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Bronchial challenge: ventilation during 'tidal volume breathing' inhalation is not constant.

Authors: F, Madsen; L, Frølund; N H, Nielsen; U G, Svendsen; B, Weeke;

Bronchial challenge: ventilation during 'tidal volume breathing' inhalation is not constant.

Abstract

Standardization of bronchial challenge (BC) in order to improve repeatability of both non-specific and specific challenges is desirable. In the tidal volume breathing BC (tBC), the patient inhales bronchoconstrictor during the entire inspiratory phase of the tidal volume breathing. We determined 2 min ventilation (VE) at each histamine concentration during 187 BCs. Thirty-four patients were challenged twice. We used a standard technique (Cockcroft), except for our patient operated Pari nebulizer. Between-subject (SD = 37%) as well as within-subject (SD = 21%) (p less than 0.01) variations in VE were observed. Furthermore, VE during inhalation of threshold dose (VE-threshold) was smaller than VE during inhalation of the previous dose (VE-threshold-1) (p less than 0.001). For paired differences in VE during two challenges, the within subject SD was 21%. The between subject SD for VE was 32%. VE-threshold was lower in first challenge (p less than 0.001). VE threshold in both challenges was significantly lower than VE-threshold-1. These observations indicate that the respiratory pattern during tBC needs further standardization and that respiratory frequency and inspiratory time during tBC would be worth investigating.

Keywords

Adult, Male, Adolescent, Respiration, Middle Aged, Asthma, Bronchial Provocation Tests, Tidal Volume, Humans, Female, Aged, Histamine

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Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
6
Average
Top 10%
Top 10%
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