Respiratory Medicine (Pulmonology)

The division has an active ambulatory component, including the Cystic Fibrosis (CF) Clinic, Chest Clinic, Tuberculosis Prophylaxis Program, Neuromuscular Clinic, Apnea Clinic, Bronchopulmonary Dysplasia Clinic, Infantile Respiratory Clinic and Home Ventilation Clinic.

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Who we are

The Montreal Children’s Hospital Respiratory Medicine department treats infants, children and adolescents with breathing-related issues. These can include tuberculosis (TB), cystic fibrosis (CF), unstable airways, chronic lung disease associated with premature birth, bronchopulmonary dysplasia, neuromuscular diseases, breathing control problems, asthma and its related diseases, and sleeping issues.

 

History

The department was founded in the mid-1960s by Drs. Pierre Beaudry and Mel Wise. In its early years, Respiratory Medicine specialized primarily in the treatment of tuberculosis, and housed one of the first cystic fibrosis treatment centres in Canada. Dr. Wise is still a valued team member in the department.

Today, the department offers patient- and family-centred care to children with respiratory and chronic lung diseases, neuromuscular diseases, breathing control problems and asthma. Our physicians work closely with nearly every other department in the hospital, providing consultation, diagnosis and treatment for both infants and children with breathing problems. This commitment to collaboration and innovation with other specialties has been a hallmark of the department since its inception.

Innovation

Our team is advancing the field of respiratory medicine with some outstanding innovative work, including:

  • Participating in a network of neonatal monitoring centres with web-based reporting
  • Creating a portal for tracking tuberculosis in northern communities
  • Providing expanded home ventilation services to include cough-assist and breath-stacking equipment in order to improve a child’s airway clearance and lung function
  • Providing expanded flexible bronchoscopy and joint flexible-rigid bronchoscopy procedures with the department of Otolaryngology. The number of procedures has doubled annually since this initiative began.
  • Developing a web-based database for cystic fibrosis
  • Using hypertonic saline inhalation in the treatment of cystic fibrosis and other conditions
  • Participating in the multidisciplinary Craniofacial and Cleft Surgery group

 

 

Our team

The MCH Respiratory Medicine staff is made up of nurses and physicians with expertise in caring for patients with a wide variety of issues and illnesses that affect the respiratory system. Other departments at the Montreal Children’s Hospital such as the Hematology Sickle Cell Clinic and the Neuromuscular Clinic consult with us regularly for the treatment of their patients’ respiratory problems.

Our doctors are committed to educating both children and their parents about the child’s condition, and have been instrumental in developing effective groups as well as prevention-based education programs. A great example of this work is Dr. Aurore Côté’s pioneering ‘Back to Sleep’ prevention-based education program, which is designed to avert Sudden Infant Death Syndrome (SIDS). 

Our department also provides education and effective treatments to many communities throughout the province and we have demonstrated leadership in the area of community outreach programs. Dr. Côté has developed a network of neonatal units monitoring and receiving saturation and apnea recordings. Department head Dr. Larry Lands provides consultation in the Cystic Fibrosis Clinic in Rouyn-Noranda.

Doctors:

 

 

 

 

 


Where the care happens

Respiratory Medicine provides comprehensive consultative, diagnostic and therapeutic services for patients with illnesses that affect breathing. Our department success is closely linked to our collaboration with the hospital’s Respiratory Therapy department. Working very closely with the respiratory therapy team allows our doctors to discuss new management therapies, see treatment as it is delivered, and offer the best possible care to our patients. This relationship will further be enhanced at the new Montreal Children’s Hospital at the Glen site with the addition of a teaching and learning simulation room on site. Bringing together clinic and teaching spaces in one area will allow for the sort of medical collaboration that provides a huge advantage to our staff, as well as our families.

We are regularly involved in diagnosing and treating respiratory issues which arise in patients who are treated in other departments and clinics at the hospital. Our department takes part in a significant number of interdisciplinary clinics, and working closely with other departments leads to the development of specialized treatment groups where doctors from different areas work together to provide the best possible care for your child.

We are also actively involved with the Neonatal Intensive Care Unit and the Pediatric Intensive Care Unit.

Outside the MCH, our team conducts consultation clinics four times a year in Gatineau. Dr. Larry Lands provides consultation and direct clinic involvement to the Cystic Fibrosis Clinic in Rouyn-Noranda, attending four times per year. Members of the hospital’s Cystic Fibrosis Clinic have also joined Dr. Lands on visits to remote outposts on a rotating basis. This is done to provide better integration of care and to share recent clinical advances, such as the use of hypertonic saline.

 

 

 

Conditions and treatments

The MCH Respiratory Medicine team has expertise treating a range of respiratory conditions that affect a child’s breathing and related breathing functions such as lung diseases, asthma, pulmonary and circulatory problems, sleep disorders, acute and chronic respiratory problems and other types of infections.

We work closely with the hospital’s Respiratory Therapy department to provide the best possible ongoing care and treatment to our patients. Our multidisciplinary team offers a variety of specialized diagnostic and therapeutic services for patients.

We provide a number of services including medical management of respiratory problems, medical therapies, oxygen support, and education to parents on how best to care for their children. We offer long-term care and support when necessary, and see patients in outpatient clinics for evaluation and treatment of various respiratory conditions, as well as patients who are admitted to hospital (inpatients) for evaluation and treatment of various respiratory diseases, sleep disorders and apnea evaluation and treatments.

We also have rehabilitation programs and training programs in cystic fibrosis, bronchopulmonary dysplasia and neuromuscular conditions for children and their parents.

Our dedicated team of doctors, nurses and therapists works together to develop short- to long-term treatment plans for patients suffering from mild to complex respiratory problems:

Short-term care

  • Complex Airway Group
  • Primary Ciliary Dyskinesia Clinic
  • Encounter-based CF (cystic fibrosis) database
  • CF-ORL (cystic fibrosis – otolaryngology) Group

Medium-term care

  •  Asthma Group
  • Complicated Asthma Clinic

Long-term care

  • Genetic Respiratory Group

In addition to working with patients who have respiratory disease, our respiratory physicians work closely with other departments in the fields of nephrology, cardiology, and physiotherapy. Our new Ciliary Dyskinesia (CD) clinic – joining a network of CD clinics – will be the first of its kind in Quebec. 

 

Programs and services

The Montreal Children’s Hospital Respiratory Medicine department treats infants, children and adolescents with breathing-related issues. These can include tuberculosis (TB), cystic fibrosis (CF), unstable airways, chronic lung disease associated with premature birth, bronchopulmonary dysplasia, neuromuscular diseases, breathing control problems, asthma and its related diseases, and sleeping issues. We also provide services to the Pediatric Intensive Care Unit and the Neonatal Intensive Care Unit, and have an active in-patient service.

The Respiratory Medicine department houses a Cystic Fibrosis Clinic, Chest Clinic, Tuberculosis Prophylaxis Program, Neuromuscular Clinic, Apnea Evaluation Clinic, Bronchopulmonary Dysplasia Clinic, Infantile Respiratory Clinic, Asthma Centre and a Home Ventilation Clinic.

We also treat children who suffer from sleep apnea and offer educational programs to parents that are aimed at promoting safe sleeping practices.

The Jeremy Rill Centre for Sudden Infant Death Syndrome (SIDS)provides bereavement counselling and support for parents and families, as well as outreach education on prevention. For more information please visit The Jeremy Rill Centre page.

Our Sleep Laboratory conducts evaluations on children with sleep-related breathing disorders. Studies are done both in laboratory and at home. Patients with potential obstructive sleep apnea may be referred directly to the Sleep Laboratory. Otherwise, patients may be referred to the Chest Clinic first for primary evaluation.

 

 

 

 

 


Community outreach services

The MCH Respiratory Department has always been very active in the TB program as well as in treating the Northern TB crisis.

Our services to Northern residents have expanded in response to recent large communal tuberculosis outbreaks, which include many high-risk young children attending daycare. Our department’s dedication to serving communities with insufficient access to treatment will soon expand to Ungava Bay and James Bay.

Over the past five years, there has also been an increase in the number of consultations for non-tuberculosis cases from physicians in the North and from the MCH pediatricians who visit the Northern villages on a routine basis. The consultation process has allowed most patients to remain in their communities, and only those patients requiring special investigation such as a CT scan or bronchoscopy need to travel to the MCH for treatment.  

Our team conducts consultation clinics four times a year in Gatineau. Dr. Larry Lands provides consultation and direct clinic involvement to the Cystic Fibrosis Clinic in Rouyn-Noranda, attending four times per year. Members of the hospital’s Cystic Fibrosis Clinic have also joined Dr. Lands on visits to remote outposts on a rotating basis. This is done to provide better integration of care and to share recent clinical advances, such as the use of hypertonic saline.

Contact us

To make an appointment or reach the office: 514-412-4444

Fax: 514-412-4364

Conditions and illnesses