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Pulmonary function testing in young children
1AP-HP Robert Debré Hospital, Functional Unit of Pulmonology, Paris, France. nicole.beydon@rdb.aphp.fr
Insights
Reliable pulmonary function testing (PFT) in young children (2-6 years) requires specialized knowledge and adapted equipment. This review covers methods like spirometry and resistance measurements to aid in monitoring respiratory health.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
Background:
- Pulmonary function testing (PFT) in young children (2-6 years) presents unique challenges due to minimal cooperation.
- Specialized knowledge of pediatric physiology and adapted equipment are crucial for obtaining reliable PFT results.
Purpose of the Study:
- To review equipment, data collection, reference values, and clinical applications for PFT in young children.
- To highlight techniques for measuring resistance and spirometry in this age group.
Main Methods:
- Review of non-invasive techniques including forced oscillation technique, interrupter technique, plethysmography, and spirometry.
- Consideration of technical issues specific to pediatric PFT.
Main Results:
- Successful PFT data in young children can be enhanced through team experience and motivation.
- A range of equipment for resistance measurements and spirometry is available but requires careful consideration for pediatric use.
Conclusions:
- Non-invasive PFT techniques are repeatable and valuable for monitoring lung development and treatment in congenital and early-acquired respiratory diseases.
- Adapted materials and experienced teams are key to successful PFT in early childhood.
Abstract:
Specific knowledge on paediatric physiology and adapted material are necessary to perform pulmonary function testing (PFT) with reliable results in young children (2-6 years). During this age period, although co-operation is minimal, successful testing data can greatly be enhanced because of team experience and motivation. A range of equipment able to measure resistance and spirometry is now widely available, but technical issues have to be considered before its use in young children. In this review, we detail equipment, data collection, reference values and clinical applications for resistance measurements (forced oscillation technique, interrupter technique and plethysmography) and spirometry. All these non-invasive techniques can be easily repeated in order to monitor treatment and lung development in congenital and early-acquired respiratory diseases.
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