[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.

Related Concept Videos

Assessment of Ventilation I: Respiratory Rate01:20

Assessment of Ventilation I: Respiratory Rate

Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
Special considerations while measuring oxygen saturation01:19

Special considerations while measuring oxygen saturation

Assessing respiratory rate concurrently with pulse measurement is fundamental to patient care, providing valuable insights into the patient's respiratory function. The normal breathing rate for an adult usually falls within a normal range of 12 to 20 breaths per minute. Abnormal respiratory rates can signal underlying health conditions or the need for immediate intervention.
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is important. 
Respiratory Volumes01:15

Respiratory Volumes

Respiratory volumes are crucial metrics, meticulously measured to quantify the air exchanged in and out of the lungs during various phases of the breathing cycle. These precise measurements are vital for assessing lung function, diagnosing respiratory conditions, and monitoring overall respiratory health. Each parameter provides specific insights into the mechanics of breathing and the functional capacity of the lungs.
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Respiratory Volumes and Capacities I01:26

Respiratory Volumes and Capacities I

Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...