Stay Current in Pediatric Surgery

QUAD #24: CHARGE Syndrome, Pulmonary Considerations with Dr. Cherie Torres-Silva


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In this episode, pulmonologist Dr. Cherie Torres-Silva from Cincinnati Children's shares insights on managing pulmonary challenges in patients with CHARGE syndrome. Through a detailed case study, she explores strategies to address chronic aspiration, airway clearance limitations, and recurrent infections.

Key Highlights:

  • Challenges in CHARGE Syndrome: Understanding how aspiration, obstructive sleep apnea (OSA), and recurrent infections intersect in CHARGE patients.
  • Management Strategies: Improving airway clearance with therapies like intrapulmonary percussion and thinning secretions using hypertonic saline.
  • Infection Prevention: The role of dental hygiene, prophylactic antibiotics (e.g., inhaled tobramycin), and balancing the risks of antibiotic resistance.
  • Individualized Care: Tailoring treatments based on respiratory cultures and underlying comorbidities such as hypotonia and restrictive lung disease.

Learn how a multidisciplinary approach can improve outcomes for CHARGE patients with complex pulmonary issues. Don’t forget to like, comment, and subscribe for more insights!

Host: Em Gootee, MD

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