| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1 Dept of Pulmonary Medicine, University Hospital Antwerp, Belgium. 2 Scottish Intercollegiate Research Training Network, NHS Education for Scotland, UK. 3 Service de Physiologie, Hôpital Henri Mondor, Créteil-Paris, France. 4 Unitat de Biof
'sica i Bioenginyeria, Facultat de Medicina, Barcelona, Spain. 5 Dept of Medical Informatics, University of Szeged, Hungary. 6 Dept of paediatrics, University Hospital Antwerp, Belgium. 7 Laboratoire d'Explorations Fonctionnelles Pediatriques, Hopital d'Enfants, CHU de Nancy, Vandoeuvre, France.
CORRESPONDENCE: E. Oostveen, Dept of Pulmonary Medicine, University Hospital Antwerp, Wilrijkstraat 10, B-2650, Edegem-Antwerp, Belgium. Fax: 32 38214447. E-mail: Ellie.Oostveen@uza.be
Keywords: forced oscillations, guidelines, respiratory impedance, respiratory mechanics, respiratory resistance, standardisation
Received: August 4, 2003
Accepted August 6, 2003
Abstract
The forced oscillation technique (FOT) is a noninvasive method with which to measure respiratory mechanics. FOT employs small-amplitude pressure oscillations superimposed on the normal breathing and therefore has the advantage over conventional lung function techniques that it does not require the performance of respiratory manoeuvres.
The present European Respiratory Society Task Force Report describes the basic principle of the technique and gives guidelines for the application and interpretation of FOT as a routine lung function test in the clinical setting, for both adult and paediatric populations.
FOT data, especially those measured at the lower frequencies, are sensitive to airway obstruction, but do not discriminate between obstructive and restrictive lung disorders. There is no consensus regarding the sensitivity of FOT for bronchodilation testing in adults. Values of respiratory resistance have proved sensitive to bronchodilation in children, although the reported cutoff levels remain to be confirmed in future studies.
Forced oscillation technique is a reliable method in the assessment of bronchial hyperresponsiveness in adults and children. Moreover, in contrast with spirometry where a deep inspiration is needed, forced oscillation technique does not modify the airway smooth muscle tone. Forced oscillation technique has been shown to be as sensitive as spirometry in detecting impairments of lung function due to smoking or exposure to occupational hazards. Together with the minimal requirement for the subject's cooperation, this makes forced oscillation technique an ideal lung function test for epidemiological and field studies. Novel applications of forced oscillation technique in the clinical setting include the monitoring of respiratory mechanics during mechanical ventilation and sleep.
View larger version (28K):
[in a new window]
Fig. 4.—
This article has been cited by other articles:
|
|
 |
|
  K. Udomittipong, P. D. Sly, H. J. Patterson, C. L. Gangell, S. M. Stick, and G. L. Hall Forced oscillations in the clinical setting in young children with neonatal lung disease Eur. Respir. J., June 1, 2008; 31(6): 1292 - 1299. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P Enright and M McCormack Assessing the airways Chronic Respiratory Disease, May 1, 2008; 5(2): 115 - 119. [Abstract] [PDF]
|
|
|
|
|
|
C. L. Gangell, F. Horak Jr, H. J. Patterson, P. D. Sly, S. M. Stick, and G. L. Hall Respiratory impedance in children with cystic fibrosis using forced oscillations in clinic Eur. Respir. J., November 1, 2007; 30(5): 892 - 897. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. W. Oppenheimer, R. M. Goldring, M. E. Herberg, I. S. Hofer, P. A. Reyfman, S. Liautaud, W. N. Rom, J. Reibman, and K. I. Berger Distal Airway Function in Symptomatic Subjects With Normal Spirometry Following World Trade Center Dust Exposure Chest, October 1, 2007; 132(4): 1275 - 1282. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Thamrin, C. L Gangell, K. Udomittipong, M. M H Kusel, H. Patterson, T. Fukushima, A. Schultz, G. L Hall, S. M Stick, and P. D Sly Assessment of bronchodilator responsiveness in preschool children using forced oscillations Thorax, September 1, 2007; 62(9): 814 - 819. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Lall, N. Cheng, P. Hernandez, P. T. Pianosi, Z. Dali, A. Abouzied, and G. N. Maksym Airway resistance variability and response to bronchodilator in children with asthma Eur. Respir. J., August 1, 2007; 30(2): 260 - 268. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Diba, C. M. Salome, H. K. Reddel, C. W. Thorpe, B. Toelle, and G. G. King Short-term variability of airway caliber--a marker of asthma? J Appl Physiol, July 1, 2007; 103(1): 296 - 304. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Beydon, S. D. Davis, E. Lombardi, J. L. Allen, H. G. M. Arets, P. Aurora, H. Bisgaard, G. M. Davis, F. M. Ducharme, H. Eigen, et al. An Official American Thoracic Society/European Respiratory Society Statement: Pulmonary Function Testing in Preschool Children Am. J. Respir. Crit. Care Med., June 15, 2007; 175(12): 1304 - 1345. [Full Text] [PDF]
|
|
|
|
|
|
G. L Hall, P. D Sly, T. Fukushima, M. M Kusel, P. J Franklin, F. Horak Jr, H. Patterson, C. Gangell, and S. M Stick Respiratory function in healthy young children using forced oscillations Thorax, June 1, 2007; 62(6): 521 - 526. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. K Johnson, M. Birch, R. Carter, J. Kinsella, and R. D Stevenson Measurement of physiological recovery from exacerbation of chronic obstructive pulmonary disease using within-breath forced oscillometry Thorax, April 1, 2007; 62(4): 299 - 306. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. K. Young, A. Lowe, D. A. Fitzgerald, C. Seton, K. A. Waters, E. Kenny, L. S. Hynan, S. T. Iannaccone, K. N. North, and M. M. Ryan Outcome of noninvasive ventilation in children with neuromuscular disease Neurology, January 16, 2007; 68(3): 198 - 201. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Schweitzer, L. T. T. Vu, Y. T. Nguyen, C. Chone, B. Demoulin, and F. Marchal Estimation of the bronchodilatory effect of deep inhalation after a free run in children Eur. Respir. J., July 1, 2006; 28(1): 89 - 95. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. B. Pride Ageing and changes in lung mechanics Eur. Respir. J., October 1, 2005; 26(4): 563 - 565. [Full Text] [PDF]
|
|
|
|
|
|
Y. F. Guo, F. Herrmann, J-P. Michel, and J-P. Janssens Normal values for respiratory resistance using forced oscillation in subjects >65 years old Eur. Respir. J., October 1, 2005; 26(4): 602 - 608. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Thamrin, P. D. Sly, and Z. Hantos Broadband frequency dependence of respiratory impedance in rats J Appl Physiol, October 1, 2005; 99(4): 1364 - 1371. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Casas, F. P. Gomez, B. Dahlen, J. Roca, J. A. Barbera, S-E. Dahlen, and R. Rodriguez-Roisin Leukotriene D4-induced hypoxaemia in asthma is mediated by the cys-leukotriene1 receptor Eur. Respir. J., September 1, 2005; 26(3): 442 - 448. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. L. Coffman and E. M. Hessel Nonhuman primate models of asthma J. Exp. Med., June 20, 2005; 201(12): 1875 - 1879. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. K. Johnson, M. Birch, R. Carter, J. Kinsella, and R. D. Stevenson Use of reactance to estimate transpulmonary resistance Eur. Respir. J., June 1, 2005; 25(6): 1061 - 1069. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Delclaux, F. Zerah-Lancner, B. Mahut, S. Ribeil, A. Dubois, C. Larger, and A. Harf Alveolar Nitric Oxide and Effect of Deep Inspiration During Methacholine Challenge Chest, May 1, 2005; 127(5): 1696 - 1702. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. A. Watson and N. B. Pride Postural changes in lung volumes and respiratory resistance in subjects with obesity J Appl Physiol, February 1, 2005; 98(2): 512 - 517. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Farre and D. Navajas Assessment of expiratory flow limitation in chronic obstructive pulmonary disease: a new approach Eur. Respir. J., February 1, 2004; 23(2): 187 - 188. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
