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Employing the Forced Oscillation Technique for the Assessment of Respiratory Mechanics in Adults
Published on: February 9, 2022
[EFFECT OF INSPIRATORY FLOW ON BREATH SOUND ANALYSIS IN CHILDREN WITH ASTHMA]
Takanori Kagawa1, Tomohiko Imamura1, Mayumi Enseki1
1Department of Pediatrics, Tokai University School of Medicine.
Insights
Resting breathing provides clearer lung sound analysis in children with asthma. This method, analyzing lung sound parameters before and after β2 stimulant inhalation, aids in long-term asthma monitoring.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Biomedical Engineering
Background:
- Optimal breathing methods are crucial for accurate childhood lung sound analysis.
- Understanding airflow effects on lung sound parameters is essential for effective diagnosis.
Purpose of the Study:
- To investigate the impact of airflow on lung sound parameters in children with atopic asthma.
- To evaluate the effectiveness of different breathing methods for lung sound analysis.
Main Methods:
- Sixty-one children with atopic asthma underwent lung sound spectrum analysis during inspiratory flow.
- Lung sounds were analyzed before and after β2 stimulant inhalation.
- Spirometry and forced oscillation technique measured lung function.
Main Results:
- Lung sound parameters (AT, F99) were higher during stronger breathing (2.0L/s) compared to resting breathing (1.0L/s).
- No significant differences in lung sound spectrum parameters were observed.
- Improvements after β2 stimulant inhalation were more pronounced during resting breathing.
Conclusions:
- Changes in lung sound parameters after β2 stimulant inhalation correlate better with lung function during resting breathing.
- Resting breathing analysis offers a clearer method for monitoring children with asthma.
- This technique shows potential for long-term asthma management in pediatric patients.
Background:
In order to determine the optimal breathing method for childhood lung sound analyses, it is important to study the effect of airflow on the parameters of lung sounds.
Methods:
Sixty-one well-controlled children with atopic asthma (median; 12 years) participated. After confirming that there was no wheezing or respiratory symptoms, the lung sound spectrums of the inspiratory flow before and after inhalation of a β2 stimulant were analyzed. At the same time, their lung function was measured by a spirogram and the forced oscillation technique.
Results:
Before β2 agonist inhalation, the area under the entire curve (AT) and 99% frequency (F99) in the lung sound of inspiratory flow around 2.0L/s due to slightly strong breathing were significantly higher than the lung sound of inspiratory flow around 1.0L/s due to rest breathing. However, no marked differences were observed in the lung sound parameters based on the lung sound spectrum. The improvement in the lung sound parameters after β2 agonist inhalation was clearer at an inspiratory flow around 1.0L/s than that around 2.0L/s.
Conclusion:
The present study showed that changes after β2 agonist inhalation and the correlation with the lung function parameters were clear during resting breathing. This method may be used for the long-term montoring of children with asthma.
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