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Effect of salbutamol on spirometry and blood-gas tensions in bronchial asthma.

A new bronchodilator drug, salbutamol, reduced airway obstruction in 37 patients with bronchial asthma but did not lead to a significant fall in lowered arterial oxygen tension. This drug, unlike other bronchodilators, appears to have little or no effect on the cardiovascular system, and it is suggested that it does not therefore lead to an intensification of the ventilation/perfusion disturbance in the lung leading to a worsening of hypoxaemia.

Adult↗

Spirometry in healthy men: a correlation with smoking and with mild symptoms.

Symptoms, smoking history, and variates taken from the forced expiratory manoeuvre were studied in a group of 271 healthy men attending a mass radiography unit. It was found that correlation of the forced expiratory ratio (FEV1/FVC) with the presence of mild or moderate respiratory symptoms was at least as satisfactory as that of technically more complicated measurements such as MEF50 and MEF75. In asymptomatic individuals those differences associated with smoking were the same for FEV1/FVC as for MEF75. Asymptomatic abnormalities of lung function were not observed. Simple measurements such as FEV1/FVC can therefore provide as much information from a forced expiratory manoeuvre to screen for early airways obstruction as MEF50 and MEF75.

Adolescent↗

Temperature corrections in routine spirometry.

Forced expiratory volume (FEV1) and forced vital capacity (FVC) were measured in nine normal subjects with three Vitalograph and three rolling seal spirometers at three different ambient temperatures (4 degrees C, 22 degrees C, 32 degrees C). When the results obtained with the rolling seal spirometer were converted to BTPS the agreement between measurements in the three environments improved, but when the Vitalograph measurements obtained in the hot and cold rooms were converted an error of up to 13% was introduced. The error was similar whether ambient or spirometer temperatures were used to make the conversion. In an attempt to explain the behaviour of the Vitalograph spirometers the compliance of their bellows was measured at the three temperatures. It was higher at the higher temperature (32 degrees C) and lower at the lower temperature (4 degrees C) than at the normal room temperature. These changes in instrument compliance could account for the differences in measured values between the two types of spirometer. It is concluded that the ATPS-BTPS conversion is valid and necessary for measurements made with rolling seal spirometers, but can cause substantial error if it is used for Vitalograph measurements made under conditions other than normal room temperature.

Forced Expiratory Volume↗

Spirometry in healthy elderly Chinese.

Forced expiratory volume (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF) were measured in healthy subjects (129 men, 210 women) aged 60 years and above who were leading an independent and active life in the community. Women but not men showed an age related decline in FEV1 and FVC. Correlations of FEV1 and FVC with height were weaker than those reported for all age groups. Male ex-smokers had lower FEV1 values than current smokers and non-smokers. Regression equations are derived for men and women for predicting values appropriate to Chinese elderly people. These values are slightly lower than those for white people, but the difference is not as great as in values derived from surveys of all age groups.

Aged↗

Spirometry with a Fleisch pneumotachograph: upstream heat exchanger replaces heating requirement.

The exact temperature of the head of an unheated Fleisch pneumotachograph (PT) during recording is not known, and variation in its temperature may lead to errors in measuring spirometric indexes. We measured PT head temperature during blows from five normal subjects, recorded by using a PT with and without an upstream heat exchanger to condition the air to the ambient temperature that was set in a climate chamber. Group mean (+/- SD) temperature of a thermocouple (TC) placed inside the PT head was 11.8 +/- 1.9 degrees C with 7 degrees C ambient, 25.4 +/- 1.3 degrees C at 23 degrees C, and was 37.2 +/- 0.3 degrees C at 37 degrees C. The between-subject range of temperature for this TC was 7.5 degrees at 7 degrees C, 5.5 degrees at 23 degrees C, and 1.1 degrees at 37 degrees C. The mean within-subject within-blow variation of temperature for this TC was 10.0 degrees and 3.3 degrees C for ambient of 7 degrees and 23 degrees C, respectively. At the usual ambient temperature in a laboratory, these differences in temperature lead to a 3.6% between-subject bias in recording, and the within-subject differences lead to 2.6% underreading of peak expiratory flow and a 0.5% overreading later in the blow, which makes ATPS-to-BTPS correction erroneous or difficult to perform. With the use of an upstream heat exchanger, the group mean temperature was 8.7 +/- 0.4 degrees, 23.2 +/- 0.2 degrees, and 37.1 +/- 0.2 degrees C at the three ambient temperatures, respectively, and the within-subject within-blow variation was reduced to < 1 degrees C. A heat exchanger placed upstream of the PT satisfactorily conditioned expired air to the ambient temperature and removed the error.

Adult↗