The use of oscillometry as a measure of airway responsiveness in asthmatic children after histamine and methacholine bronchoprovocation with dosimeter-MedicAid and DeVilbiss nebulizers

J Asthma. 2007 May;44(4):267-71. doi: 10.1080/02770900701246915.

Abstract

To explore the use of oscillometry as a measure of airway responsiveness, 69 asthmatic children underwent histamine and methacholine bronchoprovocation using dosimeter-MedicAid (Jaeger Co.; Germany) and DeVilbiss nebulizers (DeVilbiss, Bornemouth; England). The mean increase in R5 resistance in challenge testing measured after methacholine with the dosimeter-MedicAid nebulizer was 77.14% compared with 65.05% using histamine. Using the dosimeter-DeVilbiss nebulizer, the mean increases in R5 resistance following methacholine and histamine testing were 57.50% and 59.36%, respectively. The resistance R5 over R20 significantly correlated with forced expiratory volume in 1 second (FEV1). The MedicAid produced a more aggressive challenge than the DeVilbliss nebulizer. Oscillometry can be used to monitor the level of airway hyperresponsiveness following bronchoprovocation tests.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Asthma / diagnosis*
  • Asthma / physiopathology
  • Bronchial Hyperreactivity / diagnosis
  • Bronchial Hyperreactivity / physiopathology
  • Bronchial Provocation Tests / instrumentation
  • Child
  • Female
  • Histamine*
  • Humans
  • Male
  • Methacholine Chloride*
  • Nebulizers and Vaporizers
  • Oscillometry
  • Spirometry

Substances

  • Methacholine Chloride
  • Histamine