Lung Function Tests in Preschool Children

Grazia Fenu1, Claudia Calogero1, Enrico Lombardi1

  • 1Pediatric Pulmonary Unit, "Anna Meyer" Pediatric University-Hospital, Florence, Italy.

Turkish Thoracic Journal
|February 7, 2018
PubMed

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.

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