Charting Pediatrics16 Okt 2018

Case Study: Laryngomalacia (S2:E11)

In today's episode, we're examining a case that started in a primary care pediatrician's office and ended in the Children's Hospital Colorado Aerodigestive Program.

Joining us are the three physicians involved in the patient's care examine: Larissa Applegate, MD, a pediatrician at Pediatrics West in Wheat Ridge, Colorado; RyanCaltagirone, MD, a pediatricemergency room physician at Children's Colorado; and Sven Streubel, MD, an otolaryngologist with Children's Colorado.

In this episode:

Our three guests examine their roles in the patient's care and share their key takeaways to inform other medical professionals
The origins of the case and how the patient, baby Rachel, first presented in the hospital
Steps taken once Rachel's respiratory struggles were evident and next steps to get her to the Emergency Department
Importance of clear communication between departments and with patient families in complex, multidisciplinary cases
Approaching a patient who presents with laryngomalacia from an ENT perspective
Using a bedside scope to determine the severity of the laryngomalacia
The various elements of Rachel's multidisciplinary care, including: admission procedure, observation of feedings, continued oxygen support and plan for next steps
Most common medical treatment plan for patients with laryngomalacia
Designing a long-term management plan for a child with laryngomalacia that supports the patient as well as their family
Accounting for comorbidities that come along with laryngomalacia
Update from patient and key takeaways from the case

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