Pediatric Respirology - Wednesday, Feb. 13, 2019
7:30 - 8:00  

Introduction and Welcome
8:00 - 8:10

Morning Lectures
8:10 - 12:15

8:10 - 8:40

What’s Up with Sublingual Immunotherapy: Does It Work for My Patients with Asthma?

Reza Alizadehfar, MD

This session will cover the basics of sublingual immunotherapy: Does it work? Which patients can derive the most benefit from it? Are there risks associated with it?

8:40 - 9:15

Crash Course in Asthma Pharmacotherapy: Everything You Ever Wanted to Know in 30 Minutes

David Zielinski, MD

Asthma is one of the most common chronic diseases in children. Today we have an increasing number of options for long term control of asthma and its exacerbations. Learn more about our new and old controller therapies, when to start them, when to change them and when to think outside of the box.

9:15 - 9:50

What Your Patients Are Reading and Buying
- E-cigarette Use and Consequences Among Adolescents
- Wearable Oximetry Monitors: What Do They Really Tell You?

Aurore Côté, MD, and Lianne Kopel, MD

Electronic cigarettes seem to be « all the rage » and may be a good option for individuals with an established tobacco addiction as a gateway to quitting. But what about young people in Canada without a previous tobacco addiction? Could e-cigarettes be a gateway to more harmful addiction? We will discuss the definitions of “e-cigarettes”, “vaping” and their potential consequences for adolescents.

Miniaturized monitoring devices for the general public are becoming more and more easily available and less costly. You can have real-time data on your cell phone 24/7! Consumer advertising promises peace of mind for parents with simple apnea monitors they can clip on the diaper, sock oximeters, and intelligent pajamas. Are these devices any good?

9:50 - 10:25

Let’s Get Vocal About Vocal Cord Dysfunction

Anne-Marie Canakis, MD, and Eugénie Préfontaine, M.Sc.A

The key clinical features and diagnostic studies that help identify patients with vocal cord dysfunction will be presented. The intervention process and strategies used in the speech-language pathology department to treat VCD will be described.
10:25 - 10:45  

10:45 - 11:20

It’s ‘Snot’ a Joke: Approach to Chronic Wet Cough and Protracted Bacterial Bronchitis

Adam Shapiro, MD

We will review the definition and develop an approach to chronic cough, differentiate between dry cough versus chronic wet/mucopurulent cough which have different differential diagnoses and treatment strategies, and define protracted bacterial bronchitis and how to treat it.

11:20 - 11:55

Don’t Lose Sleep About Sleep Apnea

Aurore Côté, MD

In 2018, can we diagnose obstructive sleep apnea (OSA) without a full in-laboratory polysomnography? What is the likelihood of missing significant OSA: 1) with only a questionnaire? 2) with only an oximetry study? What is the success of treating OSA medically? We will review an algorithm to help the clinician deal with this prevalent problem.

11:55 - 12:15

CF Screening in Québec: Who? Why? When? How?

Larry Lands, MD, PhD

Newborn screening for Cystic Fibrosis has finally come to Québec. We will discuss why we are screening, how we are screening, and what this means for the patients in your practice.


12:15 - 13:15  

13:15 - 14:00

A. Dyspnea

Larry Lands, MD, PhD

In this workshop, we will review patient cases of dyspnea and discuss the pathophysiology, causes, and approach to this common clinical complaint.

B. Recurrent Pneumonia

Thomas Lahiri, MD

In this workshop, we will review patient cases of recurrent pneumonia with examples of chest radiographs, and form a differential diagnosis and practical approach.

C. Excessive Daytime Sleepiness

Evelyn Constantin, MD

In this workshop, we will review patient cases of excessive daytime sleepiness and discuss the various pathological and non-pathological conditions that lead to this common complaint, what questions to ask, and when to refer to a specialist.
WORKSHOPS - SESSION II   (repeat of workshops A to C)
14:05 - 14:50

14:50 - 15:05  
15:05 - 15:50

D. Pulmonary Function Tests Interpretation

Anne-Marie Canakis, MD

In this workshop, we will review the most common types of lung function testing performed in pediatrics and discuss when each of these is indicated and how the information obtained helps with diagnosis and management.

E. Functional Respiratory Problems

Marie-Pier Dumas, MD

In this workshop, we will review cases of sigh dyspnea, vocal cord dysfunction, tic cough, how to recognize them, exclude other diagnoses, and discuss management strategies.

F. Asthma

Lianne Kopel, MD and Larry Lands, MD, PhD

In this workshop, we will review cases of pediatric asthma that is difficult to control and discuss a practical approach to outpatient management.
Workshops - Session IV (repeat of workshops D to F)
15:55 - 16:40