The Pediatric Aerodigestive Clinic at Tripler Army Medical Center (TAMC) is a multidisciplinary program that focuses on airway, digestive, and pulmonary conditions in complex pediatric patients. The clinic involves collaboration and coordination of care between pediatric pulmonology, otolaryngology, gastroenterology, nutrition, speech language pathology, pharmacy medicine, anesthesiology, and nurse case management. As previously described by Boesch et al., “a pediatric aerodigestive patient is a child with a combination of multiple and interrelated congenital and/or acquired conditions affecting airway, breathing, feeding, swallowing, or growth that require a coordinated interdisciplinary diagnostic and therapeutic approach to achieve optimal outcomes.”¹ Patients are often referred after an initial clinical encounter with one of the aerodigestive physicians. As awareness of this clinic increases, a rising number of patients are referred by general pediatricians from TAMC and outlying military clinics on Oahu. The Pediatric Aerodigestive Team also functions as an ad hoc inpatient consult team, which assembles to evaluate complex patients in the neonatal intensive care unit, pediatric intensive care unit, and inpatient pediatric ward settings.

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通过Tripler Army Medical Center的儿科消化科诊所的范围，军事医疗体系中多学科护理的重要性。

三胞胎陆军医学中心（TAMC）的儿科消化科诊所是一项多学科计划，重点研究复杂儿科患者的气道，消化道和肺部疾病。该诊所涉及小儿肺病学，耳鼻喉科，肠胃病学，营养学，言语病理学，药学，麻醉学和护士病例管理之间的护理合作与协调。如Boesch等人先前所述，“儿科消化不良患者是指具有多种相互影响的先天性和/或后天性疾病的组合，这些疾病影响气道，呼吸，喂养，吞咽或生长，需要跨学科的诊断和治疗方法以获得最佳结果。”¹患者通常在与一名空气消化系统医生进行初次临床接触后被转诊。随着对该诊所的了解的增加，TAMC和瓦胡岛外围军事诊所的普通儿科医生转诊患者的人数也在增加。儿科消化科小组还作为临时住院咨询小组，负责评估新生儿重症监护室，儿科重症监护室和住院儿科病房设置中的复杂患者。