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Use of the Sensormedics MCT Accelerator in sputum induction
M A McClean1, P I Field, M J Matheson
1Department of Thoracic Medicine, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Summary
The Sensormedics MCT Accelerator did not improve sputum production or cellular profile in subjects undergoing induced sputum analysis. This high-frequency oscillator device did not enhance saline-induced sputum yield in asthmatic or non-asthmatic individuals.
Area of Science:
- Respiratory Medicine
- Pulmonology
- Clinical Investigation
Background:
- Airway inflammation assessment often involves induced sputum analysis.
- Sputum induction typically uses inhaled hypertonic saline.
- Devices aimed at airway secretion clearance warrant investigation for their impact on sputum induction.
Purpose of the Study:
- To evaluate the efficacy of the Sensormedics MCT Accelerator in enhancing sputum production.
- To determine if the MCT Accelerator alters the cellular profile of induced sputum.
- To assess sputum induction in non-asthmatic non-atopic, atopic, and asthmatic subjects.
Main Methods:
- A crossover study design was employed over three days.
- Subjects underwent skin prick testing and methacholine challenge on day 1.
- Sputum induction was performed using 3% saline alone or with the MCT Accelerator on separate days.
Main Results:
- The MCT Accelerator did not significantly increase sputum volume.
- No significant changes were observed in the cellular profile of induced sputum.
- The device did not enhance the yield of sputum compared to saline alone.
Conclusions:
- The Sensormedics MCT Accelerator does not improve sputum production for diagnostic purposes.
- The device does not alter the cellular composition of induced sputum.
- Current methods of saline-induced sputum production remain unaffected by this oscillatory device.