scholarly journals Comparison of impedance measured by the forced oscillation technique and pulmonary functions, including static lung compliance, in obstructive and interstitial lung disease

2019 ◽  
Vol Volume 14 ◽  
pp. 1109-1118 ◽  
Author(s):  
Naoya Takeichi ◽  
Haruna Yamazaki ◽  
Keisaku Fujimoto
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Forced Oscillation ◽  
Lung Compliance ◽  
Forced Oscillation Technique ◽  
Pulmonary Functions

scholarly journals Impact of lung disease on respiratory impedance in young children with cystic fibrosis

2015 ◽  
Vol 46 (6) ◽  
pp. 1672-1679 ◽  
Author(s):  
Kathryn A. Ramsey ◽  
Sarath C. Ranganathan ◽  
Catherine L. Gangell ◽  
Lidija Turkovic ◽  
Judy Park ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Preschool Children ◽  
Lung Disease ◽  
Forced Oscillation ◽  
Forced Oscillation Technique ◽  
Respiratory Resistance ◽  
Lung Abnormalities ◽  
Respiratory Inflammation ◽  
Function Testing ◽  
Tomography Scan

This study aimed to evaluate the ability of the forced oscillation technique (FOT) to detect underlying lung disease in preschool children with cystic fibrosis (CF) diagnosed following newborn screening.184 children (aged 3–6 years) with CF underwent lung function testing on 422 occasions using the FOT to assess respiratory resistance and reactance at the time of their annual bronchoalveolar lavage collection and chest computed tomography scan. We examined associations between FOT outcomes and the presence and progression of respiratory inflammation, infection and structural lung disease.Children with CF who had pronounced respiratory disease, including free neutrophil elastase activity, infection with pro-inflammatory pathogens and structural lung abnormalities had similar FOT outcomes to those children without detectable lung disease. In addition, the progression of lung disease over 1 year was not associated with worsening FOT outcomes.We conclude that the forced oscillation technique is relatively insensitive to detect underlying lung disease in preschool children with CF. However, FOT may still be of value in improving our understanding of the physiological changes associated with early CF lung disease.

Mechanical properties of the upper airway

1983 ◽  
Vol 55 (2) ◽  
pp. 335-342 ◽  
Author(s):  
M. Cauberghs ◽  
K. P. Van de Woestijne
Keyword(s):  
Mechanical Properties ◽  
Lung Disease ◽  
Frequency Dependence ◽  
Respiratory System ◽  
Obstructive Lung Disease ◽  
Forced Oscillation ◽  
Valsalva Maneuver ◽  
Upper Airway ◽  
Forced Oscillations ◽  
Forced Oscillation Technique

The series and shunt components of the impedance of the upper airway (Zuaw) were evaluated from measurements obtained during a Valsalva maneuver by means of a modified forced oscillation technique. When the cheeks are supported, the upper airway can be represented by a single distributed transmission line. The homogeneity of this line was confirmed by measuring separately Zuaw and the impedance of the mouth. Correction of the impedance of the respiratory system, determined by means of the forced oscillations technique, for the shunt properties of Zuaw results in some modifications of the frequency dependence of resistance (Rrs) in healthy adults and in marked changes of the absolute values of Rrs in children and in patients with obstructive lung disease.

Enhanced Tissue Factor Pathway Activity and Fibrin Turnover in the Alveolar Compartment of Patients with Interstitial Lung Disease

2000 ◽  
Vol 83 (06) ◽  
pp. 853-860 ◽  
Author(s):  
A. Günther ◽  
P. Mosavi ◽  
C. Ruppert ◽  
S. Heinemann ◽  
B. Temmesfeld ◽  
...  
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Plasminogen Activator ◽  
Fibrinolytic Activity ◽  
Lung Compliance ◽  
Tissue Type ◽  
Type Plasminogen Activator ◽  
Order Of Magnitude ◽  
Pai 1 ◽  
D Dimer

SummaryBronchoalveolar lavage fluids (BALF) from patients with hyper- sensitivity pneumonitis (HP; n = 35), idiopathic pulmonary fibrosis (IPF, n = 41) and sarcoidosis (SARC, n = 48) were investigated for alterations in the alveolar hemostatic balance. Healthy individuals (n = 21) served as Controls. Procoagulant activity (PCA), tissue factor (TF) activity and F VII activity were assessed by means of specific recalcification assays. The overall fibrinolytic activity (FA) was measured using the 125I-labeled fibrin plate assay. Fibrinopeptide A (FP-A), D-Dimer, plasminogen activators (PA) of the urokinase (u-PA) or tissue type (t-PA), PA-Inhibitor I (PAI-1) and α2-antiplasmin (α2-AP) were determined by ELISA technique. As compared to Controls, all groups with interstitial lung disease (ILD) displayed an increase in BALF PCA by approximately one order of magnitude, and this was ascribed to enhanced TF activity by >98%. Accordingly, F VII-activity was increased in all ILD groups, and elevated FP-A levels were noted. There was no significant difference in procoagulant activi- ties between the different ILD entities, but the increase in TF was significantly correlated with deterioration of lung compliance. Overall fibrinolytic activity did not significantly differ between ILD entities and Controls, although some reduction in IPF subjects was observed. Nevertheless, changes in the profile of the different pro- and anti- fibrinolytic compounds were noted. U-PA, but not t-PA levels were significantly reduced in all ILD groups. α2-AP was markedly elevated throughout, whereas PAI-1 levels were lowered. As a balance of enhanced procoagulant and sustained overall fibrinolytic activity, lavage D-dimer levels were elevated by more than one order of magnitude in all ILD patients. We conclude that the predominant alteration in alveolar hemostatic balance in all groups of ILD patients is an enhancement in TF factor pathway activity. Concomitantly, various compounds of the (anti-)fibrinolytic pathways present with altered concentrations, but the overall BALF fibrinolytic activity is largely unchanged. The net enhancement of fibrin turnover is significantly correlated with the decrease in lung compliance. Abbreviations: α2-AP – α2-antiplasmin; ARDS – acute respiratory distress syndrome; BAL – bronchoalveolar lavage; BALF – BAL fluids; BSA – bovine serum albumin; FEV1 – forced expired volume within 1 s; FP-A – fibrinopeptide A; FVC – forced vital capacity; ILD – interstitial lung disease; IPF – idiopathic pulmonary fibrosis; HP – hypersensitivity pneumonitis; PAI-1 – plasminogen-activator-inhibitor-1; PBS – phosphate buffered saline; PCA – procoagulant activity; PL – phospholipid; PPQ – phospholipid-proteinquotient; SARC – sarcoidosis; t-PA – tissue-type plasminogen activator; u-PA – urokinase-type plasminogen activator

Identifying pediatric lung disease: A comparison of forced oscillation technique outcomes

2019 ◽  
Vol 54 (6) ◽  
pp. 751-758 ◽  
Author(s):  
Denby J. Evans ◽  
Andre Schultz ◽  
Maureen Verheggen ◽  
Graham L. Hall ◽  
Shannon J. Simpson
Keyword(s):  
Lung Disease ◽  
Forced Oscillation ◽  
Forced Oscillation Technique ◽  
Pediatric Lung Disease

scholarly journals 132 Multiple breath washout and forced oscillation technique to assess lung disease in cystic fibrosis

2016 ◽  
Vol 15 ◽  
pp. S84 ◽  
Author(s):  
E. Hatziagorou ◽  
D. Pappa ◽  
D. Terzi ◽  
V. Avramidou ◽  
F. Kirvassilis ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Lung Disease ◽  
Forced Oscillation ◽  
Forced Oscillation Technique ◽  
Multiple Breath Washout

Cellular mechanisms of interstitial lung disease in children caused by mutations of the ABCA3-transporter

Pneumologie ◽  
2010 ◽  
Vol 64 (01) ◽  
Author(s):  
N Weichert ◽  
E Kaltenborn ◽  
A Hector ◽  
M Woischnik ◽  
S Moslavac ◽  
...  
Keyword(s):  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Cellular Mechanisms
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