Disclosed is a method and device for performing forced expiratory maneuver
in an infant to assess the infant's pulmonary function. Under this
method, the infant's lungs are synchronously inflated to
super-atmospheric levels synchronous with the infant's natural tidal
inspiration for a plurality of consecutive respiratory cycles. The
end-expiratory CO.sub.2 levels in the infant's respiration are measured
during the test. When the end-expiratory CO.sub.2 concentration decreases
from the baseline by a pre-defined amount, the infant lungs are rapidly
inflated to substantially total lung volume and rapidly deflated to
produce a maximum forced expiration. The pre-defined amount of change in
CO.sub.2 concentration is usually determined by the testing clinician.
Typical concentration drop in CO.sub.2 levels, for example, ranges
between 4 and 8 mmHg. But the decrease may also be as little as 2 mmHg or
as much as 15 mmHg, depending on the testing clinician. The decrease in
the end-expiratory CO.sub.2 level of the infant indicates that the
infant's respiratory center is sufficiently modified to allow for the
measurement.