Fixed ventilation during tidal volume breathing bronchial challenge may improve repeatability

Allergy. 1987 Oct;42(7):535-40. doi: 10.1111/j.1398-9995.1987.tb00378.x.

Abstract

Tidal breathing during bronchial challenge shows both between- and within-subject variation. A challenge protocol permitting controlled ventilation was designed in order to improve repeatability of the method. Twenty-five patients were challenged twice with an interval of 2 h. The 2 min ventilation was kept constant at each concentration administered. During the 2 min inhalation of aerosol all expired air (VE) was led through a dry gas meter and respiratory frequency was counted concomitantly. The patients were instructed to achieve the same 2 min ventilation at each dosage. All patients accomplished the two challenges without problems. A PC20 was determined by interpolation on the log dose-response curve. Repeatability was improved compared to what has been found in previous studies on adults, although statistically non-significant when compared to one study. The 95% confidence interval for PC20 based on a single determination was rather narrow, being the observed value +/- 0.58 two-fold concentration differences.

MeSH terms

  • Adult
  • Aerosols
  • Bronchial Provocation Tests* / standards
  • Female
  • Forced Expiratory Volume
  • Histamine / administration & dosage
  • Histamine / analogs & derivatives
  • Humans
  • Male
  • Respiration*
  • Tidal Volume

Substances

  • Aerosols
  • Histamine