Paediatric Respiratory Medicine (and cycling)

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Introduction

December 06, 2011

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Hi! I am repurposing this site to talk about mountain biking, coffee, and things related to paediatric respiratory medicine.

See my padlet at https://padlet.com/christopheredwards11/PRMandCF_Leeds

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What will paediatric medicine look like in 2040 - a respiratory perspective

2040 History suggests that in twenty years time trials of therapies we see in journals today will be in use and because of this our patient cohort will change. But something’s will inevitably be the same. Using respiratory as an archetype I am going to give my thoughts as to how things are going to change. I have discussed some of this with our trainees who are already seeing some of these changes. Technology Dependent Patients Most tertiary paediatric centres in the UK care for 125-150 respiratory technology dependent children and the numbers are increasing. The numbers of patients with home PN are increasing, as are the numbers of children with gastrostomies. Children may also have renal/peritoneal dialysis. Currently the technology exists for home ECMO (cardio-respiratory bypass, eg whilst awaiting transplant), cardiac support ie internal rhythm generators and soon artificial hearts, and artificial pancreases for diabetics. We are entering an era of “if you can think it, we can

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