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1 Department of Paediatrics,
When input
impedance is determined by means of the forced oscillation technique,
part of the oscillatory flow measured at the mouth is lost in the
motion of the upper airway wall acting as a shunt. This is
avoided by applying the oscillations around the subject's head (head
generator) rather than at the mouth (conventional technique). In seven
wheezing infants, we compared both techniques to estimate the
importance of the upper airway wall shunt impedance (Zuaw) for the
interpretation of the conventional technique results. Computation of
Zuaw required, in addition, estimation of nasal impedance values, which
were drawn from previous measurements (K. N. Desager, M. Willemen, H. P. Van Bever, W. De Backer, and P. A. Vermeire.
Pediatr. Pulmonol. 11: 1-7,
1991). Upper airway resistance and reactance at 12 Hz ranged from 40 to
120 and from 0 to
150
hPa · l
1 · s,
respectively. Varying nasal impedance within the range observed in
infants did not result in major changes in the estimates of Zuaw or
lung impedance (ZL), the
impedance of the respiratory system in parallel with Zuaw. The
conventional technique underestimated ZL, depending on the value of
Zuaw. The head generator technique slightly overestimated
ZL, probably because the
pressure gradient across the upper airway was not completely
suppressed. Because of the need to enclose the head in a box (which is
not required with the conventional technique), the head generator
technique is difficult to perform in infants.
forced oscillation technique; head generator; conventional technique
This article has been cited by other articles:
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E. Oostveen, D. MacLeod, H. Lorino, R. Farre, Z. Hantos, K. Desager, and F. Marchal The forced oscillation technique in clinical practice: methodology, recommendations and future developments Eur. Respir. J., December 1, 2003; 22(6): 1026 - 1041. [Abstract] [Full Text] [PDF] |
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