Clinical significance and applications of oscillometry

David A. Kaminsky*, Shannon J. Simpson, Kenneth Berger, Peter Calverley, Pedro L. de Melo, Ronald Dandurand, Raffaele L. Dellaca, Claude S. Farah, Ramon Farre, Graham L. Hall, Iulia Ioan, Charles G. Irvin, David W. Kaczka, Gregory G. King, Hajime Kurosawa, Enrico Lombardi, Geoffrey N. Maksym, Francois Marchal, Ellie Oostveen, Beno W. OppenheimerPaul D. Robinson, Maarten van den Berge, Cindy Thamrin

*Corresponding author for this work

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Abstract

Recently, "Technical standards for respiratory oscillometry" was published, which reviewed the physiological basis of oscillometric measures and detailed the technical factors related to equipment and test performance, quality assurance and reporting of results. Here we present a review of the clinical significance and applications of oscillometry. We briefly review the physiological principles of oscillometry and the basics of oscillometry interpretation, and then describe what is currently known about oscillometry in its role as a sensitive measure of airway resistance, bronchodilator responsiveness and bronchial challenge testing, and response to medical therapy, particularly in asthma and COPD. The technique may have unique advantages in situations where spirometry and other lung function tests are not suitable, such as in infants, neuromuscular disease, sleep apnoea and critical care. Other potential applications include detection of bronchiolitis obliterans, vocal cord dysfunction and the effects of environmental exposures. However, despite great promise as a useful clinical tool, we identify a number of areas in which more evidence of clinical utility is needed before oscillometry becomes routinely used for diagnosing or monitoring respiratory disease.

Original languageEnglish
Article number210208
Number of pages19
JournalEuropean Respiratory Review
Volume31
Issue number163
DOIs
Publication statusPublished - 31-Mar-2022

Keywords

  • FORCED OSCILLATION TECHNIQUE
  • EXPIRATORY FLOW LIMITATION
  • TOTAL RESPIRATORY RESISTANCE
  • DISTINGUISHES PRESCHOOL-CHILDREN
  • SMALL AIRWAYS DYSFUNCTION
  • APNEA-HYPOPNEA SYNDROME
  • VOCAL CORD DYSFUNCTION
  • LUNG-FUNCTION
  • IMPULSE OSCILLOMETRY
  • BRONCHODILATOR RESPONSE

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