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Click here to learn more about our clinical services at
NewYork-Presbyterian Morgan Stanley Children's Hospital.
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 Asthma Center
The Asthma Center team not only delivers state-of-the-art asthma care they also participate in cutting edge research. Essential components of our pediatric asthma program are pulmonary function testing, allergy testing, environmental assessment, education, and family services. We expertly identify asthma triggers and design personalized asthma action plans.
Cystic Fibrosis Center
The CF Center at Columbia University has been recognized as a Center of Excellence for over 20 years. The Center is accredited by the CF Foundation for clinical care, teaching and research. We provide clinical services that include a multidisciplinary team of pediatric pulmonologists, gastroenterologists, nurses, social workers, physical therapists, and geneticists. Our comprehensive clinical program works with patients and their families to maximize lung function, growth and development and prevent and treat complications. An adult cystic fibrosis program is available for the older patient. Transplant programs for patients who need lung or liver transplants are also available.
The Pediatric Sleep Disorders Center offers expertise in evaluating children with a wide variety of sleep disorders, such as sleep apnea, narcolepsy, parasomnias, circadian rhythm disorders and insomnia. We use state of the art equipment to study the patients in the sleep laboratory. Dr. Carin Lamm, a board certified sleep specialist, directs a multidisciplinary team that includes pediatric pulmonologists and consultants familiar with sleep disorders in the fields of otolaryngology, cardiology, pulmonary hypertension, craniofacial surgery, bariatric surgery, endocrinology with a focus on treatment of obesity, psychology, psychiatry, neurodevelopmental medicine and neurology.
Click here to download the Pediatric Sleep Center Referral Form in Word format.
Services
Bronchoscopy
Flexible bronchoscopy allows the physicians to look directly into the airways. For children with abnormal lung sounds, this is usually the best way to directly see the cause of those sounds. For children with suspected abnormal material in the airway, flexible bronchoscopy allows the physician to get a better look deeper into the airways before having the child undergo a surgical procedure to remove any extraneous material. For children with unusual or suspected infection; or children with abnormal immune function and possible pneumonia or lung complications of the immune abnormality, the bronchoscope allows us to sample the secretions in the lung, to attempt to detect any infecting germs, or to give the treating physician an idea about the cell mixture in the lungs. If children have part of an airway blocked off by a mucous plug, flexible bronchoscopy allows us to see that material and remove it.
Procedures may be performed in the Laura Rothenberg Bronchoscopy Suite. The pulmonary physicians work with Pediatric Anesthesia to ensure a safe and comfortable procedure for the child. Procedures can be performed on children of any age.
Pulmonary Function Testing
Pulmonary function testing is performed routinely on all children age five and over with lung disease (such as asthma, Cystic Fibrosis) or children with underlying diseases that put them at risk for pulmonary complications (e.g. cancer therapy, neuromuscular weakness). These tests are noninvasive, require no sedation, though they do require cooperation by the child. Similar tests may be performed on infants, but in those cases, mild sedation is used. The sedative used does not interfere with breathing. These pulmonary function studies tell us how the lung is working, whether there are any abnormalities, and how that function is changing over time. Often abnormalities are seen in the study before the child feels any problem; this allows the physician to treat earlier, often more effectively.
Exercise testing tells us not just how the lung is working, but gives us an idea as to the lung reserve, and how the heart and lung work in response to stress. We monitor heart and lung function throughout the study, giving us insight into any abnormalities of underlying heart or lung function; or looking for reasons the child may have difficulties with exercise. The study is completely noninvasive. If the child is suspected of having exercise-induced asthma, pulmonary function studies can be performed after the exercise, to look specifically for that entity. It has been shown that most children referred for exercise-induced asthma do not have it.
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