Skip to main content
Journal cover image

ATS Core Curriculum 2022. Pediatric Pulmonary Medicine: Updates in pediatric neuromuscular disease.

Publication ,  Journal Article
Leon-Astudillo, C; Okorie, CUA; McCown, MY; Dy, FJ; Puranik, S; Prero, M; ElMallah, MK; Treat, L; Gross, JE
Published in: Pediatr Pulmonol
July 2023

The American Thoracic Society Core Curriculum updates clinicians annually in pediatric pulmonary disease. This is a concise review of the Pediatric Pulmonary Medicine Core Curriculum presented at the 2022 American Thoracic Society International Conference. Neuromuscular diseases (NMD) comprise a variety of conditions that commonly affect the respiratory system and cause significant morbidity including dysphagia, chronic respiratory failure, and sleep disordered breathing. Respiratory failure is the most common cause of mortality in this population. Substantial progress has been made in diagnosis, monitoring and treatment for NMD over the last decade. Pulmonary function testing (PFT) is utilized to objectively measure respiratory pump function and PFT milestones are utilized in NMD-specific pulmonary care guidelines. New disease modifying therapies are approved for the treatment of patients with Duchenne muscular dystrophy and spinal muscular atrophy (SMA), including the first ever approved systemic gene therapy, in the case of SMA. Despite extraordinary progress in the medical management of NMD, little is known regarding the respiratory implications and long-term outcomes for patients in the era of advanced therapeutics and precision medicine. The combination of technological and biomedical advancements has increased the complexity of the medical decision-making process for patients and families, thus emphasizing the importance of balancing respect for autonomy with the other foundational principles of medical ethics. This review features an overview of PFT, noninvasive ventilation strategies, novel and developing therapies, as well as the ethical considerations specific to the management of patients with pediatric NMD.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Pediatr Pulmonol

DOI

EISSN

1099-0496

Publication Date

July 2023

Volume

58

Issue

7

Start / End Page

1866 / 1874

Location

United States

Related Subject Headings

  • Respiratory System
  • Respiratory Insufficiency
  • Respiration
  • Pulmonary Medicine
  • Neuromuscular Diseases
  • Muscular Atrophy, Spinal
  • Humans
  • Curriculum
  • Child
  • 3213 Paediatrics
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Leon-Astudillo, C., Okorie, C. U. A., McCown, M. Y., Dy, F. J., Puranik, S., Prero, M., … Gross, J. E. (2023). ATS Core Curriculum 2022. Pediatric Pulmonary Medicine: Updates in pediatric neuromuscular disease. Pediatr Pulmonol, 58(7), 1866–1874. https://doi.org/10.1002/ppul.26448
Leon-Astudillo, Carmen, Caroline U. A. Okorie, Michael Y. McCown, Fei J. Dy, Sandeep Puranik, Moshe Prero, Mai K. ElMallah, Lauren Treat, and Jane E. Gross. “ATS Core Curriculum 2022. Pediatric Pulmonary Medicine: Updates in pediatric neuromuscular disease.Pediatr Pulmonol 58, no. 7 (July 2023): 1866–74. https://doi.org/10.1002/ppul.26448.
Leon-Astudillo C, Okorie CUA, McCown MY, Dy FJ, Puranik S, Prero M, et al. ATS Core Curriculum 2022. Pediatric Pulmonary Medicine: Updates in pediatric neuromuscular disease. Pediatr Pulmonol. 2023 Jul;58(7):1866–74.
Leon-Astudillo, Carmen, et al. “ATS Core Curriculum 2022. Pediatric Pulmonary Medicine: Updates in pediatric neuromuscular disease.Pediatr Pulmonol, vol. 58, no. 7, July 2023, pp. 1866–74. Pubmed, doi:10.1002/ppul.26448.
Leon-Astudillo C, Okorie CUA, McCown MY, Dy FJ, Puranik S, Prero M, ElMallah MK, Treat L, Gross JE. ATS Core Curriculum 2022. Pediatric Pulmonary Medicine: Updates in pediatric neuromuscular disease. Pediatr Pulmonol. 2023 Jul;58(7):1866–1874.
Journal cover image

Published In

Pediatr Pulmonol

DOI

EISSN

1099-0496

Publication Date

July 2023

Volume

58

Issue

7

Start / End Page

1866 / 1874

Location

United States

Related Subject Headings

  • Respiratory System
  • Respiratory Insufficiency
  • Respiration
  • Pulmonary Medicine
  • Neuromuscular Diseases
  • Muscular Atrophy, Spinal
  • Humans
  • Curriculum
  • Child
  • 3213 Paediatrics