A new double-tracer gas single-breath washout to assess early cystic fibrosis lung disease

Singer, Florian; Stern, Georgette; Thamrin, Cindy; Abbas, Chiara; Casaulta, Carmen; Frey, Urs; Latzin, Philipp (2013). A new double-tracer gas single-breath washout to assess early cystic fibrosis lung disease. European respiratory journal, 41(2), pp. 339-45. Sheffield, UK: European Respiratory Society 10.1183/09031936.00044312

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In cystic fibrosis (CF), tests for ventilation inhomogeneity are sensitive but not established for clinical routine. We assessed feasibility of a new double-tracer gas single-breath washout (SBW) in school-aged children with CF and control subjects, and compared SBW between groups and with multiple-breath nitrogen washout (MBNW). Three SBW and MBNW were performed in 118 children (66 with CF) using a side-stream ultrasonic flowmeter setup. The double-tracer gas containing 5% sulfur hexafluoride and 26.3% helium was applied during one tidal breath. Outcomes were SBW phase III slope (SIII(DTG)), MBNW-derived lung clearance index (LCI), and indices of acinar (S(acin)) and conductive (S(cond)) ventilation inhomogeneity. SBW took significantly less time to perform than MBNW. SBW and MBNW were feasible in 109 (92.4%) and 98 (83.0%) children, respectively. SIII(DTG) differed between children with CF and controls, mean±sd was -456.7±492.8 and -88.4±129.1 mg·mol·L(-1), respectively. Abnormal SIII(DTG) was present in 36 (59%) children with CF. SIII(DTG) was associated with LCI (r= -0.58) and S(acin) (r= -0.58), but not with S(cond). In CF, steeply sloping SIII(DTG) potentially reflects ventilation inhomogeneity near the acinus entrance. This tidal SBW is a promising test to assess ventilation inhomogeneity in an easy and fast way.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
UniBE Contributor:	Casaulta, Carmen, Stern Meggers, Georgette, Thamrin, Cindy, Abbas, Chiara Carolina, Latzin, Philipp
ISSN:	0903-1936
Publisher:	European Respiratory Society
Language:	English
Submitter:	Anette van Dorland
Date Deposited:	04 Oct 2013 14:40
Last Modified:	02 Mar 2023 23:21
Publisher DOI:	10.1183/09031936.00044312
PubMed ID:	22599360
Web of Science ID:	000314624200015
URI:	https://boris.unibe.ch/id/eprint/16097 (FactScience: 223672)