Bronchoprovocation test – Aridol ChallengeAdult
Useful Management Information
The Aridol Challenge assesses bronchial hyperresponsiveness (an abnormal increase in airflow limitation following exposure to a non-allergic stimulus) to Mannitol. Although bronchial hyperresponsiveness is not specific for asthma, nearly all patients with asthma exhibit increased bronchial hyperresponsiveness.
Indication:
- For identifying bronchial hyperresponsiveness to assist in the diagnosis of asthma.
- The following may pose a relative danger to the patient or affect the validity of the test:
- A resting FEV1 of <70% predicted or in adults an absolute value of <1.5L.
- Spirometry induced bronchoconstriction.
- Inability to perform spirometry of acceptable quality.
- Upper or lower respiratory tract infection in the previous 2 weeks.
- Aridol should not be given to pregnant women.
- Caution should be exercised when mannitol is administered to breastfeeding women
- The test should not be performed in patients below 6 years of age.
- Requires withholding of respiratory medications prior to the test.
- Acute myocardial infarction within 1 week.
- Systemic hypotension or severe hypertension.
- Significant atrial/ventricular arrhythmia.
- Non-compensated heart failure.
- Uncontrolled pulmonary hypertension.
- Acute cor pulmonale.
- Clinically unstable pulmonary embolism.
- History of syncope related to forced expiration/cough.
- Cerebral aneurysm.
- Brain surgery within 4 weeks.
- Recent concussion with continuing symptoms.
- Eye surgery within 1 week.
- Sinus surgery or middle ear surgery or infection within 1 week.
- Presence of pneumothorax.
- Thoracic surgery within 4 weeks.
- Abdominal surgery within 4 weeks.
- Active or suspected transmissible respiratory or systemic infection including tuberculosis.
- Physical conditions predisposing to transmission of infections.
Minimum Referral Criteria
Category Category 1 ((appointment within 30 calendar days)) |
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Category Category 2 ((appointment within 90 calendar days)) |
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Category Category 3 ((appointment within 365 calendar days)) |
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Essential Referral Information
This must be contained in the referral for it to be accepted.
- This test requires respiratory physician approval and a signed ‘Bronchoprovocation test’ consent form.
- Reason for referral - what is the clinical question to be answered by performing the test?
- Current respiratory medications
- Infectious status
If a specific test result is unable to be obtained due to access, financial, religious, cultural or consent reasons a Clinical Override may be requested. This reason must be clearly articulated in the body of the referral.
Additional Referral Information
- No additional referral information
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Internal Referrals
Lung Function Lab (E-Blueslips)
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Lung Function Lab
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215
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If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.