12.03.2014 Views

CardioSoft - Jaken Medical...

CardioSoft - Jaken Medical...

CardioSoft - Jaken Medical...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Spirometry Test: Conducting Spirometry Tests<br />

4. Click Start Test, then click OK to confirm that the patient is not yet<br />

breathing through the sensor.<br />

5. Wait for the status line to turn green.<br />

6. Have the patient close the lips around the mouthpiece and perform<br />

the following maneuver through the sensor:<br />

a. Exhale completely.<br />

b. Slowly inhale completely.<br />

c. Exhale as vigorously and for as long as possible (forced<br />

expiratory parameters; in the ATS mode, the expiration should<br />

last 6 seconds (see information on the ATS mode)).<br />

d. Inhale as vigorously and deeply as possible (forced inspiratory<br />

parameters).<br />

7. Click Stop Test (beep). The system also emits the beep when<br />

SpiroSoft terminates the measurement automatically.<br />

8. Repeat the test several times, because the patient's cooperation is<br />

essential for the quality of the test.<br />

9. Click Best test to display the new best test (including system<br />

evaluation) of the tests completed so far.<br />

Note<br />

The flow-volume measurements in the ATS mode must meet specific<br />

criteria:<br />

Acceptability Criteria<br />

<br />

<br />

<br />

The exhalation in the FEV1 maneuver must be longer than<br />

6 seconds (configurable beep, see section “Acquisition Tab” on<br />

page 11-36). Otherwise you will see the message Exhalation too<br />

short.<br />

An expiratory plateau must be achieved, i.e., the expiratory<br />

volume must not vary more than 30 ml within the last second.<br />

Otherwise you will see the message No endexpiratory plateau.<br />

The forced expiration must start as quickly as possible. The<br />

parameter used to determine the correct start is the backextrapolated<br />

volume. The volume must be less than 150 ml or<br />

less than 5% of the FVC. Otherwise the message High backextrapolated<br />

volume will appear.<br />

Reproducibility Criteria<br />

<br />

A minimum of three accepted trials is required; two of these must<br />

be reproducible. The reproducibility criterion is a maximum<br />

variation of 200 ml of FEV1 and FVC between the two best tests.<br />

Otherwise you will see the message High FEV1 variability or<br />

High FVC variability.<br />

8-10 <strong>CardioSoft</strong> Revision A<br />

2023324-053

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!