The Pediatric Pulmonary Division provides pulmonary consultative services to children from
newborn to 18 years of age. Pulmonary Function Testing, Bronchscopy and Sleep Study
Interpretation are also provided.
The staff of the Pediatric Pulmonary Division is committed to treating and teaching the children in
Brookdale's community not only at Brookdale bu in community-based organizations such as the
Caribbean Woman's Health Association, faith-based organizations such as the Church of God of
East Flatbush, as well as day care centers and schools.
For this purpose a program entitled "Breathe Right! One Child at a Time” has been established to
teach children and their parents how to live with asthma, how to prevent an attack and how to deal
with an attack when it presents itself. To manage asthma effectively, it is important that children
and their families know what asthma is and how the different medications and delivery devices work. Asthma is a disease that cannot be cured, but with the proper medical care, it can be controlled, permitting the patient to live a productive and healthy life.
Asthma remains one of the leading health problems among children in New York City. This is especially true for poor, minority, and medically under-served populations who experience greater prevalence, morbidity, and mortality from this disease. Moreover, research findings indicate that asthma is under diagnosed in minority children by as much as 50%. In New York City overall, approximately 17% of children ages 0 to 17 have asthma. In some parts of the Central Brooklyn and East New York, for example, the incidence of childhood asthma ranges is 20-30%; according to the City Department of Health; approximately 15% or 1 in 6 children entering school have asthma a number that is among the highest rates in New York and more than twice the national average.
A number of barriers contribute to inadequate and ineffective management of childhood asthma. One significant obstacle is the lack of a “medical home,” for many children, contributing to a reliance on episodic and emergency asthma care, rather than routine, comprehensive and coordinated care. Related to this is the inadequate utilization of maintenance medications, failure to prescribe appropriate medications and their incorrect use. The children are not able to have their medications administered while in school. High levels of exposure to indoor pollution present another problem for inner-city children, where buildings often have poor ventilation, high allergen levels, pests, dust mites, and other triggers make things worst.
The Pediatric Pulmonary Division and the Division of Pediatric Hematology/Oncology at Brookdale have joined forces to open the Sickle Cell Pulmonary Program. This unique program has been established to evaluate prospectively and treat lung disease in patients with sickle cell disease.
Ninety percent of adults with sickle cell disease have abnormal lung function. More children with sickle cell disease are surviving into adulthood increasing their risk of developing pulmonary complications. There is poor recognition of this complication especially in pediatrics hence the establishment of this program that has an overall goal of improving the long-term survival rate and quality of life of children with sickle cell.
The Sickle Cell Pulmonary Program has four main objectives.
Enroll all children with sickle cell disease more than eight years of age.
Evaluate their lung functions yearly.
Treat the lung disease early with the best available therapy to reduce their morbidity and mortality.
Educate the physicians and families with the sickle cell disease about their Lung problems.
In order to be able to provide all the necessary resources for our young patients under one roof, Brookdale’s Pediatric Pulmonary Division has opened a Sleep Center to offer children from infancy to adolescence the latest techniques in the diagnosis and treatment of Sleep and Respiratory conditions.
More than 300,000 children in the United States are affected by Obstructive Sleep Apnea (OSA). Other sleep disorders include: enuresis (bet wetting), parasomnias (sleep walking, nightmares, night terrors or teeth grinding), diaphoresis (night sweats), narcolepsy (falling asleep at inappropriate times), apneas (periods of not breathing), snoring, snorting, choking or gasping during sleep and Restless leg Syndrome. Sleep Disorders can be triggered by conditions such as pediatric obesity, enlarged tonsils or adenoids, asthma, allergic rhinitis, Sickle Cell disease, craniofacial abnormalities, cleft palate, Down syndrome, and congenital heart disease. If left undiagnosed and therefore untreated, sleep disorders can result in severe consequences including stunt in growth, cardio-vascular complications, and strongly contribute to learning, behavior and attention disorders.
The Center is equipped with sophisticated devices to provide polysomnography, an overnight sleep study test used to diagnose sleep disorders. Other studies also performed are: polysomnogram with titration of CPAP or BiPAP and a standard overnight polysomnogram followed by a Multiple Sleep Latency Test (MSLT). The Center consists of two child friendly bedrooms with a television to ensure that the child is comfortable and at ease during the test. Accommodations are available for a parent to remain with the child through the night.
The child’s sleep pattern is monitored and recorded through electrodes placed on different parts of the body, videotaped and viewed in the adjacent control room. After the test is completed, the results are reviewed by the sleep specialist for diagnosis and determination of treatment plan.
For additional information on the Pediatric Pulmonary Division and Sleep Center, please call (718) 240-6852.