Multiple-breath washout in preschool children--FRC and ventilation inhomogeneity
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Updated: Aug 7, 2026

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome (ARDS)
Published on: April 7, 2021
1Portex Respiratory Unit, Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK. p.aurora@ich.ucl.ac.uk
Insights
The open-circuit multiple-breath inert gas washout technique measures lung function in children. This method quantifies functional residual capacity and ventilation distribution using quiet breathing.
Area of Science:
- Pulmonary Physiology
- Pediatric Respiratory Medicine
Background:
- Functional residual capacity (FRC) and ventilation distribution are key lung function parameters.
- Accurate measurement of these parameters in preschool children is challenging.
Purpose of the Study:
- To highlight the utility of the open-circuit multiple-breath inert gas washout (MB-IGW) method.
- To emphasize its applicability in preschool children for lung function assessment.
Main Methods:
- Utilizes the open-circuit multiple-breath inert gas washout technique.
- Requires only quiet tidal breathing, making it suitable for young children.
Main Results:
- The MB-IGW method effectively measures functional residual capacity.
- It also accurately quantifies ventilation distribution in preschool-aged subjects.
Conclusions:
- The open-circuit MB-IGW method is a practical tool for pediatric lung function testing.
- Upcoming guidelines from the European Respiratory Society and American Thoracic Society will aid its clinical use.
Abstract:
The open-circuit multiple-breath inert gas washout method is used to measure functional residual capacity and also to quantify ventilation distribution. The technique is readily applicable in preschool children as it requires quiet tidal breathing. Guidelines for data collection and interpretation in this age group will shortly be published by the European Respiratory Society and the American Thoracic Society.
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