Department of Respiratory Medicine, Children's Health Ireland, Tallaght, Dublin 24, D24 NR0A, Ireland.
Division of Pulmonology, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue, Suite 9130, Rangos Building, Pittsburgh, PA 15224, USA.
Clin Chest Med. 2024 Sep;45(3):543-553. doi: 10.1016/j.ccm.2024.03.003.
For decades spirometry has been the benchmark test for capturing lung function in children but its recognized limitations required the development of other techniques. This article introduces novel techniques in lung function assessment for pediatric patients, including multiple breath washout, impulse oscillometry, structured light plethysmography, and electrical impedance tomography, and common themes in interpreting the results. Challenges include standardization, reference data, and clinical integration of these innovative tools. Further research is ongoing to optimize these tests for clinical use, especially in diverse populations and pediatric settings.
几十年来,肺功能测定一直是评估儿童肺功能的基准测试方法,但它的局限性也促使了其他技术的发展。本文介绍了儿科患者肺功能评估的新技术,包括多次呼吸冲洗法、脉冲震荡法、结构光体积描记法和电阻抗断层成像法,以及解释结果的常见主题。挑战包括这些创新工具的标准化、参考数据和临床整合。正在进行进一步的研究,以优化这些测试在临床中的应用,特别是在不同人群和儿科环境中。