Pediatric Pulmonology

Pediatric pulmonology is a medical specialty that deals with the diagnosis and treatment of acute and chronic respiratory conditions affecting children from birth to 18 years old.

Wesley Children’s Hospital has four pediatric-neonatal trained respiratory therapists and one board-eligible pediatric pulmonologist to provide this specialized care. 

Pulmonology diagnostic procedures have undergone major improvements in the last several years and have led to better understanding of breathing disorders and offer new, more effective treatments.  To aid in diagnosis, pulmonologists examine the patient’s respiratory and cardiac systems and utilize tests of pulmonary function, lab work, chest X-rays and special procedures to view the airway. 

Pediatric pulmonologists also see children who have breathing problems associated with heart disease, neuromuscular disorders and injuries. Our pulmonology specialists work closely with other specialists including cardiology, ENT (ear, nose and throat), neurology, allergy and neonatology when developing a care plan. 

Most Common Pulmonology Disorders Treated  

  • Apnea
  • Asthma
  • Bronchitis and Bronchiolitis
  • Bronchopulmonary dysplasia/chronic lung disease of prematurity
  • Chronic cough
  • Congenital lung abnormalities

Wesley Pediatric Pulmonology Services

  • Home ventilator management
  • Management of life support for mechanically ventilated children
  • Therapeutic and diagnostic procedures for children with heart and lung diseases
  • Ground and flight transport for the most critical children
  • Administration of specialty gases
  • Extracorporeal life support for children of all ages with life-threatening conditions 

Tests & Procedures 

  • Flexible fiberoptic bronchoscopy
  • Imaging studies
  • Oxygen and carbon dioxide monitoring
  • Pulmonary function testing
  • Sweat test
  • Bronchoalveolar lavage
  • Laryngoscopy
  • Thoracentesis 

Pediatric Critical Care 

Wesley provides round-the-clock comprehensive intensive care services for children of all ages. Our patients present with failure of one or more body organ systems and may have acute or chronic illnesses.

Experienced pediatric critical care board-certified physicians provide 24/7 in-house coverage. 

Services available include: extracorporeal membrane oxygenation (ECMO), continuous renal replacement therapy (CRRT), multiple mechanical ventilation options and bedside bronchoscopy.

The pediatric intensive care unit (PICU) team is composed of many different and important disciplines such as nursing, pharmacy, respiratory therapy, nutrition, social work, and care management. The PICU also provides higher nurse to patient ratios with many patients receiving one-to-one nursing care. Parents are encouraged to participate in daily rounds on patients to improve communication and education.

Outpatient Bronchiolitis Clinic

Bronchiolitis is an infection of the lower airways that is usually caused by a virus. The infection irritates the lower airways and causes excess mucus production and swelling of the airways.  

Initial symptoms are similar to that of the common cold, and can include a stuffy or runny nose, mild cough and low fever. After a couple of days the cough can get worse and babies may develop a wheeze. Wheezing is a whistling like sound, when they breathe. Breathing can become difficult for children as the mucus production increases, and becomes think. Symptoms generally begin to clear after 7 to 10 days.

To help with the removal of this excess nasal mucus, Wesley provides an Outpatient Bronchiolitis Clinic to help clear your baby’s airways using the hospital’s powerful suction equipment.

The clinic is for babies up to 24 months of age.

Babies need a physician referral to Wesley’s Bronchiolitis Clinics. Physician offices may fax order to Wesley at (316) 962-7827. The Clinics are open 6 a.m. to 10 p.m. every day and are located at each of Wesley’s emergency department locations. 

Wesley Children’s Hospital Pediatric Pulmonologist

Apesksha Sathyaprasad, MD, is a board-eligible pulmonologist and has special interest in the pediatric conditions of asthma, cystic fibrosis, bronchopulmonary dysplasia, sleep disordered breathing, interstitial lung diseases, neuromuscular disorders and technology-dependent children. 

Sathyaprasad attended medical school in Sri Siddhartha Medical College at St. Martha’s hospital in India, and then went on to complete her pediatric residency at Lincoln Medical and Mental Health Center in New York City, New York. In addition, she has completed a pediatric pulmonology fellowship at St. Louis Children’s Hospital at Washington University in St. Louis, Missouri. 

She enjoys providing pediatric pulmonology care to patients at Wesley and collaborating on COG research projects and patient care for oncology patients. She believes each child and family is a unique opportunity to interact, provide family-centered care and improve quality of life. 

To make an appointment with Dr. Sathyaprasad, please call (316) 962-2080