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메타콜린 기관지유발검사 시행방법: 대한천식알레르기학회 의견서

Other Titles
 Report on the methacholine bronchial provocation test protocol: An updated statement of Korean Academy of Asthma, Allergy and Clinical Immunology 
Authors
 손경희  ;  김환수  ;  김병근  ;  김주희  ;  이상민  ;  이재현  ;  우성일  ;  김철홍  ;  정재원  ;  김세훈 
Citation
 ALLERGY ASTHMA & RESPIRATORY DISEASE, Vol.11(2) : 56-62, 2023-04 
Journal Title
ALLERGY ASTHMA & RESPIRATORY DISEASE
ISSN
 2288-0402 
Issue Date
2023-04
Keywords
Bronchial provocation tests ; Methacholine
Abstract
The Korean Academy of Asthma, Allergy, and Clinical Immunology task force report aims to provide new protocols for methacholine challenge test (MCT). Although new devices have different delivery system compared to old ones, previous protocols are still used, which cannot guarantee adequate diagnoses of asthma. Another important issue is the recent recommendation in European Respiratory Society (ERS) technical standard guideline to use a delivered methacholine dose that causes a 20% decrease in forced expiratory volume in 1 second (FEV1) (PD20). Although the previous protocol based on the methacholine concentration causing a 20% decrease in FEV1 (PC20) has been used globally, several studies have reported that PD20 is more reliable and applicable for new protocols of MCT. Indeed, a tidal breathing inhalation protocol using a breath-actuated or continuous nebulizer is recommended. Herein, we recommend 3 protocols for the MCT using new devices and provide a brief summary of the change in strategy based on the updated ERS guideline.
Files in This Item:
T202305705.pdf Download
DOI
10.4168/aard.2023.11.2.56
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jae Hyun(이재현) ORCID logo https://orcid.org/0000-0002-0760-0071
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/196531
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