosis (ABPA)
• Sinus problems
• Recurring colds
• Exercise-induced asthma
• Allergies that affect the airways
• Chronic upper respiratory infections
• Enuresis
• Narcolepsy
• Gastroesophagael reflux-related lung disease
• Respiratory complications of neurologic & neuromuscular disorders
• Pediatric polysomnography
• O2 and CO2 challenges
• Ventilatory support titration
• Hypoxic challenge
• Infant pulmonary function testing
• Tracheostomies
• RSV Prevention
• Recurrent coughs
• Pneumonia
• Wheezing
• Stridor
• Cyanosis
• Tachypnea
• Dyspnea
• Pulmonary hypoplasia
• Central hypoventilation syndromes
• Bronchiectasis
• Pulmonary fibrosis
• Recurrent aspiration syndromes
• Chronic respiratory disease
• Chronic respiratory failure
• Allergic disease and immunodeficiences
• Pulmonary malformations
• Lung and breathing disorders
• Alpha-1 antitryspin deficiency
• Chronic obstructive pulmonary disease (COPD)

Diagnostic Services

• CCS approved Home Ventilator Clinic that manages patients on home ventilators
• Full function Pulmonary Function Testing (PTP) lab
• Full function Bronchoscopy lab
• Full function Sleep Lab
• Tardiness
• obstructive sleep apnea
• daytime sleepiness
• waking frequently at night
• snoring during sleep
• gasping for breath during sleep

Multidisciplinary Services

• We collaborate with Immunology to treat primary immunodeficiency patients and patients with eczema/atopic dermatitis.
• Work with ENT to manage patients with breathing problems.
• Cardiology
• pulmonary hypertension
• Works closely with Gastroenterology for esophageal pH monitoring
• Works closely with our Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU) and the Willson Heart Center in providing inhaled nitric oxide therapy.
• Treats patients in our NICU and inpatient units throughout the Hospital who have RSV.