Recent Diagnosis Techniques in Pediatric Asthma Impulse Oscillometry in Preschool Asthma and Use of Exhaled Nitric Oxide

被引:16
作者
McDowell, Karen M. [1 ]
机构
[1] Univ Cincinnati, Coll Med, Cincinnati Childrens Hosp Med Ctr, Div Pulm Med,Dept Pediat, 3333 Burnet Ave,MLC 7041, Cincinnati, OH 45229 USA
关键词
Preschool asthma; Pulmonary function testing; Impulse oscillometry; Impedance; Resistance; Reactance; Coherence; Tidal breathing; BRONCHODILATOR RESPONSE; REFERENCE VALUES; YOUNG-CHILDREN; EOSINOPHILIC INFLAMMATION; CLINICAL-PRACTICE; CHILDHOOD ASTHMA; SMALL AIRWAYS; LUNG-FUNCTION; HEALTHY; FENO;
D O I
10.1016/j.iac.2018.12.002
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Objective measures of lung function are important in the diagnosis and management of asthma. Spirometry, the pulmonary function test most widely used in asthma, requires respiratory maneuvers that may be difficult for preschoolers. Impulse oscillometry (IOS) is a noninvasive method of measuring lung function during tidal breathing; hence, IOS is an ideal test for use in preschool asthma. Fractional exhaled nitric oxide (FeNO) levels correspond to eosinophilic inflammation and predict responsiveness to corticosteroids. Basic concepts of IOS, methodology, and interpretation, including available normative values, and recent findings regarding FeNO are reviewed in this article.
引用
收藏
页码:205 / +
页数:16
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