References

pulmo

Пульмонология

PULMONOLOGIYA

0869-01892541-9617

Scientific and Practical Journal “PULMONOLOGIYA” LLC

10.18093/0869-0189-2019-29-3-269-291

pulmo-1170

Research Article

КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ

CLINICAL GUIDELINES

Измерение диффузионной способности легких по монооксиду углерода методом одиночного вдоха: стандарты Американского торакального и Европейского респираторного обществ (часть 2-я)

Measurement of Single-Breath Diffusing Capacity of the Lungs for Carbon Monoxide: new standards of European Respiratory Society and American Thoracic Society (рart 2)

Редакционная

статья

Editorial

Article

2019

17082019

293269291

2019

Редакционная с.

Editorial a.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://journal.pulmonology.ru/pulm/article/view/1170

В данном документе приведены обновленные технические стандарты Европейского респираторного (European Respiratory Society – ERS) и Американского торакального (American Thoracic Society – ATS) обществ по измерению поглощения монооксида углерода в легких методом одиночного вдоха. Последние рекомендации были опубликованы в 2005 г. Несмотря на то, что оба термина – диффузионная способность легких (DLCO) и трансфер-фактор СО (TLCO) – одинаково характеризуют поглощение монооксида углерода в легких, в данном документе используется термин DLCO. Специалистами совместной рабочей группы ERS и ATS проведен обзор недавно опубликованной литературы по этому вопросу, а также существующих технических возможностей и аппаратуры, производимой в мире. Представленные в данном документе рекомендации являются результатом консенсуса членов рабочей группы в соответствии с доказательствами, существующими сегодня по разным аспектам измерения DLCO. Более того, в документе отражено мнение экспертов, вошедших в рабочую группу, по тем вопросам, для которых высококачественные доказательства либо отсутствуют, либо являются недостаточно полными. Основные изменения в данных технических стандартах связаны с измерением DLCO с помощью систем, использующих газоанализаторы быстрого реагирования (RGA-газоанализаторы) для монооксида углерода и индикаторного газа, которые сегодня являются наиболее распространенными из выпускаемых аппаратов для измерения DLCO. Технические усовершенствования этих новых систем позволяют улучшить измерение DLCO и определить новые стандарты измерения легочного газообмена. Дополнительные материалы к данной статье доступны на сайте https://erj.ersjournals.com.

По материалам: Graham B.L., Brusasco V., Burgos F., Cooper B.G., Jensen R., Kendrick A., MacIntyre N.R., Thompson B.R., Wanger J. 2017 ERS/ATS standards for single-breath carbon monoxide uptake in the lung. Eur. Respir. J. 2017; 49 (1): pii: 1600016. DOI: 10.1183/13993003.00016-2016.

This document is updated technical standards of European Respiratory Society (ERS) and American Thoracic Society (ATS) for single-breath carbon monoxide diffusing capacity measurement. The previous version of this document was published in 2005. Both terms used to describe the uptake of carbon monoxide in the lungs, DLCO (diffusing capacity) and TLCO (transfer factor), are equally valid, but the term DLCO is used in this document. The document was developed by joint ATS/ERS taskforce and was based on a survey of published evidence. Expert opinion was used for issues for which evidence was not available or was insufficient. Principal changes in the technical standards are related to new systems with rapidly responding gas analyzers for carbon monoxide. Additional materials are available at erj.ersjournals.com.

Adopted from: Graham B.L., Brusasco V., Burgos F., Cooper B.G., Jensen R., Kendrick A., MacIntyre N.R., Thompson B.R., Wanger J. 2017 ERS/ATS standards for single-breath carbon monoxide uptake in the lung. Eur. Respir. J. 2017; 49 (1): pii: 1600016. DOI: 10.1183/13993003.00016-2016.

диффузионная способность легких по монооксиду углеродатрансфер-факторметод одиночного вдохаRGA-газоанализаторы

carbon monoxidediffusing capacity of the lungstransfer factorsingle-breath methodrapidly responding gas analyzers

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The authors declare that there are no conflicts of interest present.