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At least 541 records · Page 30Linked to original sources
PubMed1981

Pitfalls of spirometry.

Many spirograms cannot be interpreted properly even when the technician is expert. The criteria of an interpretable spirogram are (1) full inspiration, (2) quick attainment of highest flow, (3) continuous decrease in flow with expiration, (4) smooth, gradual termination, and (5) expiration lasting three seconds or more. Violation of these criteria leads to "pseudo-obstruction" when expiration is not forceful, to "concealed obstruction" when the graphic record is started late and to two kinds of "pseudo-restriction," one due to inadequate inspiration and the other to premature termination of expiration. A "decision tree" for dealing with large volumes of spirometric data is presented.

Diagnostic Errors↗
PubMed2001

Facilitators and barriers to adherence with home monitoring using electronic spirometry.

Adherence with prescribed therapies is a key factor in maintaining health in persons with chronic illnesses. The purpose of this descriptive study (which is one segment of a larger study being conducted to develop decision rules for early detection of infection or rejection in posttransplant patients) is to explore facilitators and barriers to adherence with home monitoring. Use of latent analysis revealed that the facilitators to adherence were health promotion, commitment to research, and following advice. Barriers to adherence were poor health status, laziness, and time conflict. Health professionals can use this information to plan strategies to promote adherence to home monitoring.

Female↗
PubMed1993

Ventilatory effects of pneumoperitoneum monitored with continuous spirometry.

Inspiratory and expiratory tidal volume, peak and plateau airway pressure, compliance of the respiratory system, pressure-volume and flow-volume loops were monitored continuously and recorded in seven women undergoing laparoscopy with carbon dioxide insufflation to an intra-abdominal pressure of 1.6 kPa. All patients were anaesthetised using a total intravenous technique and a constant minute ventilation was maintained. Peak airway and plateau airway pressures increased by 50% and 81% respectively, whilst the compliance of the respiratory system decreased by 47% during the period of increased intra-abdominal pressure. Following release of the pneumoperitoneum, peak and plateau pressures remained elevated by 37% and 27% respectively, and the compliance was 86% of the pre-insufflation value. On-line monitoring of respiratory volumes, pressures and compliance may be helpful during general anaesthesia for laparoscopic procedures to avoid the potential harmful effects of increased airway pressures occurring with increased intra-abdominal pressure.

Adult↗
PubMed1993

The cost-efficiency of incentive spirometry after abdominal surgery.

This report gives the results of a cost-efficiency analysis of a prospective longitudinal study evaluating two forms of prophylaxis against postoperative pulmonary complications in 876 patients undergoing abdominal surgery. It cost $12.19 per patient for conventional chest physiotherapy, and equivalent costs accrue when incentive spirometers are recycled and used on average 2.3 times (in the Royal Perth Hospital, incentive spirometers are recycled an average of 4.7 times). Maximum cost-containment can be achieved by carefully selecting patients for physical chest care and then instigating a programme of perioperative chest care utilizing recycled incentive spirometers. This approach does not compromise the clinical benefits of prophylactic chest care and allows physiotherapy resources to be directed toward patients with established pulmonary problems.

Abdomen↗
PubMed1995

Prevention of cross infection during outpatient spirometry.

Lung function apparatus may be a source of cross infection in patients with cystic fibrosis and may be prevented using a 'bag in bottle' system. As this system has never been validated in children the flow volume loops performed using a Vitalograph Compact in the usual way were compared with results obtained blowing into the bag and bottle system, in random order, in 20 children with asthma (age 8-15 years). Three reproducible flow volume loops were recorded for each apparatus. There was no order effect. Mean (SE) results for forced expiratory volume in one second, forced vital capacity (FVC), peak expiratory flow rate, and maximum expiratory flow at between 75% and 25% of FVC showed respectively that the bag in bottle results were significantly greater than those obtained blowing directly into the spirometer by 90 (17) ml, 12.7 (5.1) l/min, 130 (60) ml/min. Although statistically significant, these differences are within the previously described coefficients of variation for children with cystic fibrosis and are of doubtful clinical relevance. It is concluded that the bag in bottle system does not introduce any important systematic error. It potentially offers absolute protection from cross infection.

Adolescent↗
PubMed2001

Effect of bacterial filters on spirometry measurements.

Lung function measurements with and without a disposable bacterial filter were compared in 60 children. Although statistically significant, the reduction of lung function measurements caused by using bacterial filters was small and clinically irrelevant (2-4% of predicted for forced expiratory volume in one second and vital capacity).

Adolescent↗