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Published on: February 9, 2022
[Respiratory function testing in infants: recommendations on normal values]
F Amsallem1, R Gauthier, M Ramonatxo
1Service central de Physiologie clinique, Unité respiratoire, Hôpital Arnaud de Villeneuve, Montpellier Cedex 5, France.
Insights
This guide provides best practices for infant respiratory function testing, crucial for multi-center trials. Establishing standardized reference data is essential for accurate lung function assessments in infants.
Area of Science:
- Physiology
- Pediatrics
- Respiratory Medicine
Context:
- Guidelines for infant respiratory function testing are needed for multi-center trials.
- Current practices lack standardized protocols and reference data.
- International recommendations exist but require adaptation for infant testing.
Purpose:
- To provide guidelines for good laboratory practices in infant respiratory function testing.
- To outline recommendations for apparatus, acquisition systems, and software.
- To detail physiological principles and practical considerations for various testing methods.
Summary:
- The document details recommendations for infant respiratory function testing equipment, data acquisition, and software.
- It covers calibration, infant conditioning, tidal breathing, occlusion techniques, plethysmography, and forced expiratory flows.
- A review of existing infant respiratory function reference data is included, highlighting the need for new, validated data.
Impact:
- Facilitates standardization of infant respiratory function testing protocols.
- Aids in the development of reliable reference values for infant lung function.
- Supports accurate diagnosis and monitoring of respiratory conditions in infants.
Abstract:
The present document is being produced on behalf of the French Society of the Physiology Task Force on standards for Infant Respiratory Function Testing whose aim is to provide guidelines for good laboratory practices according to the latest international recommendations. Application of such recommendations could be of particular value when attempting to develop standardized protocols in the scope of multi-centre trials. The first part resume these recommendations about apparatus, acquisition system and software for Infant Respiratory Function Testing. The second part focuses on physiological principles and practical considerations: calibration procedure, infant conditioning, tidal breathing measurements, and occlusion techniques for assessing passive respiratory mechanics, plethysmographic measurements of lung volume and airway resistance and forced expiratory flows measurements. The major problem when collecting lung function data is that of predicted values. Valid reference data, set up according to these recommendations, are, to date, still to be established. The last part of the document provides a review of the literature concerning infant respiratory function reference data and a resume of the most used of them. This document will clearly need to be updated regularly in response to advances in knowledge in this field.
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