A Closer Look: Division of Pediatric Pulmonology

UH Pediatric Clinical Update | September 2019

University Hospitals Rainbow Babies & Children's Hospital is nationally ranked by U.S. News & World Report in numerous pediatric specialties, including pulmonology. We are driven by the desire to improve quality of life and outcomes for children with chronic and acute lung disease. With this dedication to excellence, our Rainbow pediatrics team consistently ranks in the top 20 in the nation for our pediatric pulmonology care.

The Division of Pediatric Pulmonology  at UH Rainbow treats infants, children and adolescents with cystic fibrosis, asthma, airway problems, sleep disorders, bronchopulmonary dysplasia and other pulmonary diseases.

Specialized diagnostic services include:

• Flexible fiber-optic bronchoscopy (available for patients of any age and size, including premature infants)
• Clinical laboratories with special facilities for sweat testing, pulmonary function and inhalation challenge testing, and induced sputum, infant pulmonary function testing, exhaled nitric oxide measurement
• Nasal nitric oxide measurement to diagnose primary ciliary dyskinesia – UH Rainbow is the only hospital in the state to offer this specialized testing

Also available to the Division are:

• Thoracic surgeons and pediatric otolaryngologists experienced in procedures such as open lung biopsies and rigid bronchoscopy
• Pediatric pathologists specializing in lung pathology
• Radiologic facilities, including high-resolution and 3-D reconstructive computerized tomographic and nuclear magnetic resonance imagers
• Pediatric radiologists with extensive experience in pulmonary disease
• Respiratory therapists who can develop custom-built equipment and provide state-of-the-art treatment modalities.
• The Division, a NIH-supported training facility for pediatric pulmonologists, operates the Asthma Center, the Primary Ciliary Dyskinesia Center, the Leroy Matthews Cystic Fibrosis Center, and is an active participant in the multispecialty Aerodigestive Program

LOCATIONS

Pediatric Pulmonology services through UH Rainbow are available throughout Northeast Ohio:

• UH Rainbow Babies & Children’s Hospital – main campus
• UH Parma Medical Center – Rainbow Specialty Suite
• UH Landerbrook Health Center – Rainbow Specialty Suite
• UH Medina Health Center – Rainbow Specialty Suite
• UH Solon Health Center – Rainbow Specialty Suite
• UH Westlake Health Center – Rainbow Pediatric Specialty Center
• Rainbow Specialty Care – Canfield, OH
• Firelands Regional Medical Center

Division Contact: 216-844-3267 | Fax: 216-844-5916

Patient Appointments: 216-844-7700

Pediatric Pulmonology Faculty Roster

Daniel I. Craven, MD
Amy DiMarino, DO
Olivia Giddings, MD PhD
Sally Ibrahim, MD
Michael W. Konstan, MD
Carolyn Landis, PhD
Jeffrey Lobas, MD
Kimberly McBennett, MD, PhD
Ross Myers, MD
Erica Roesch, MD
Kristie Ross, MD, Chief

The Division of Pediatric Pulmonology also includes the following services:

Asthma Center
216-844-3267 | Fax: 216-844-5916

Director: Daniel Craven, MD

The Asthma Center works with the referring physicians to provide the most up to date and optimal care to children with asthma. The Center uses a multi-disciplinary approach with consultants available from Allergy, Immunology, Gastroenterology, Critical Care and Behavioral Pediatrics.  Our physicians participate in national asthma research networks, providing patients access to new and novel therapies.  A number of research and educational programs are also available. More information is available on our website: http://rainbowasthmacenter.case.edu.

Services offered include:

• Cold air and exercise challenge test
• Bronchoprovocation with methacholine
• Skin testing to common environmental allergens
• Complete pulmonary function tests
• Measurement of exhaled nitric oxide
• Flexible fiberoptic bronchoscopy
• Esophageal pH monitoring
• Biological asthma therapies
• Patient/Parent education Information of hospital- and community-based asthma interventions and programs
• Access to clinical trials

Bronchoscopy Service
216-844-3267 | Fax: 216-844-5916
UH Pager # 31203

Diagnostic flexible fiberoptic bronchoscopy and bronchoalveolar lavage are available for patients of any age and size, including premature infants. Evaluation of persistent or recurrent cough or wheeze, pneumonia, stridor, atelectasis, hemoptysis, and suspected foreign body or structural airway abnormalities are among many conditions that can be assessed by bronchoscopy. Evaluations and bronchoscopy procedures can be performed on both outpatients and inpatients. Outpatients may require evaluation by a pediatric pulmonologist prior to being scheduled for a procedure. Inpatients are evaluated the day of consultation and procedures performed either in the Endoscopy Suite, OR, or at the bedside as clinically indicated.

Childhood Interstitial Lung Disease Program
Director: Daniel Craven, MD

Rainbow is a participant in the national Childhood Interstitial Lung Disease Program.  We provide diagnostic testing and clinical care to children of all ages with diffuse lung disease.

Complex Pulmonary Care Program
216-844-3267 | Fax: 216-844-5916

Co-Director: Jeffrey Lobas, MD
Co-Director: Daniel Craven, MD

The Complex Pulmonary Care Program provides ambulatory pulmonary care for children with special healthcare needs, including children who need non-invasive and invasive ventilation. We provide coordination of healthcare services for children whose needs include pulmonary, neurology, and gastroenterology care. We aim to provide coordination of therapy services including respiratory, physical, occupational, and speech therapies. We empower families to obtain optimal healthcare for their child with special healthcare needs through family education, collaboration with referring physicians and community-based providers, and partnering with schools.

Services offered include:

• Inpatient and outpatient diagnostic evaluations
• Coordination of home care nursing and respiratory therapy services
• Management of patients requiring tracheostomy or long term mechanical ventilation
• Management of non-invasive ventilator support (CPAP or BiPAP)
• Management of preventive therapies for airway clearance (cough-assist, IPV, IPPB, and percussive devices)
• Management of obstructive airway disorders (laryngotracheomalacia, OSA, congenital airway malformations)
• Pulmonary function testing
• Diagnostic flexible bronchoscopy and bronchoalveolar lavage
• Patient and family education
• Liaison with community based programs and schools

LeRoy Matthews Cystic Fibrosis Center
216-844-3267 | Fax: 216-844-5916
 
Director: Kimberly McBennett, MD, PhD
Co-Director: Erica Roesch, MD
Adult CF Center Director: Kimberly McBennett, MD, PhD

The Rainbow Cystic Fibrosis Center is accredited by the Cystic Fibrosis Foundation and is recognized nationally for treatment and research. Most patients are seen on an ongoing basis, but one-time consultations are also possible. Care is provided by an interdisciplinary team of nurses, respiratory therapists, dieticians, social workers and physicians.  Our physician team includes pediatric and adult pulmonologists, endocrinologists, gastroenterologists, transplant surgeons and psychologists.

Services include:

• Sweat testing
• Evaluation of gastrointestinal symptoms, laboratory, findings, pulmonary disease and less common manifestations
• Nasal potential difference measurement as a diagnostic aid
• Home treatment program
• Pediatric and adult pulmonary function testing
• Genetic advice and testing
• Close collaboration with other medical and surgical subspecialists experienced in dealing with complications of the disease
• Education in new modalities of therapy
• Access to clinical trials

Pediatric Sleep Medicine
Sleep Lab Director: Carol Rosen MD

Our sleep center offers multidisciplinary testing and care for children, adolescents, and young adults with sleep disorders, including behavioral, respiratory, movement and hypersomnolence disorders.  Our care team includes pediatric and adult sleep medicine physicians, psychologists, and nurse clinicians.

Services offered include:

• Polysomnography
• Multiple Sleep Latency Testing
• Actigraphy
• Treatment with CPAP and BiPAP
• Cognitive Behavioral Therapy

Primary Ciliary Dyskinesia Center
216-844-3267
Director: Olivia Giddings, MD, PhD

The Primary Ciliary Dyskinesia Center is the only center in the state accredited by the Primary Ciliary Dyskinesia Foundation.  We provide interdisciplinary care and treatment from pediatric and adult pulmonologists, respiratory therapy, nursing, and social work.  We offer the only non-invasive diagnostic testing program in the state of Ohio (nasal nitric oxide).

Services offered include:

• Nasal nitric oxide testing
• Genetic testing
• Airway clearance techniques
• Access to clinical trials

Respiratory Care
216-844-1954
Medical Director: Daniel Craven, MD

Respiratory Care is active in both adult and pediatric intensive care units and provides necessary service to pulmonary patients. Respiratory therapists advise physicians regarding appropriate respiratory therapy procedures. They also assist patients and families with referrals for medical equipment and supplier for home use and give home-going instructions in proper therapy techniques.

Rainbow has an international reputation in the treatment of pulmonary disease and a special expertise in pediatric respiratory care. Physicians and respiratory therapists here were responsible for the development of pediatric jet ventilation in the 1980s. The most widely used textbooks on respiratory care of infants and children have been written by doctors and respiratory therapists at Rainbow.

Respiratory Care procedures include:

• Ventilator management
• Asthma and cystic fibrosis care paths
• Non-invasive oxygen monitoring
• Respiratory Care Consult Service
• Airway care
• Oxygen therapy
• Medicinal aerosol therapy
• Airway clearance therapy