Respiratory and Sleep Medicine
Pediatric Respiratory Medicine provides diagnosis and treatment for a wide variety of respiratory illnesses in infants, children and adolescents. We offer comprehensive consultation and follow-up including, when necessary, diagnostic imaging, flexible bronchoscopy, pulmonary function testing and sleep studies.
Some of the conditions and problems we care for at our center include:
- Bronchopulmonary dysplasia and other complications of premature birth
- Cystic Fibrosis
- Pulmonary Complications of Sickle Cell Disease
- Technology-dependent children and chronic mechanical ventilation
- Respiratory complications of Neuro-Muscular diseases including muscular dystrophy and spinal muscular atrophy
- Sleep-disordered breathing
The Airway team
The Pediatric Airway Team at the Children's Hospital at Montefiore (CHAM) is comprised of a team of specialists devoted to the medical and surgical management of complex pediatric airway disorders. This group of nationally renowned physicians provide their expertise and innovation to the care of children with tracheal obstruction or masses; feeding disorders; sleep abnormalities including apneas; and "blue spells." The team treats patients, ranging from newborns to age 21, with conditions including:
- laryngo- and tracheomalacia
- tracheal and sub-glottic stenosis
- sub-glottal webs
- complete tracheal rings
- laryngeal papillomatosis
- congenital and acquired airway diseases due to accident or intubation.
The Airway Team at CHAM includes John Bent, MD, Kiran Nandalike, MD, and Samuel Weinstein, MD. A multidisciplinary evaluation of the patient is followed by a conference which may incorporate additional pediatric airway specialists including anesthesiologists, pediatric critical care specialists, pediatric radiologists, as well as highly skilled nursing staff, with all participants drawing on their particular capabilities to devise the best treatment plan possible.
CHAM's Airway Team uses highly sophisticated technology to assess patients' pulmonary function including non-invasive techniques such as virtual bronchoscopy, a state-of-the-art sleep study and a specialized procedure to test infants' breathing capabilities. Some conditions, such as certain apneas, may be managed using Continuous Positive Airway Pressure (CPAP), Bi-level Positive Airway Pressure (BPAP) or other techniques. When surgery, such as tracheal resection, is indicated, the team's pediatric cardiothoracic surgeon supports these complex procedures, including those that require heart/lung bypass.
CHAM physicians also specialize in chest wall reconstructions for patients suffering from pectus excavatum and and pectus carinatum. Pectus excavatum, or funnel chest, is marked by a deep depression in the patient's sternum. If severe enough, this dip can restrict full motion of the heart and lungs. In pectus carinatum, or pigeon breast, the cartilage in the sternum protrudes. In severe cases, patients are unable to fully contract their chests while exhaling.
Because young children and adolescents with chest wall deformitites can suffer severe self consciousness, CHAM's team of surgeons, social workers, nurses, and psychologists evaluate patients to determine how their defects affect them physically and emotionally.
Contact information - Respiratory and Sleep Medicine
The Children's Hospital at Montefiore
3415 Bainbridge Avenue
Bronx, NY 10467
Appointments & Information: 718-741-2450
Emergencies: 718-920-5321 (ask for the Pediatric Pulmonologist on call)