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Related Experiment Videos

Ventilatory pattern during bronchial histamine challenge in asthmatics

N O Strömberg1, P M Gustafsson

  • 1Dept of Pediatrics, Faculty of Health Sciences, University Hospital, Linköping, Sweden.

The European Respiratory Journal
|September 1, 1993
PubMed
Summary

Asthmatic teenagers did not consistently alter their breathing patterns during histamine challenges, even with significant lung function decline. Therefore, respiratory pattern analysis is not a reliable method for monitoring airway obstruction continuously.

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Area of Science:

  • Pulmonary Physiology
  • Respiratory Medicine

Background:

  • Asthma management requires continuous monitoring of bronchial obstruction.
  • Assessing changes in ventilatory patterns could offer a non-invasive method for this monitoring.

Purpose of the Study:

  • To investigate if asthmatic subjects consistently change their ventilatory patterns during bronchial histamine challenge when forced expiratory volume in one second (FEV1) declines by at least 20%.
  • To determine the feasibility of using respiratory pattern analysis for continuous monitoring of bronchial obstruction.

Main Methods:

  • Eight asthmatic teenagers underwent two histamine challenges within four weeks.
  • Respiratory inductive plethysmography (RIP) evaluated respiratory patterns during natural breathing and breathing through a pneumo-tachometer (PTM) with a noseclip.

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  • End-tidal carbon dioxide tension (PETCO2) was measured.
  • Main Results:

    • Four of eight patients showed hyperventilation (increased minute ventilation and inspiratory flow, decreased PETCO2) during natural breathing.
    • Ventilatory and FEV1 responses did not differ between responders and non-responders.
    • The ventilatory response to histamine was abolished when breathing through a PTM.

    Conclusions:

    • Histamine-induced bronchospasm is not uniformly reflected in breathing patterns.
    • Hyperventilation may result from vagal airway receptor activation.
    • Respiratory pattern analysis is not a feasible method to monitor bronchial obstruction during histamine challenge.