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Lung Function Tests in Preschool Children
Grazia Fenu1, Claudia Calogero1, Enrico Lombardi1
1Pediatric Pulmonary Unit, "Anna Meyer" Pediatric University-Hospital, Florence, Italy.
Insights
New lung function tests overcome challenges in assessing children with asthma. Techniques requiring passive breathing, like the interrupter and forced oscillation techniques, enable spirometry in young children (3-5 years).
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Asthma Management
Background:
- Spirometry is crucial for monitoring and treating childhood asthma.
- Assessing lung function in preschool children (3-5 years) is challenging due to difficulties with forced expiratory maneuvers.
Purpose of the Study:
- To review methods for evaluating lung function in young children with asthma.
- To highlight techniques that overcome the limitations of traditional spirometry in this age group.
Main Methods:
- Discusses the interrupter technique and forced oscillation technique, which require only tidal breathing.
- Mentions plethysmography for specific airway resistance and multiple-breath washout for lung clearance index.
- Notes that these latter techniques are less standardized in preschool children.
Main Results:
- The interrupter technique and forced oscillation technique facilitate lung function assessment in young children.
- These methods require minimal cooperation, only normal breathing.
Conclusions:
- Advanced techniques enable reliable lung function measurement in preschool children with asthma.
- This improves the monitoring and treatment of asthma in this vulnerable population.
Abstract:
The measurement of lung function by spirometry is routinely used to monitor and adequately treat children with asthma. The assessment and evaluation of lung function in children aged 3-5 years has been neglected for a long time because of the difficulty to perform forced expiratory maneuvers. However, the use of techniques such as the interrupter technique and the forced oscillation technique, which only require passive collaboration and where the only request to the child is to breathe at tidal volume, has overcome this limitation. Other techniques such as the measurement of specific airway resistance by plethysmography or the measurement of the lung clearance index using the multiple-breath washout might be helpful in this regard, although these techniques are less standardized in preschool children.
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