Pediatric Pulmonology Services



  • Assessment, diagnosis and management of pulmonary (lung) diseases and conditions in the office.

  • Synagis (RSV prophylaxis) Clinic

  • Consultations and medical management of children in several South Florida hospitals for neonatal lung diseases, pneumonia, asthma, and other pulmonary problems.

  • Provide influenza, pneumonia and Pertussis (Tdap) vaccines for patients and their families.

  • Provide flexible bronchoscopies in children and infants in multiple South Florida hospitals

  • Pulmonary Function Testing (PFT) in the office and sophisticated PFTs at several South Florida hospitals that have specially trained respiratory therapists.

  • Pediatric sleep medicine, including management of neonatal and obstructive sleep apnea, parasomnias, circadian rhythm disorder.

  • Pediatric polysomnograms (sleep studies)


 

Pediatric Pulmonology Information

mavundaThe Kidz Medical Services Pediatric Pulmonology division of Florida offers comprehensive clinical services for the diagnosis and treatment of pulmonary (lung) conditions and diseases in newborn babies, children, teens and young adults. Our board-certified pediatric pulmonologist has highly specialized training and unparalleled expertise in the specialty of pediatric pulmonology. Modern medical equipment and technologies are used to provide integrated individualized pediatric pulmonary medical care.

This specialized care is provided in medical offices and in hospitals in South Florida. We work with neonatologists, pediatricians and other specialists as a team to provide excellent, personalized patient care.

Kunjana Mavunda, MD, MPH, DTM&H has worked in South Florida for over 25 years. She has extensive clinical and research experience, and has provided care to infants and children in many different settings.

Dr. Raymond Veras biography coming soon.

Dr. Hassan Dbouk biography coming soon.

pulmonologyWhat is RSV?

Respiratory Syncytial Virus. RSV is the most common cause of bronchiolitis (inflammation of the small airways in the lung) and pneumonia in children under 1 year of age in the United States. For more info go to http://www.cdc.gov/rsv/about/faq.html

What is Synagis?

Synagis, also known as Palivizumab (say "pah-lih-VIH-zu-mahb") is a monoclonal antibody that reduces hospitalizations due to RSV infection among children at high-risk for severe disease when given monthly intramuscular injections during the RSV season.

What is Apnea?

(See apnea and apnea monitor)

What is Pneumonia?

Pneumonia is an infection that settles in the lungs. It can be caused by either bacteria or viruses. Symptoms vary from patient to patient. The most common symptoms of pneumonia are: fever, chest pain, shaking/chills, rapid breathing, cough with or without sputum (phlegm).

What is Asthma?

Asthma (AZ-ma) is a chronic (long-term) lung disease that inflames and narrows the airways. Asthma causes recurring periods of wheezing (a whistling sound when you breathe), chest tightness, shortness of breath, and coughing. The coughing often occurs at night or early in the morning. Asthma affects people of all ages, but it most often starts during childhood. In the United States, more than 22 million people are known to have asthma. Nearly 6 million of these people are children.
The airways are tubes that carry air into and out of your lungs. People who have asthma have inflamed airways that are swollen and very sensitive. They tend to react strongly to certain inhaled substances.

When the airways react, the muscles around them tighten. This narrows the airways, causing less air to flow into the lungs. The swelling also can worsen, making the airways even narrower. Cells in the airways may make more mucus than normal. Mucus is a sticky, thick liquid that can further narrow your airways. This chain reaction can result in asthma symptoms. Symptoms can happen each time the airways are inflamed.

Sometimes, asthma symptoms are mild and go away on their own or after minimal treatment with an asthma medicine. Other times, symptoms continue to get worse. When symptoms get more intense and/or more symptoms occur, you're having an asthma attack.

It's important to treat symptoms when you first notice them. This will help prevent the symptoms from worsening and causing a severe asthma attack. Severe asthma attacks may require emergency care, and they can be fatal.

Asthma can't be cured. Even when you feel fine, you still have the disease and it can flare up at any time. However, with today's knowledge and treatments, most people who have asthma are able to manage the disease. They have few, if any, symptoms. They can live normal, active lives and sleep through the night without interruption from asthma. You can take an active role in managing your child's asthma. For successful, thorough, and ongoing treatment, build a strong partnership with your pulmonologist.

What is Influenza?

    • Influenza (the flu) is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness, and at times can lead to death. Some people, such as older people, young children, and people with certain health conditions, are at high risk for serious flu complications. The best way to prevent the flu is by getting vaccinated each year.

 

    • The CDC Advisory Committee on Immunization Practices (ACIP) decided to expand the recommendation for annual influenza vaccination to include all people age 6 months and older. The expanded recommendation is to take effect in the 2010-2011 influenza season.



http://www.dreamstime.com/-image4218612What is a flexible bronchoscopy?

Flexible bronchoscopy (pronounced bron-kos-ko-pee) is a procedure that enables the pulmonologist to examine the major air passages of the lungs. This allows the physician to evaluate your lungs and take small samples of tissue or fluid, if necessary. Usually the procedure is performed after you are mildly sedated and your nose or mouth is numbed. The physician will then insert a bronchoscope, which is a flexible lighted tube about the width of a pencil, through your nose or mouth and into your windpipe. A small channel in the instrument allows tissue and fluid samples to be collected when appropriate.

In children, reasons for having a bronchoscopy include:

    • Atypical or recurrent/persisitent pneumonia

 

    • Lung collapse

 

    • Evaluate airway after surgery (cardiac, airway, etc.)

 

    • Noisy breathing or persistent choking that does not respond to therapy.

 

    • Doctors also may do a bronchoscopy following up babies who are born early, who have had a tracheostomy, or who have abnormal findings on a chest x-ray that do not change over time. If a child gets an object caught in his airway, he may need to go to the operating room for removal of the object using a rigid bronchoscope.



What is pulmonary function testing (PFT)?

A series of breathing maneuvers that can measure lung size, velocity of airflow, as well as gas exchange. The test is painless and non-invasive. Most children, age 5 or older are able to perform by following some simple directions.

Pulmonary function tests are diagnostic tests that can provide your child's caregiver with information about:

    • How well his lungs are working

 

    • How well a medicine is working and to optimize lung function

 

    • Whether the lung disease is improving or worsening with time

 

    • Help decide whether certain symptoms, such as chest pain, are due to heart disease or lung disease



What is Measles?

Measles is the most deadly of all childhood rash/fever illnesses. The disease spreads very easily, so it is important to protect against infection. To prevent measles, children (and some adults) should be vaccinated with the measles, mumps, and rubella (MMR) vaccine. Two doses of this vaccine are needed for complete protection. Children should be given the first dose of MMR vaccine at 12 to 15 months of age. The second dose can be given 4 weeks later, but is usually given before the start of kindergarten at 4 to 6 years of age.

During 2008, more measles cases were reported than in any other year since 1997. More than 90% of those infected had not been vaccinated, or their vaccination status was unknown. These cases remind us that it is very important to vaccinate children and adults to protect them against measles. Even though the ongoing transmission of endemic (native) measles was declared eliminated in the U.S. in 2000, the disease is still common in many other countries and can be imported into the U.S. by foreign visitors or returning travelers who are not fully protected against the disease. Close to 90% of the measles cases reported in the U.S. during 2008 were either acquired abroad or linked to imported cases.

What is Pertussis?

Pertussis, also known as whooping cough, is a highly contagious respiratory disease. It is caused by the bacterium Bordetella pertussis. Pertussis is known for uncontrollable, violent coughing which often makes it hard to breathe. After fits of many coughs, someone with pertussis often needs to take deep breathes which result in a "whooping" sound. Pertussis most commonly affects infants and young children and can be fatal, especially in babies less than 1 year of age.

The best way to protect against pertussis is immunization with pertussis vaccination.

Boca Raton
9980 Central Park Blvd
Suite 206
Boca Raton, Florida 33428
Ph: 561-558-1212
Fax: 561-558-1292

Naples
2600 Immokalee Road
Naples, FL 34110
Tel: 239.213.0690
Fax: 239.552.4060

West Palm Beach
St. Mary's Office
5325 Greenwood Ave
Suite 202
West Palm Beach, FL 33407

Miami
8955 SW 87th Court 
Suite 104
Miami, Florida 33176
Ph: 305-270-1113
Fax: 305-662-2546

Hialeah
7100 West 20th Avenue
Suite 107
Hialeah, Florida 33016
Ph: 305-270-1113
Fax: 305-662-2546

Homestead
975 Baptist Way
Suite 202S
Homestead, Florida 33033
Ph: 305-270-1113
Fax: 305-662-2546