A European task force has reached a consensus on the naming of lung sounds – in 29 languages.
“Auscultation of the lung remains an essential part of physical examination even though its limitations, particularly with regard to communicating subjective findings, are well recognised,” the task force wrote in the European Respiratory Journal.
René Laënnec invented the stethoscope exactly two centuries ago, in 1816.
“While an array of more elaborate and expensive technologies for the diagnosis of chest diseases has emerged over time, auscultation of the lung still provides valuable, immediate and low-cost information to the experienced clinician,” the task force said.
The international team attacked the problem of naming lung sounds by analysing 20 high-quality audiovisual recordings of children and adults with diseases ranging from asthma to pulmonary fibrosis, pleural effusion and radiation pneumonitis.
They confirmed that ‘crackles’ should be used to describe brief, ‘non-musical’ and discontinuous sounds, which can be subdivided as fine or coarse.
‘Wheezes’ are longer, musical and continuous sounds, especially high-pitched whistling or hissing.