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- Title
Novas perspectivas na avaliação da função pulmonar de lactentes.
- Authors
Lanza, Fernanda de Cordoba; Wandalsen, Gustavo Falbo; Cruz, Carolina Lopes da; Solé, Dirceu
- Abstract
Objective: To review literature regarding lung function tests (LFT) in infants, their application and perspectives. Methods: English, Spanish and Portuguese articles were included, from PubMed, Embase, Scielo and Lilacs bases, dating from 1940 to 2008. Books, review articles, clinical trials and consensus were selected employing the following key-words: infant, lung function, tidal volume, forced expiratory flows, plethismography and respiratory mechanics. Results: Over the last years there has been a marked improvement in the development and standardization of LFT in infants. The most employed techniques are: tidal breathing parameters analysis, passive respiratory mechanics, lung volumes (plethismography or diffusion methods), forced expiratory flows (thoracoabdominal compression) either from tidal volume or from raised volume. Sedation is necessary in the majority of tests and Choral derivatives are most commonly used. Main contraindications of LFT in infants are upper airway obstruction, and heart and neurological diseases. Complications of the tests are extremely rare but trained personnel and available resuscitation equipment is recommended. Although mainly employed for research, LFT in infants already have defined clinical indications. Conclusion: LFT in infants can actually be considered a useful and feasible tool in the management and research of infants with lung diseases. The knowledge of LFT's can be helpful for health professionals involved in infant care and for new perspectives in the evolution of respiratory therapy.
- Subjects
PULMONARY function tests; MEDICAL function tests; INFANT health; AIRWAY (Anatomy); LUNG diseases
- Publication
Fisioterapia Brasil, 2010, Vol 11, Issue 2, p1
- ISSN
1518-9740
- Publication type
Article