Technical standards for respiratory oscillometry

Gregory G King; Jason Bates; Kenneth I Berger; Peter Calverley; Pedro L de Melo; Raffaele L Dellacà; Ramon Farré; Graham L Hall; Iulia Ioan; Charles G Irvin; David W Kaczka; David A Kaminsky; Hajime Kurosawa; Enrico Lombardi; Geoffrey N Maksym; François Marchal; Beno W Oppenheimer; Shannon J Simpson; Cindy Thamrin; Maarten van den Berge; Ellie Oostveen

doi:10.1183/13993003.00753-2019

Technical standards for respiratory oscillometry

Eur Respir J. 2020 Feb 27;55(2):1900753. doi: 10.1183/13993003.00753-2019. Print 2020 Feb.

Authors

Gregory G King¹, Jason Bates², Kenneth I Berger³, Peter Calverley⁴, Pedro L de Melo⁵, Raffaele L Dellacà⁶, Ramon Farré^{7

8}, Graham L Hall⁹, Iulia Ioan^{10

11}, Charles G Irvin², David W Kaczka¹², David A Kaminsky², Hajime Kurosawa¹³, Enrico Lombardi¹⁴, Geoffrey N Maksym¹⁵, François Marchal^{10

11}, Beno W Oppenheimer³, Shannon J Simpson⁹, Cindy Thamrin¹⁶, Maarten van den Berge¹⁷, Ellie Oostveen¹⁸

Affiliations

¹ Dept of Respiratory Medicine and Airway Physiology and Imaging Group, Royal North Shore Hospital and The Woolcock Institute of Medical Research, The University of Sydney, Sydney, Australia ggk@woolcock.org.au.
² Dept of Medicine, Pulmonary/Critical Care Division, University of Vermont, Larner College of Medicine, Burlington, VT, USA.
³ Division of Pulmonary, Critical Care, and Sleep Medicine, NYU School of Medicine and André Cournand Pulmonary Physiology Laboratory, Belleuve Hospital, New York, NY, USA.
⁴ Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK.
⁵ Institute of Biology and Faculty of Engineering, Department of Physiology, Biomedical Instrumentation Laboratory, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
⁶ Dipartimento di Elettronica, Informazione e Bioingegneria - DEIB, Politecnico di Milano University, Milano, Italy.
⁷ Unitat de Biofísica i Bioenginyeria, Facultat de Medicina, Universitat de Barcelona-IDIBAPS, Barcelona, Spain.
⁸ CIBER de Enfermedades Respiratorias, Madrid, Spain.
⁹ Children's Lung Health, Telethon Kids Institute, School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.
¹⁰ Dept of Pediatric Lung Function Testing, Children's Hospital, Vandoeuvre-lès-Nancy, France.
¹¹ EA 3450 DevAH - Laboratory of Physiology, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France.
¹² Depts of Anesthesia, Biomedical Engineering and Radiology, University of Iowa, Iowa City, IA, USA.
¹³ Dept of Occupational Health, Tohoku University School of Medicine, Sendai, Japan.
¹⁴ Pediatric Pulmonary Unit, Meyer Pediatric University Hospital, Florence, Italy.
¹⁵ School of Biomedical Engineering, Dalhousie University, Halifax, NS, Canada.
¹⁶ Dept of Respiratory Medicine and Airway Physiology and Imaging Group, Royal North Shore Hospital and The Woolcock Institute of Medical Research, The University of Sydney, Sydney, Australia.
¹⁷ University of Groningen, University Medical Center Groningen, Dept of Pulmonary Diseases, Groningen, The Netherlands.
¹⁸ Dept of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.

PMID: 31772002
DOI: 10.1183/13993003.00753-2019

Abstract

Oscillometry (also known as the forced oscillation technique) measures the mechanical properties of the respiratory system (upper and intrathoracic airways, lung tissue and chest wall) during quiet tidal breathing, by the application of an oscillating pressure signal (input or forcing signal), most commonly at the mouth. With increased clinical and research use, it is critical that all technical details of the hardware design, signal processing and analyses, and testing protocols are transparent and clearly reported to allow standardisation, comparison and replication of clinical and research studies. Because of this need, an update of the 2003 European Respiratory Society (ERS) technical standards document was produced by an ERS task force of experts who are active in clinical oscillometry research.The aim of the task force was to provide technical recommendations regarding oscillometry measurement including hardware, software, testing protocols and quality control.The main changes in this update, compared with the 2003 ERS task force document are 1) new quality control procedures which reflect use of "within-breath" analysis, and methods of handling artefacts; 2) recommendation to disclose signal processing, quality control, artefact handling and breathing protocols (e.g. number and duration of acquisitions) in reports and publications to allow comparability and replication between devices and laboratories; 3) a summary review of new data to support threshold values for bronchodilator and bronchial challenge tests; and 4) updated list of predicted impedance values in adults and children.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Bronchial Provocation Tests
Bronchodilator Agents
Child
Humans
Lung*
Oscillometry
Respiration*

Substances

Bronchodilator Agents