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Interrupter resistance and oxygen saturation for methacholine challenge in young children

Nicole Beydon, Iulia Marian
ERJ Open Research 2015 1: 00025-2015; DOI: 10.1183/23120541.00025-2015
Nicole Beydon
1APHP, Unité Fonctionnelle de Physiologie-Explorations Fonctionnelles Respiratoires (EFR), Hôpital d'Enfants Armand-Trousseau, Paris, France
2INSERM U938, Centre de Recherche Saint Antoine, Paris, France
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  • For correspondence: nicole.beydon@trs.aphp.fr
Iulia Marian
1APHP, Unité Fonctionnelle de Physiologie-Explorations Fonctionnelles Respiratoires (EFR), Hôpital d'Enfants Armand-Trousseau, Paris, France
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Tables

  • TABLE 1

    Changes and discordances during methacholine challenge between interrupter resistance (Rint) and transcutaneous partial pressure of oxygen (PtcO2)

    Responsive childrenNonresponsive children
    Subjects n207
    Changes in PtcO2 %−25.4±4.8−13.4±8.4
    Changes Rintinsp %+49.1±29.6+13.2±11.4
    Change Rintexp %+34.3±27.9+8.8±17.4
    Discordance between Rintinsp and PtcO2 n (%, 95% CI)11 (55, 34–74)0 (0, 0–35)
     Rint increase <35% at PD20PtcO2 n6
     Rint increase ≥35% before PD20PtcO2 n5
    Discordance between PD35Rintinsp+SpO2,3%
    and PtcO2 n
    60
    Discordance between Rintexp and PtcO2 n (%, 95% CI)16 (80, 58–92)3 (42, 16–75)
     Rint increase <35% at PD20PtcO2 n100
     Rint increase ≥35% before PD20PtcO2 n63
    Discordance between PD35Rintexp+ SpO2,3%
    and PtcO2 n
    93
    • Data are presented as mean±sd percentage of post-diluent values unless otherwise stated. Changes are at the provocative dose of methacholine causing a 20% decrease in PtcO2 (PD20PtcO2) in responsive children and at the last dose of methacholine in nonresponsive children. Discordances between Rint and PtcO2 changes were assessed at every steps of the test. Rint changes are more or less than 35% increase from the post-diluent value (PD35Rint). Rintinsp: inspiratory interrupter resistance; Rintexp: expiratory interrupter resistance; PD35Rintinsp: provocative dose of methacholine causing a 35% decrease in Rintinsp; SpO2,3%: at least 3% decrease in transcutaneous saturation of oxygen from the post-diluent value; PD35Rintexp: provocative dose of methacholine causing a 35% decrease in Rintexp.

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Interrupter resistance and oxygen saturation for methacholine challenge in young children
Nicole Beydon, Iulia Marian
ERJ Open Research Oct 2015, 1 (2) 00025-2015; DOI: 10.1183/23120541.00025-2015

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Interrupter resistance and oxygen saturation for methacholine challenge in young children
Nicole Beydon, Iulia Marian
ERJ Open Research Oct 2015, 1 (2) 00025-2015; DOI: 10.1183/23120541.00025-2015
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