The site of airway obstruction among patients of emphysema: Role of impulse oscillometry

<b>Objectives:</b> To detect the site of airway obstruction in patients of emphysema by impulse oscillometry (IOS) and to compare its observatios with flow volume loop (FV loop) studies. <b>Methods:</b> Twenty-five patients of emphysema were subjected to both impulse os-cil...

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Main Authors: Hira H, Munjal Jitendra, Zachariah Sanjay, Chauhan M, Singh Anshu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2008-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2008;volume=25;issue=1;spage=8;epage=13;aulast=Hira
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author Hira H
Munjal Jitendra
Zachariah Sanjay
Chauhan M
Singh Anshu
author_facet Hira H
Munjal Jitendra
Zachariah Sanjay
Chauhan M
Singh Anshu
author_sort Hira H
collection DOAJ
description <b>Objectives:</b> To detect the site of airway obstruction in patients of emphysema by impulse oscillometry (IOS) and to compare its observatios with flow volume loop (FV loop) studies. <b>Methods:</b> Twenty-five patients of emphysema were subjected to both impulse os-cillometry (IOS) and conventional spirometry. The resulting impedance spectra by IOS and FV loop were utilized to identify the site of airway obstruction in each of the patients. Both methods applied were also compared for sensitivity to identify airway and specify the site of obstruction. <b>Results:</b> Four patients were excluded from the final analysis as their impedance spectra showed significant upper airway influence, which would have made the localization of the site of airway obstruction by IOS invalid. Both IOS and FV loop could detect airway obstruction in all 21 patients. FV loop localized the site of obstruction as combined central and peripheral airways in 15 patients (71.4&#x0025;) and as peripheral in 6 (28.6&#x0025;).The IOS however, revealed the presence of the predomi-nant site of obstruction peripheral in all the 21 patients, and both central and pe-ripheral obstruction in 5 patients (23.8&#x0025;). <b>Conclusions:</b> IOS had proven to be advantageous over FV loop studies as it could identify central and peripheral airway obstruction separately and established the predominant site of obstruction.
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spelling doaj.art-f45c425d881546d78cb5b4d62fc2e0b42022-12-22T00:27:40ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2008-01-01251813The site of airway obstruction among patients of emphysema: Role of impulse oscillometryHira HMunjal JitendraZachariah SanjayChauhan MSingh Anshu<b>Objectives:</b> To detect the site of airway obstruction in patients of emphysema by impulse oscillometry (IOS) and to compare its observatios with flow volume loop (FV loop) studies. <b>Methods:</b> Twenty-five patients of emphysema were subjected to both impulse os-cillometry (IOS) and conventional spirometry. The resulting impedance spectra by IOS and FV loop were utilized to identify the site of airway obstruction in each of the patients. Both methods applied were also compared for sensitivity to identify airway and specify the site of obstruction. <b>Results:</b> Four patients were excluded from the final analysis as their impedance spectra showed significant upper airway influence, which would have made the localization of the site of airway obstruction by IOS invalid. Both IOS and FV loop could detect airway obstruction in all 21 patients. FV loop localized the site of obstruction as combined central and peripheral airways in 15 patients (71.4&#x0025;) and as peripheral in 6 (28.6&#x0025;).The IOS however, revealed the presence of the predomi-nant site of obstruction peripheral in all the 21 patients, and both central and pe-ripheral obstruction in 5 patients (23.8&#x0025;). <b>Conclusions:</b> IOS had proven to be advantageous over FV loop studies as it could identify central and peripheral airway obstruction separately and established the predominant site of obstruction.http://www.lungindia.com/article.asp?issn=0970-2113;year=2008;volume=25;issue=1;spage=8;epage=13;aulast=HiraPulmonary function testingFV LoopImpulse OscillometryFlow Oscillation techniqueEmphysema
spellingShingle Hira H
Munjal Jitendra
Zachariah Sanjay
Chauhan M
Singh Anshu
The site of airway obstruction among patients of emphysema: Role of impulse oscillometry
Lung India
Pulmonary function testing
FV Loop
Impulse Oscillometry
Flow Oscillation technique
Emphysema
title The site of airway obstruction among patients of emphysema: Role of impulse oscillometry
title_full The site of airway obstruction among patients of emphysema: Role of impulse oscillometry
title_fullStr The site of airway obstruction among patients of emphysema: Role of impulse oscillometry
title_full_unstemmed The site of airway obstruction among patients of emphysema: Role of impulse oscillometry
title_short The site of airway obstruction among patients of emphysema: Role of impulse oscillometry
title_sort site of airway obstruction among patients of emphysema role of impulse oscillometry
topic Pulmonary function testing
FV Loop
Impulse Oscillometry
Flow Oscillation technique
Emphysema
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2008;volume=25;issue=1;spage=8;epage=13;aulast=Hira
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