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Figure g.3b: Mean peak exhaled No levels in control and asthmatic children measured via the t-piece<br />

sampling system<br />

lt 150<br />

g o.<br />

.g<br />

:/ 100<br />

a-<br />

a<br />

':r<br />

-i i !<br />

!!!<br />

normals<br />

asthmatics<br />

bronchodilhlor<br />

therapy only<br />

mean<br />

and SEM<br />

aslhmatics<br />

regular lnhaled<br />

cortioostsroids<br />

Mean peak exhaled NO levels in healthy children (n=39), asthmatics on bronchodilator therapy only<br />

(n=15) and asthmatic children on regular IHCS therapy (n=16) measured by the t'piece sampling<br />

system. Note the Y scale is discontinuous to accommodate the outliers'<br />

<strong>The</strong>re were no differences in the CO2 levels, mouth pressures, and durations <strong>of</strong> expiration<br />

between the different groups or between the two methods within each group as noted in Table<br />

8.2.<br />

Six asthmatic children on bronchodilator treatment only but deemed clinically to require the<br />

introduction <strong>of</strong> IHCS therapy to improve their asthma control were recruited for the<br />

longitudinal study. Prior to commencing steroids the median exhaled NO was 1245ppb<br />

(range 67.6-330.6ppb). Following treatment for two weeks on either budesonide diproprionate<br />

4001t"gtwice per day in five subjects or budesonide diproprionate 2}}ltgtwice per day in one<br />

subject all delivered via a Turbohaler@, NO fell to a median level <strong>of</strong> 48.6ppb (range 36'8-<br />

153.6ppb). This reflected a decrease in all the children with only one subject now having a<br />

different result from that observed in normal children (see Figures 8.4a and 8'4b)'<br />

195

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