Comprehensive Pediatric Pulmonary Services

Ideal for: Initial respiratory evaluation, asthma, chronic cough, treatment response

• Spirometry
  Measures how well air moves in and out of the lungs—essential for diagnosing asthma, restrictive lung disease, or airflow obstruction.
• FeNO (Fractional Exhaled Nitric Oxide)
  A simple, non-invasive test that detects airway inflammation—commonly used in asthma management to guide anti-inflammatory therapy.
• Pulse Oximetry & Exercise Oximetry
  Tracks oxygen saturation during rest and activity to assess respiratory function in everyday situations.
• 6-Minute Walk Test (6MWT)
  A practical tool to assess endurance and detect exercise-induced hypoxia or fatigue in pediatric patients.

Ideal for: Refractory asthma, unexplained shortness of breath, suspected structural lung disease

• Impulse Oscillometry (IOS)
  Sensitive and child-friendly; detects small airway abnormalities often missed by traditional spirometry. Perfect for children under 7.
• Plethysmography (“Body Box”)
  Offers a detailed look at total lung volumes and airway resistance—helpful in distinguishing between obstructive and restrictive diseases.
• High-Resolution Chest CT (HRCT)
  Advanced imaging to evaluate for bronchiectasis, chronic infection, or interstitial lung disease.
• Sweat Chloride Testing
  The gold standard for cystic fibrosis diagnosis—performed with minimal discomfort.

Ideal for: Persistent or unexplained symptoms, immune dysfunction, exercise intolerance, and structural airway evaluation

• Flexible Bronchoscopy
  A minimally invasive scope procedure used to visualize the airways, obtain cultures, and identify anomalies like malacia or airway lesions.
• Bronchoalveolar Lavage (BAL)
  Performed during bronchoscopy to collect lung fluid samples—used to detect infection, inflammation, or aspiration.
• Endobronchial & Transbronchial Biopsies
  Tissue sampling for diagnosing conditions like granulomatous disease, interstitial lung disease, or chronic inflammation.
• Surgical Lung Biopsy
  Reserved for complex, unexplained lung pathology. Conducted in partnership with pediatric surgery and pathology teams.
• Cardiopulmonary Exercise Testing (CPET)
  A highly specialized test that measures the combined performance of the heart, lungs, and muscles during exercise.
  Used to:
  • Evaluate unexplained shortness of breath or fatigue
  • Distinguish between pulmonary, cardiac, or deconditioning causes
  • Assess readiness for surgery or athletic participation
  • Guide management in chronic lung disease or congenital heart conditions
    Conducted with pediatric-trained staff using cycle ergometry or treadmill protocols customized for children and adolescents.

All services are delivered within a collaborative pediatric care model, integrating pulmonologists, respiratory therapists, cardiologists, radiologists, and child life specialists. Families are included in every step—from diagnosis to long-term management—ensuring compassionate, individualized care.