Effect of long-acting β-agonist on bronchodilator response in children with asthma - Sorbonne Université
Article Dans Une Revue European Respiratory Journal Année : 2020

Effect of long-acting β-agonist on bronchodilator response in children with asthma

Résumé

Spirometry is the most common pulmonary function test (PFT) used to follow asthma patients. It is recommended to withhold short-acting β2-agonists (SABA) a few hours before pulmonary function testing and to withhold long-acting β2-agonists (LABA) for diagnosis purpose but not for the assessment of response to a current treatment [1]. In children with asthma, the addition of LABA to inhaled corticosteroids (ICS) has no clear clinical benefit, but it has proved to improve baseline forced expiratory volume in 1 s (FEV1) [2]. The maximal increase in FEV1 after a single dose of formoterol was measured 3 h after administration, but the remaining effect after 12 h would depend on the inhaled dose [3]. Finally, 25 or 50 µg of salmeterol inhaled at 22:00 h resulted in higher baseline pulmonary function and decrease in exercise-induced bronchoconstriction 10 and 12 h later [4]. In routine practice, children are tested with various delays since the last LABA inhalation, but LABA is usually inhaled on the morning of the test (<12 h before), in the evening the previous day (12–24 h) or on the morning the previous day or before (>24 h). It is thought that children with the most recent inhalation should have the best pulmonary function and the lowest reversibility, but the latter has not been studied.
Fichier principal
Vignette du fichier
Taytard et al. - 2020 - Effect of long-acting β-agonist on bronchodilator .pdf (612.78 Ko) Télécharger le fichier
Origine Fichiers produits par l'(les) auteur(s)

Dates et versions

hal-03269484 , version 1 (24-06-2021)

Identifiants

Citer

Jessica Taytard, Camille Aupiais, Sophie Jovien, Jessica Assouline Kabla, Noémie Haziot, et al.. Effect of long-acting β-agonist on bronchodilator response in children with asthma. European Respiratory Journal, 2020, 56 (3), pp.1902010. ⟨10.1183/13993003.02010-2019⟩. ⟨hal-03269484⟩
37 Consultations
85 Téléchargements

Altmetric

Partager

More