Coordinating Pediatric Aerodigestive Care

This episode of Charting Pediatrics explores the complexities of coordinating care for pediatric patients with interrelated airway, digestive, and respiratory issues—commonly referred to as aerodigestive disorders. Dr. Allison Brent hosts Dr. Emily DeBoer (Pulmonology) and Dr. Todd Wine (ENT) from Children's Hospital Colorado, who explain how multidisciplinary aerodigestive teams bring together specialists including speech therapists, occupational therapists, dietitians, social workers, anesthesiologists, and nursing coordinators to provide holistic, patient-centered care. The discussion emphasizes the importance of co-management between primary care providers and specialty teams, particularly when patients present with overlapping symptoms like reflux affecting asthma, or dysphagia impacting growth and lung health. The hosts highlight real-world challenges—such as managing high-risk patients during respiratory seasons, navigating school-based feeding plans, and handling the emotional toll of clinic visits—while underscoring the value of clear communication, realistic expectations, and long-term support. The episode concludes with a vision of success: helping children achieve optimal breathing, feeding, and growth outcomes, ultimately transitioning into independent, thriving school-aged children.