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Performing a Test
60 EasyOne Pro™ / EasyOne Pro™ LAB
3.6 Bronchial Provocation
Introduction and Safety Information
Bronchial provocation tests are performed by administering increasing
doses of an airway irritant. The reaction of the respiratory system to these
substances is measured. A number of standardized substances are avail-
able as provocative agents.
Danger
Patient Hazard —

Bronchial provocation tests can be dangerous for
patients! A primary condition for safe provocation test
procedures is a trained and experienced physician.

Physicians must be familiar with appropriate precautions
and guidelines, warnings, procedures, contraindications,
when to stop further testing, etc. as defined in the
medication documentation and in the standards.

Observe the contraindications for the medication used,
such as
- general clinical instability of the patient
- severely reduced lung function
- treatment with beta blockers
- hyperresponsiveness
- pregnancy.

A physician or specially trained staff must be present
while bronchial provocation tests are being performed.
The patient should never be left unattended during the
tests.

The following should be available throughout provocation
tests:
- a medical specialist capable of treating acute
bronchospams
- appropriate medication as well as resuscitation
equipment (defibrillator, cardiac pacemaker)

Refer to the relevant literature for creating safe protocols
for bronchial provocation tests. Examples are: Sterk PJ,
Fabbri LM, Quanjer PhH, et al. Airway responsiveness.
Standardized challenge testing with pharmacological,
physical and sensitizing stimuli in adults. Report Working
Party Standardization of Lung Function Tests. European
Community for Steel and Coal. Official position of the