Clinical Applications of Pediatric Pulmonary Function Testing—Introduction to the Series

2011 ◽  
Vol 24 (2) ◽  
pp. 55-56
Author(s):  
Margaret Rosenfeld, Guest Editor
Keyword(s):  
Pulmonary Function ◽  
Clinical Applications ◽  
Pulmonary Function Testing ◽  
Function Testing

scholarly journals Pulmonary Function Testing in Work-Related Asthma: An Overview from Spirometry to Specific Inhalation Challenge

2021 ◽  
Vol 18 (5) ◽  
pp. 2325
Author(s):  
Mathias Poussel ◽  
Isabelle Thaon ◽  
Emmanuelle Penven ◽  
Angelica I. Tiotiu
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Objective Evaluation ◽  
Pulmonary Function Testing ◽  
Initial Assessment ◽  
Work Related ◽  
Specific Inhalation Challenge ◽  
Occupational Setting ◽  
Inhalation Challenge ◽  
Function Testing

Work-related asthma (WRA) is a very frequent condition in the occupational setting, and refers either to asthma induced (occupational asthma, OA) or worsened (work-exacerbated asthma, WEA) by exposure to allergens (or other sensitizing agents) or to irritant agents at work. Diagnosis of WRA is frequently missed and should take into account clinical features and objective evaluation of lung function. The aim of this overview on pulmonary function testing in the field of WRA is to summarize the different available tests that should be considered in order to accurately diagnose WRA. When WRA is suspected, initial assessment should be carried out with spirometry and bronchodilator responsiveness testing coupled with first-step bronchial provocation testing to assess non-specific bronchial hyper-responsiveness (NSBHR). Further investigations should then refer to specialists with specific functional respiratory tests aiming to consolidate WRA diagnosis and helping to differentiate OA from WEA. Serial peak expiratory flow (PEF) with calculation of the occupation asthma system (OASYS) score as well as serial NSBHR challenge during the working period compared to the off work period are highly informative in the management of WRA. Finally, specific inhalation challenge (SIC) is considered as the reference standard and represents the best way to confirm the specific cause of WRA. Overall, clinicians should be aware that all pulmonary function tests should be standardized in accordance with current guidelines.

Pulmonary Function Testing in Patients with Tracheostomies: Feasibility and Technical Considerations

Lung ◽  
2021 ◽  
Author(s):  
Ajay Sheshadri ◽  
Leendert Keus ◽  
David Blanco ◽  
Xiudong Lei ◽  
Cheryl Kellner ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Testing ◽  
Function Testing ◽  
Technical Considerations

Pulmonary‐function testing in children

1989 ◽  
Vol 150 (12) ◽  
pp. 706-707 ◽  
Author(s):  
Peter D. Sly ◽  
Colin F. Robertson
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Testing ◽  
Function Testing

scholarly journals How Local SARS-CoV-2 Prevalence Shapes Pulmonary Function Testing Laboratory Protocols and Practices During the COVID-19 Pandemic

CHEST Journal ◽  
2021 ◽  
Author(s):  
Matthew J. Saunders ◽  
Jeffrey M. Haynes ◽  
Meredith C. McCormack ◽  
Sanja Stanojevic ◽  
David A. Kaminsky
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Testing ◽  
Testing Laboratory ◽  
Function Testing

scholarly journals Using Operational Analysis to Improve Access to Pulmonary Function Testing

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Ada Ip ◽  
Raymond Asamoah-Barnieh ◽  
Diane P. Bischak ◽  
Warren J. Davidson ◽  
W. Ward Flemons ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Pulmonary Function Testing ◽  
Financial Investment ◽  
Process Improvements ◽  
Operational Analysis ◽  
Healthcare Settings ◽  
Stakeholder Perspectives ◽  
Poor Access ◽  
Guide System ◽  
Function Testing

Background. Timely pulmonary function testing is crucial to improving diagnosis and treatment of pulmonary diseases. Perceptions of poor access at an academic pulmonary function laboratory prompted analysis of system demand and capacity to identify factors contributing to poor access.Methods. Surveys and interviews identified stakeholder perspectives on operational processes and access challenges. Retrospective data on testing demand and resource capacity was analyzed to understand utilization of testing resources.Results. Qualitative analysis demonstrated that stakeholder groups had discrepant views on access and capacity in the laboratory. Mean daily resource utilization was 0.64 (SD 0.15), with monthly average utilization consistently less than 0.75. Reserved testing slots for subspecialty clinics were poorly utilized, leaving many testing slots unfilled. When subspecialty demand exceeded number of reserved slots, there was sufficient capacity in the pulmonary function schedule to accommodate added demand. Findings were shared with stakeholders and influenced scheduling process improvements.Conclusion. This study highlights the importance of operational data to identify causes of poor access, guide system decision-making, and determine effects of improvement initiatives in a variety of healthcare settings. Importantly, simple operational analysis can help to improve efficiency of health systems with little or no added financial investment.

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