Abstract
The auscultation of breathing sounds dates back to the years of Hippocrates and was revolutionized after the invention of the stethoscope by Läennec in 1816. Wheezing was amongst the five different types of respiratory sounds described by Läennec. His original description was “the whistling of little birds”. Interestingly, whereas the roentgenogram when discovered verified the accuracy of the stethoscopic findings in many cases, this was not the case for wheeze. Subsequently the value of wheezing as a clinical finding was confirmed by lung function studies, in particular spirometry. It was more a physics-based approach that allowed the understanding of how wheeze is produced and clinical meaning of the noise.
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References
Mellis C (2009) Respiratory noises: how useful are they clinically? Pediatr Clin N Am 56:1–17
Grigg J, Silverman M (2006) Wheezing disorders in young children: one disease or several phenotypes? In: Frey U, Gerritsen J (eds) Respiratory diseases in infants and children, vol 37. The European Respiratory Soceity, Sheffield, UK, pp 153–169
Brand PL, Baraldi E, Bisgaard H, Boner AL, Castro-Rodriguez JA, Custovic A et al (2008) Definition, assessment and treatment of wheezing disorders in preschool children: an evidence-based approach. Eur Respir J 32:1096–1110
Meslier N, Charbonneau G, Racineux J (1995) Wheezes. Eur Respir J 8:1942–1948
Hull J, Forton J, Thomson AH (2015) Pediatric respiratory medi cine, 2nd edn. Oxford University Press, New York
American Thoracic Society Ad Hoc Committee on Pulmonary Nomenclature (1977) Updated nomenclature for membership reaction. ATS News 3:5–6
Mikami R, Murao M, Cugell DW, Chretien J, Cole P, Meier-Sydow J et al (1987) International symposium on lung sounds. Synopsis of proceedings. Chest 92:342–345
Pasterkamp H, Brand PL, Everard M, Garcia-Marcos L, Melbye H, Priftis KN (2016) Towards the standardisation of lung sound nomenclature. Eur Respir J 47:724–732
Pasterkamp H, Montgomery M, Wiebicke W (1987) Nomenclature used by health-care professionals to describe breath sounds in asthma. Chest 92:346–352
Melbye H, Garcia-Marcos L, Brand P, Everard M, Priftis K, Pasterkamp H (2016) Wheezes, crackles and rhonchi: simplifying description of lung sounds increases the agreement on their classification: a study of 12 physicians’ classification of lung sounds from video recordings. BMJ Open Respir Res 3(1):e000136
Sarkar M, Madabhavi I, Niranjan N, Dogra M (2015) Auscultation of the respiratory system. Ann Thorac Med 10:158–168
Rott N (1990) Note on the history of the Reynolds number. Annu Rev Fluid Mech 22:1–11
Osborne S (2006) Airways resistance and airflow through the tracheobronchial tree. In: Schwartzstein R, Parker MJ (eds) Respiratory physiology, a clinical approach. Lippincott Williams & Wilkins, Philadelphia, p 17–23, 8–168
Pfitzner J (1976) Poiseuille and his law. Anaesthesia 31:273–275
Forgacs P (1969) Lung sounds. Br J Dis Chest 63:1–12
Gavriely N, Palti Y, Alroy G, Grotberg JB (1984a) Measurement and theory of wheezing breath sounds. J Appl Physiol Respir Environ Exerc Physiol 57:481–492
Gavriely N, Palti Y, Alroy G, Grotberg JB (1984b) Measurement and theory of wheezing breath sound. J Appl Physiol 57:481–492
Forgacs P (1978a) The functional basis of pulmonary sounds. Chest 73:399–405
Forgacs P (1978b) Lung sounds. Bailliere Tindall, London
Forgacs P (1967) Crackles and wheezes. Lancet 2(7508):203–205
Grotberg JB, Davis SH (1980) Fluid-dynamic flap** of a collapsible channel: sound generation and flow limitation. J Biomech 13:219–230
Charbonneau G, Sudraud M, Racineux JL, Meslier N, Tuchais E (1987) Forced expirations in normal subjects. Is the shape of the flow rate curve related to existence of a wheeze? Chest 92:825–831
Gavriely N, Kelly KB, Grotberg JB, Loring SH (1987) Forced expiratory wheezes are a manifestation of airway flow limitation. J Appl Physiol 62:2398–2403
Gavrieli N (1987) Inspiratory wheezes and intrathoracic inspiratory flow limitation. J Appl Physiol 52:1988–1992
Boron WF, Boulpaep EL (2012) Mechanics of ventilation. In: Boron WF (ed) Medical physiology. Elsevier Saunders, Philadelphia, PA, pp 637–641
Jordanoglou J, Pride NB (1968) Factors determining maximum inspiratory flow and maximum expiratory flow of the lung. Thorax 23:33–37
Mead J, Turner JM, Macklem PT, Little JB (1967) Significance of the relationship between lung recoil and maximum expiratory flow. J Appl Physiol 22:95–108
Frew AJ, Holgate ST (2009) Respiratory diseases. In: Kumar P, Clark M (eds) Kumar & Clark clinical medicine. Elsevier Saunders, Edinburgh, pp 815–817
Anderson K, Aitken S, Carter R, Macleod JES, Moran F (1990) Variation of breath sound and airway caliber induced by histamine challenge. Am Rev Respir Dis 141:1147–1150
Beck R, Dickson U, Montgomery MD, Mitchell I (1992) Histamine challenge in young children using computerized lung sound analysis. Chest 102:759–763
Spence DPS, Bentley S, Evans DH, Morgan MDL (1992) Effect of methcholine induced bronchosconstriction on the spectral characteristics of breath sounds in asthma. Thorax 47:680–683
Malmberg LP, Sovijarvi ARA, Paajanen E, Piirila P, Haahtela T, Katila T (1994) Changes in frequency spectra of breath sounds during histamine challenge test in adult asthmatics and healthy control subjects. Chest 105:122–132
Shreur HJW, Vanderschoot J, Zwinderman AH, Dijkman JH, Sterk PJ (1995) The effect of methacholine induced acute airway narrowing on lung sounds in normal and asthmatic subjects. Eur Respir J 8:257–265
Spence DP, Graham DR, Jamieson G, Cheetham BM, Calverley PM, Earis JE (1996) The relationship between wheezing and lung mechanics during methacholine-induced bronchoconstriction in asthmatic subjects. Am J Respir Crit Care Med 154:290–294
Shreur HJW, Vanderschoot J, Zwinderman AH, Dijkman JH, Sterk PJ (1994) Abnormal lung sounds in patients with asthma during episodes with normal lung function. Chest 106:91–99
Fiz JA, Jane R, Salvatella D, Izquierdo J, Lores L, Caminal P et al (1999) Analysis of tracheal sounds during forced exhalation in asthma patients and normal subjects. Chest 116:633–638
Pochektova IA, Korenbaum VI (2009). Forced expiratory tracheal noise duration in bronchial obstruction among young men. Numerical description of vesicular and bronchial breath sounds [abstract]. The 34th annual conference of international lung sounds association, Haifa, Israel
Korenbaum VI (2009) Statistical simulation of vortex shedding on bronchial tree bifurcations as mechanism of tracheal forced expiratory wheezes origin healthy subjects [abstract]. The 34th annual conference of international lung sounds association, Haifa, Israel
Dyachenko A, Korenbaum VI, Tagiltsev A (2011) Measurements of forced expiratory noise over trachea and infrascapular region [abstract]. The 36th annual conference of international lung sounds association, Manchester, UK
Gavriely N, Kelly KB, Grotberg JB, Loring SH (1989a) Critical pressure required for generation of forced expiratory wheezes. J Appl Physiol 66:1136–1142
Beck R, Gavriely N (1990) The reproducibility of forced expiratory wheezes. Am Rev Respir Dis 141:1418–1422
Gavriely N, Shee TR, Cugell DW, Grotberg JB (1989b) Flutter in flow-limited collapsible tubes: a mechanism for generation of wheezes. J Appl Physiol 66:2251–2261
Murphy RLH, Holford SK, Knowler WC (1977) Visual lung sound characterization by time-expanded waveform analysis. N Engl J Med 296:968–971
Pasterkamp H, Tal A, Leahy F, Fenton R, Chernik V (1985) The effect of anticholinergic treatment on postexertional wheezing in asthma studied by phonopneumography and spirometry. Am Rev Respir Dis 132:16–21
Sovijara ARA, Dalmasso F, Vanderschoot J, Malmberg LP, Righini G, Stoneman SAT (2000) Definition of terms for application of respiratory sounds. Eur Respir Rev 10(77):597–610
Li S-H, Lin B-S, Tsai C-H, Yang C-T, Lin B-S (2017) Design of wearable breathing sound monitoring system for real-time wheeze detaction. Sensors 17(1):171
Riella RJ, Nohama P, Maia JM (2009) Method for automatic detection of wheezing inlung sounds. Braz J Med Biol Res 42:674–684
Fakhoury K, Seilheimer D, Hoppin A. Approach to wheezing in children. 2008. http://www.uptodate.com
Cane R, Ranganathan S, McKenzie S (2000) What do parents of wheezy children understand by “wheeze”? Arch Dis Child 82:327–332
Cane RS, SA MK (2001) Parents’ interpretations of children’s respiratory symptoms on video. Arch Dis Child 84:31–34
Lowe L, Murray C, Martin L et al (2004) Reported versus confirmed wheeze and lungfunction in early life. Arch Dis Child 89:540–543
Saglani S, McKenzie SA, Bush A, Payne DN (2005) A video questionnaire identifies upper airway abnormalities in preschool children with reported wheeze. Arch Dis Child 90:961–964
Kiyokawa H, Greenberg M, Shirota K, Pasterkamp H (2006) Auditory detection of simulated crackles in breath sounds. Chest 119:1886–1892
Bahoura M (1999) Analyse des signaux acoustiques respiratoires: contribution a‘ladetection automatique des sibilants par paquets d’ondelettes. PhD thesis Univ, Univ. Rouen, France
Chuah JS, Moussavi ZK (2004) Automated respiratory phase detection by acoustic means. University of Manitoba Dept of Electrical and Computer Engineering
Earis JE, Cheetham BM (2000) Future perspectives for respiratory sound research. Techniques for respiratory sound analysis. Eur Respir Rev 10:636–640
Sestini P, Renzoni E, Rossi M, Beltrami V, Vagliasindi M (1995) Multimedia presentation of lung sounds as a learning aid for medical students. Eur Respir J 8:783–788
Pasterkamp H, Kraman SS, Wodicka GR (1997) Respiratory sounds, advances beyond the stethoscope. Am J Respir Crit Care Med 156(3 Pt 1):974–987
Elphick HE, Sherlock P, Foxall G, Simpson EJ, Shiell NA, Primhak RA et al (2001) Survey of respiratory sounds in infants. Arch Dis Child 84:35–39
Rossi M, Sovijarvi AR, Piirila P, Vannuccini L, Dalmasso F, Vanderschoot J (2000) Environmental and subject conditions and breathing manœuvres for respiratory sound recordings. Eur Respir Rev 10:611–615
Vanuccini L, Earis JE, Helisto P, Cheetham BM, Rossi M, Sovijarvi AR et al (2000) Capturing and preprocessing of respiratory sounds. Eur Respir Rev 10:616–620
Bentur L, Beck R, Shinawi M, Naveh T, Gavriely N (2003) Wheeze monitoring in children for assessment of nocturnal asthma and response to therapy. Eur Respir J 21:621–626
Welsby PD, Parry G, Smith D (2003) The stethoscope: some preliminary investigations. Postgrad Med J 79(938):695–698
Fischer HS, Puder LC, Wilitzki S, Usemann J, Bührer C, Godfrey S et al (2016) Relationship between computerized wheeze detection and lung function parameters in young infants. Pediatr Pulmonol 51:402–410
Kompis M, Pasterkamp H, Wodicka GR (2001) Acoustic imaging of the human chest. Chest 120:1309–1321
Mazic J, Sovilj S, Magjarevic R (2003) Analysis of respiratory sounds in asthmatic infants. Meas Sci Rev 3:11–21
Benedetto G, Dalmasso F, Spagnolo R (1988) Surface distribution of crackles sounds. IEEE Trans Biomed Eng 35:406–412
Elphick HE, Ritson S, Rodgers H, Everard ML (2000) When a “wheeze” is not a wheeze: acoustic analysis of breath sounds in infants. Eur Respir J 16:593–597
Beck R, Elias N, Shoval S, Tov N, Talmon G, Godfrey S, Bentur L (2007) Computerized acoustic assessment of treatment efficacy of nebulized epinephrine and albuterol in RSV bronchiolitis. BMC Pediatr 7:22
Jácome C, Oliveira A, Marques A (2017) Computerized respiratory sounds: a comparison between patients with stable and exacerbated COPD. Clin Respir J 11(5):612–620
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Chatziparasidis, G., Priftis, K.N., Bush, A. (2018). Wheezing as a Respiratory Sound. In: Priftis, K., Hadjileontiadis, L., Everard, M. (eds) Breath Sounds. Springer, Cham. https://doi.org/10.1007/978-3-319-71824-8_11
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