Preschool multiple-breath washout testing an official American Thoracic Society technical statement

Copyright © 2018 by the American Thoracic Society Background: Obstructive airway disease is nonuniformly distributed throughout the bronchial tree, although the extent to which this occurs can vary among conditions. The multiple-breath washout (MBW) test offers important insights into pediatric lung...

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Main Authors: Robinson, P., Latzin, P., Ramsey, K., Stanojevic, S., Aurora, P., Davis, S., Gappa, M., Hall, Graham, Horsley, A., Jensen, R., Lum, S., Milla, C., Nielsen, K., Pittman, J., Rosenfeld, M., Singer, F., Subbarao, P., Gustafsson, P., Ratjen, F.
Format: Journal Article
Published: American Thoracic Society 2018
Online Access:http://hdl.handle.net/20.500.11937/68896
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author Robinson, P.
Latzin, P.
Ramsey, K.
Stanojevic, S.
Aurora, P.
Davis, S.
Gappa, M.
Hall, Graham
Horsley, A.
Jensen, R.
Lum, S.
Milla, C.
Nielsen, K.
Pittman, J.
Rosenfeld, M.
Singer, F.
Subbarao, P.
Gustafsson, P.
Ratjen, F.
author_facet Robinson, P.
Latzin, P.
Ramsey, K.
Stanojevic, S.
Aurora, P.
Davis, S.
Gappa, M.
Hall, Graham
Horsley, A.
Jensen, R.
Lum, S.
Milla, C.
Nielsen, K.
Pittman, J.
Rosenfeld, M.
Singer, F.
Subbarao, P.
Gustafsson, P.
Ratjen, F.
author_sort Robinson, P.
building Curtin Institutional Repository
collection Online Access
description Copyright © 2018 by the American Thoracic Society Background: Obstructive airway disease is nonuniformly distributed throughout the bronchial tree, although the extent to which this occurs can vary among conditions. The multiple-breath washout (MBW) test offers important insights into pediatric lung disease, not available through spirometry or resistance measurements. The European Respiratory Society/American Thoracic Society inert gas washout consensus statement led to the emergence of validated commercial equipment for the age group 6 years and above; specific recommendations for preschool children were beyond the scope of the document. Subsequently, the focus has shifted to MBW applications within preschool subjects (aged 2–6 yr), where a “window of opportunity” exists for early diagnosis of obstructive lung disease and intervention. Methods: This preschool-specific technical standards document was developed by an international group of experts, with expertise in both custom-built and commercial MBW equipment. A comprehensive review of published evidence was performed. Results: Recommendations were devised across areas that place specific age-related demands on MBW systems. Citing evidence where available in the literature, recommendations are made regarding procedures that should be used to achieve robust MBW results in the preschool age range. The present work also highlights the important unanswered questions that need to be addressed in future work. Conclusions: Consensus recommendations are outlined to direct interested groups of manufacturers, researchers, and clinicians in preschool device design, test performance, and data analysis for the MBW technique.
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publishDate 2018
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spelling curtin-20.500.11937-688962018-07-31T07:12:50Z Preschool multiple-breath washout testing an official American Thoracic Society technical statement Robinson, P. Latzin, P. Ramsey, K. Stanojevic, S. Aurora, P. Davis, S. Gappa, M. Hall, Graham Horsley, A. Jensen, R. Lum, S. Milla, C. Nielsen, K. Pittman, J. Rosenfeld, M. Singer, F. Subbarao, P. Gustafsson, P. Ratjen, F. Copyright © 2018 by the American Thoracic Society Background: Obstructive airway disease is nonuniformly distributed throughout the bronchial tree, although the extent to which this occurs can vary among conditions. The multiple-breath washout (MBW) test offers important insights into pediatric lung disease, not available through spirometry or resistance measurements. The European Respiratory Society/American Thoracic Society inert gas washout consensus statement led to the emergence of validated commercial equipment for the age group 6 years and above; specific recommendations for preschool children were beyond the scope of the document. Subsequently, the focus has shifted to MBW applications within preschool subjects (aged 2–6 yr), where a “window of opportunity” exists for early diagnosis of obstructive lung disease and intervention. Methods: This preschool-specific technical standards document was developed by an international group of experts, with expertise in both custom-built and commercial MBW equipment. A comprehensive review of published evidence was performed. Results: Recommendations were devised across areas that place specific age-related demands on MBW systems. Citing evidence where available in the literature, recommendations are made regarding procedures that should be used to achieve robust MBW results in the preschool age range. The present work also highlights the important unanswered questions that need to be addressed in future work. Conclusions: Consensus recommendations are outlined to direct interested groups of manufacturers, researchers, and clinicians in preschool device design, test performance, and data analysis for the MBW technique. 2018 Journal Article http://hdl.handle.net/20.500.11937/68896 10.1164/rccm.201801-0074ST American Thoracic Society restricted
spellingShingle Robinson, P.
Latzin, P.
Ramsey, K.
Stanojevic, S.
Aurora, P.
Davis, S.
Gappa, M.
Hall, Graham
Horsley, A.
Jensen, R.
Lum, S.
Milla, C.
Nielsen, K.
Pittman, J.
Rosenfeld, M.
Singer, F.
Subbarao, P.
Gustafsson, P.
Ratjen, F.
Preschool multiple-breath washout testing an official American Thoracic Society technical statement
title Preschool multiple-breath washout testing an official American Thoracic Society technical statement
title_full Preschool multiple-breath washout testing an official American Thoracic Society technical statement
title_fullStr Preschool multiple-breath washout testing an official American Thoracic Society technical statement
title_full_unstemmed Preschool multiple-breath washout testing an official American Thoracic Society technical statement
title_short Preschool multiple-breath washout testing an official American Thoracic Society technical statement
title_sort preschool multiple-breath washout testing an official american thoracic society technical statement
url http://hdl.handle.net/20.500.11937/68896