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Forced Expiratory VolumeVital CapacitySpirometryAortic ValveRespiratory Function TestsMitral ValveAsthmaBronchial Provocation TestsBronchodilator AgentsPulmonary Disease, Chronic ObstructiveLung Diseases, ObstructiveAdministration, InhalationMethacholine ChlorideHeart Valve DiseasesLungPeak Expiratory Flow RateAlbuterolAortic Valve StenosisForced Expiratory Flow RatesMaximal Midexpiratory Flow RateBronchoconstrictor AgentsBronchoconstrictionAsthma, Exercise-InducedLung Volume MeasurementsBronchial HyperreactivityDyspneaResidual VolumeAirway ObstructionMaximal Expiratory Flow RatePulmonary ValveTricuspid ValveDouble-Blind MethodTotal Lung CapacityPulmonary EmphysemaCystic FibrosisRespiration DisordersAortic Valve InsufficiencyScopolamine DerivativesBronchitisAirway ResistanceNebulizers and VaporizersPulmonary VentilationMitral Valve InsufficiencySputumAnti-Asthmatic AgentsBudesonidePulmonary Diffusing CapacityInspiratory CapacityLung DiseasesSmokingSeverity of Illness IndexCross-Over StudiesIpratropiumRespiratory MechanicsMitral Valve ProlapseEthanolaminesTreatment OutcomeBronchiExercise ToleranceDustFunctional Residual CapacityVenous ValvesMitral Valve StenosisRespiratory SoundsBeclomethasoneTime FactorsAerosolsMaximal Expiratory Flow-Volume CurvesRespiratory MusclesBronchiectasisProspective StudiesBlood VolumeCoughEmphysemaBreath TestsBronchospirometryBioprosthesisOccupational ExposureExercise TestPneumonectomyTerbutalineFenoterolFollow-Up StudiesAdrenal Cortex HormonesCross-Sectional StudiesAdrenergic beta-AgonistsExpiratory Reserve VolumeRespirationMetered Dose InhalersAndrostadienesPneumoconiosisOccupational DiseasesCholinergic AntagonistsBronchial SpasmBronchoscopyHistamineInhalationPregnenedionesSaline Solution, HypertonicReference Values
Positive expiratoryFEV1Endobronchial valvesPulmonaryOPEPVitalTricuspid valve regurgitationRespiratoryMMEFAorticInspirationBreathsEfficacyPressureRegurgitationPeakExhalationMembraneSevereMitralSurgical2017SputumLung volume reductionPhysiotherapyHeterogeneous emphysemaDevicePatientsMouthpieceResidualForcefullyCOPDFlowReserve VolumeSystemTreatmentUrinarySpirometerFunctionImprove
Positive expiratory7
  • Introduction Oscillating positive expiratory pressure (OPEP) devices are intended to facilitate sputum clearance in chronic obstructive pulmonary disease (COPD), but there is uncertainty as to their place in treatment pathways. (bmj.com)
  • Does the use of oscillating positive expiratory pressure (OPEP) devices impact health-related quality of life and symptoms, exacerbations, lung function parameters and exercise capacity, compared with usual care or alternative sputum clearance techniques in people with chronic obstructive pulmonary disease (COPD)? (bmj.com)
  • Participants equally enrolled to either training group (group A) or control group (group B). The respiratory muscle resisted training program was started for group (A) after the clinical stability of patient condition with a threshold positive expiratory pressure device using a three-way valve system via flanged mouthpiece. (ejgm.org)
  • The Aerobika® Oscillating Positive Expiratory Pressure (OPEP) device is a drug-free, easy to use, hand-held device with a proprietary pressure-oscillation dynamic that provides intermittent resistance and creates positive pressure and oscillations simultaneously. (tri-anim.com)
  • The VibraPEP® by Curaplex is a resuable single-patient device that provides Oscillatory Positive Expiratory Pressure (OPEP) therapy for the detachment and removal of pulmonary secretions. (tri-anim.com)
  • The AEROBIKA® Oscillating Positive Expiratory Pressure (OPEP) Therapy System with the manometer adapter provides visual feedback during a patient® exhalation. (tri-anim.com)
  • In the United Kingdom (UK), the most common forms of airway clearance used are conventional physiotherapy, active breathing cycles (ACBT), autogenic drainage (AD), positive expiratory pressure (PEP) devices, oscillating PEP devices, noninvasive ventilation (NIV) and exercise. (fizyoplatforum.com)
FEV18
  • Efficacy end points were percent changes in the forced expiratory volume in 1 second (FEV1) and the 6-minute walk test on intention-to-treat analysis. (nih.gov)
  • Evidence on the efficacy remains unclear in patients with a very low forced expiratory volume in 1â s (FEV1) (≤20% predicted). (bvsalud.org)
  • Pulmonary function tests (FEV1, residual volume, partial pressure of carbon dioxide), training capacity (6-min walk distance (6MWD)), quality of life (modified Medical Research Council dyspnoea scale (mMRC), COPD Assessment Test (CAT), St George's Respiratory Questionnaire (SGRQ)) and adverse events were assessed and compared at baseline and after 3 and 6â months. (bvsalud.org)
  • The mean value of heart rate (HR), respiratory rate (RR), partial pressure of arterial carbon dioxide (PaCO2) and PH revealed significant reduction, where forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and partial pressure of arterial oxygen (PaO2) revealed significant increase in group (A) at the end of the study. (ejgm.org)
  • In controlled clinical trials involving adults with asthma, the onset of improvement in pulmonary function was within 15 minutes, as determined by both MMEF (maximum midexpiratory flow rate) and FEV1 (forced expiratory volume in one second). (nih.gov)
  • Among other functional parameters, the forced expiratory volume in one second (FEV1) showed the strongest correlation with VO2peak. (cpxinternational.com)
  • When comparing respiratory muscle performance with other functional parameters, the SMIP showed the strongest correlation with hand grip strength, followed by peak cough flow, forced vital capacity, maximal inspiratory pressure, and FEV1. (cpxinternational.com)
  • Significant differences were observed between both groups in terms of MIP, forced vital capacity (FVC), and forced expiratory volume per second (FEV1) of the percentage predicted. (galemed.com)
Endobronchial valves3
  • Endobronchial valves that allow air to escape from a pulmonary lobe but not enter it can induce a reduction in lobar volume that may thereby improve lung function and exercise tolerance in patients with pulmonary hyperinflation related to advanced emphysema. (nih.gov)
  • Of 321 enrolled patients, 220 were randomly assigned to receive endobronchial valves (EBV group) and 101 to receive standard medical care (control group). (nih.gov)
  • Treatment with endobronchial valves such as the Spiration Valve can improve lung function by redirecting air away from hyperinflated portions of the lung to healthier portions. (whnt.com)
Pulmonary4
  • Nov. 20, 2023 /PRNewswire/ -- Olympus announced today study results showing the sustained clinical benefits of the Spiration™ Valve System (SVS) in treating patients suffering from the symptoms of severe emphysema, a form of chronic obstructive pulmonary disease (COPD). (whnt.com)
  • Since more than two and three trials will lower pulmonary capillary blood volume and diffusing capacity of the lung for carbon monoxide, respectively, the average value of only two properly performed trials is suggested. (ersjournals.com)
  • where D m,CO represents pulmonary membrane diffusing capacity for carbon monoxide (CO) and ΘCO is the specific blood transfer conductance for CO. V c represents pulmonary capillary blood volume 1 . (ersjournals.com)
  • Vital capacity indicates respiratory function based on the following three pulmonary volumes. (orygenvalve.com)
OPEP2
  • The Aerobika® OPEP device offers 5 resistance settings to adjust to each patient's capacity and pairs with small volume nebulizers to reduce therapy time and improve patient compliance. (tri-anim.com)
  • The success of OPEP therapy depends on these vibrations, especially for patients with a low expiratory volume. (tri-anim.com)
Vital3
Tricuspid valve regurgitation1
  • 9-11 Significant tricuspid valve regurgitation in the presence of a PFO can project blood to the superior aspect of the RA and then through the interatrial communication, causing RL shunting. (allenpress.com)
Respiratory8
  • Patients treated with the Spiration Valve System experienced a significant improvement in lung function, respiratory symptoms and quality-of-life scores at 24 months, according to published study results. (whnt.com)
  • The data emanating from the EMPROVE trial underscore the clinical advantages that the Spiration Valve holds for patients and illustrate that this BLVR treatment significantly enhances the daily lives of patients," said Dr. Stephanie Nsiah-Dosu , Respiratory Global Medical Manager for Medical and Scientific Affairs at Olympus Corporation. (whnt.com)
  • Terson de Paleville D, Lorenz D (2015) Compensatory muscle activation during forced respiratory tasks in individuals with chronic spinal cord injury. (ejgm.org)
  • You can effectively improve and maintain your lung volume capacity by focusing on your breathing and training your lungs and respiratory muscles through breathing techniques and exercises. (orygenvalve.com)
  • These volumes tend to vary, depending on the depth of respiration, ethnicity, gender, age, body composition [1] and in certain respiratory diseases. (web.app)
  • Altogether, 6-week combined inspiratory and expiratory RMT is feasible as adjuvant therapy for stroke patients to improve fatigue level, respiratory muscle strength, lung volume, respiratory flow, and dysarthria. (galemed.com)
  • Training your respiratory muscle (inspiratory muscle and expiratory muscle) can improve endurance of exercise performance and in sports of longer durations. (galemed.com)
  • Measurement of maximum expiratory pressure (MEP) and maximum inspiratory pressure (MIP) with a pressure gauge can assess respiratory muscle strength and follow up clinical data. (galemed.com)
MMEF1
  • the maximum mid-expiratory flow (MMEF) and MMEF% were also negatively correlated with VTI. (galemed.com)
Aortic6
  • Because of the potential risk of early structural valve deterioration, the FDA has sent notice about Abbott's decision to stop selling and distributing Trifecta aortic surgical heart valves in the United States. (ctsnet.org)
  • The FDA recommends that healthcare providers be aware of the risk of SVD with Trifecta valves, discuss risk with patients, and monitor patients who have undergone implantation with Trifecta valves.Because of the potential risk of early structural valve deterioration, the FDA has sent notice about Abbott's decision to stop selling and distributing Trifecta aortic surgical heart valves in the United States. (ctsnet.org)
  • In forty-eight consecutive patients undergoing explants of transcatheter aortic valve replacement (TAVR) at a single center between 2011 and 2021, at a median of 2.3 years after TAVR, the most common indications for surgery were nonstructural valve dysfunction (patient-prosthesis mismatch or paravalvular leak) in 35 percent, structural valve deterioration in 29 percent, and mitral valve disease in 29 percent. (ctsnet.org)
  • A forty-one-year-old, 90 kg male underwent uneventful aortic valve replacement surgery and was transported to the intensive care unit (ICU) with 100% oxygen via a transport, Mapleson C circuit. (apsf.org)
  • Urgent evaluation by the surgical housestaff focused on a presumed bleeding source or possible cardiac or aortic valve complication - these people were unfamiliar with the Bourns Bear 2 ® ‚ ventilator. (apsf.org)
  • Ear drops?AutoPap: Computer-assisted cytology interpretation system?AV: Aortic valve?AV: Atrioventricular?A-V: Arteriovenous?AVERT: Atorvastatin Versus Revascularization treatment?AVID: ?AVM: Arteriovenous Malformation?AVNRT: AV nodal reentry tachycardia?AVP: Arginine vasopressin?AVR: Aortic valve replacement?AVR: Augmented V lead, right arm (ECG)?AVRT: ?AVS: Arteriovenous shunt?AWS: Alcohol withdrawal syndrome?AXR: Abdominal X ray?AZF: Azoospermia factor genes?AZT: Azidothymidine (zidovudine)?B & O: Belladonna and opium?B Bx. (kuwaitpharmacy.com)
Inspiration5
  • FEV 1 is the maximal volume of air exhaled in the first second of a forced expiration from a position of full inspiration, expressed in litres at BTPS. (ersjournals.com)
  • 5) Forced expiratory technique - Forced expiratory techniques involve diaphragmatic inspiration, relaxing the scapulohumeral region, and expiring forcefully from mid to low lung volumes whilst maintaining an open glottis (huffing exercises). (ayursh.com)
  • As the ventilator cycles to inspiration, a stream of gas is injected into this valve which distends the membrane and closes the expiratory limb of the circuit, thereby forcing inspiratory gas into the patient. (apsf.org)
  • The training mechanism is based on the interaction of pressure resistance level created by the spring and the force of inspiration, acting as the dumbbell of breathing muscle. (galemed.com)
  • most often done with the use of an incentive spirometer that provides feedback to the patient when a predetermined lung volume is reached during inspiration. (galemed.com)
Breaths1
  • The ventilator settings were IMV = 8 breaths/min, tidal volume of 1 L, FiO 2 at 80%, and zero positive-end expiratory pressure (ZEEP). (apsf.org)
Efficacy1
  • We compared the safety and efficacy of endobronchial-valve therapy in patients with heterogeneous emphysema versus standard medical care. (nih.gov)
Pressure12
  • This pressure change will reduce the volume of a flexible gas-filled space by half. (wikipedia.org)
  • Boyle's law describes the relationship between the volume of the gas space and the pressure in the gas. (wikipedia.org)
  • Barotraumas of descent, also known as compression barotrauma, and squeezes, are caused by preventing the free change of volume of the gas in a closed space in contact with the diver, resulting in a pressure difference between the tissues and the gas space, and the unbalanced force due to this pressure difference causes deformation of the tissues resulting in cell rupture. (wikipedia.org)
  • Intraoperative, a fall in blood arterial pressure (BAP) of more than 30% was considered clinically significant and was initially managed with infusion of crystalloids (Ringer Lactate and Normal Saline 0,9%) in order to maintain the appropriate intravascular volume and vasoconstriction (phenylephrine). (biomedcentral.com)
  • The VibraPEP® uses the patient's full expired air volume to produce pressure and oscillatory vibrations. (tri-anim.com)
  • Pressure-support ventilation, although the latter per volume of distribution significantly, and insufficiently effective in about of these data support its utility in selected patients. (elastizell.com)
  • Intrapleural pressure increases, and lung volume decreases. (msdmanuals.com)
  • The RV is a thin-walled chamber that is a better volume pump than a pressure pump. (medscape.com)
  • RV pressure and volume overload is associated with septal displacement toward the left ventricle. (medscape.com)
  • During expiration, pressure is released from the valve, allowing the membrane to collapse and opening the circuit to passive exhalation. (apsf.org)
  • As anaesthesiolgists we deal with liquids & gases under pressure at varying temperatures and volumes. (present5.com)
  • Pressure relief valves and expiratory valves Pressure in the circuit exerts a force on the diaphragm. (present5.com)
Regurgitation1
  • Preoperative baseline characteristics of patients valve diseases, which were mostly mixed with stenosis and regurgitation [8-14]. (docksci.com)
Peak2
  • Ventilator-induced lung injury (VILI) is a condition caused by over-expansion of the lungs by mechanical ventilation used when the body is unable to breathe for itself and is associated with relatively large tidal volumes and relatively high peak pressures. (wikipedia.org)
  • Peak Expiratory Flow Meter measures the peak expiratory flow (PEF) score before and after medication for asthma patients. (galemed.com)
Exhalation3
  • The ventilator circuit was inspected, and the problem identified as a faulty exhalation valve within the patient manifold assembly. (apsf.org)
  • The exhalation valve on a Bear 2 tube ventilator is a mushroom shaped, silastic membrane located in the patient manifold within the center of the expiratory limb. (apsf.org)
  • Patient manifold assembly of ventilator with arrow showing location of exhalation valve. (apsf.org)
Membrane2
  • In our case, the disruption of the valve membrane caused initial expiratory gas in the ventilator circuit to distend the body of the valve, functionally creating an obstruction in the expiratory limb of the circuit. (apsf.org)
  • Close-up view of tear in main body of valve membrane. (apsf.org)
Severe6
  • The EMPROVE study is the first randomized controlled trial to present a rigorous comparison of bronchoscopic lung volume reduction (BLVR) using endobronchial valve (EBVs) with standard-of-care controls for up to 24 months in severe emphysema patients. (whnt.com)
  • Patients with severe heterogeneous emphysema were randomly assigned treatment with the Spiration™ Valve System or to the control group. (whnt.com)
  • Introduction: Endoscopic lung volume reduction (ELVR) with one-way valves produces beneficial outcomes in patients with severe emphysema. (bvsalud.org)
  • Methods: All data originated from the German Lung Emphysema Registry (Lungenemphysem Register), which is a prospective multicentric observational study for patients with severe emphysema after lung volume reduction. (bvsalud.org)
  • Zephyr Valves received breakthrough device designation and were approved by the Food and Drug Administration in 2018 to help patients with severe COPD and emphysema breathe easier without many of the risks associated with major surgery. (com.ng)
  • Two new endobronchial valve systems have recently been approved by the FDA for people with severe COPD, specifically those with advanced emphysema (Zephyr and Spiration). (adam.com)
Mitral14
Surgical1
  • This narrative review describes the main applications of de la ultrasonografía en ultrasound in anesthesia, ultrasound-guided techniques, and current trends in the perioperative anesthetic management of anestesia the surgical patient. (bvsalud.org)
20171
  • LEAG: study conception, de datos PubMed y Cochrane, se incluyeron artículos originales, estudios aleatorizados y de revisión, en español y en inglés, manuscript design, publicados entre 2017-2021. (bvsalud.org)
Sputum1
  • The utility model discloses a do not have and create face guard of ventilating with vibration sputum discharging function, it includes face guard main part and forehead support piece, the face guard main part includes stabilizer, oxygen pipe jack, stopple, expiration mouth, the valve of supplying gas, gos back involving vibrations sputum discharging device in the face guard main part. (google.com)
Lung volume reduction1
  • Methods: Data from COPD and pneumonia patients at Charité-Universitätsmedizin Berlin and the volume of endoscopic lung volume reduction (ELVR) surgeries from the German Lung Emphysema Registry (Lungenemphysem Register e.V.) were analyzed from pre-pandemic (2012 to 2019) to the pandemic period (2020 and 2021). (bvsalud.org)
Physiotherapy1
  • As well as "chest physiotherapy", which includes the management of patients with excessive airway secretions, maximizing oxygenation, improving lung volume, and preserving musculoskeletal function. (ayursh.com)
Heterogeneous emphysema1
  • Endobronchial-valve treatment for advanced heterogeneous emphysema induced modest improvements in lung function, exercise tolerance, and symptoms at the cost of more frequent exacerbations of COPD, pneumonia, and hemoptysis after implantation. (nih.gov)
Device2
  • The Spiration Valve is an umbrella-shaped device that is placed in the most diseased parts of the lung during a short bronchoscopic procedure. (whnt.com)
  • Expiratory muscle trainer encourages users to blow through the device to lift the training indicator, and it can improve performances requiring maintenance and managing expiratory breathing muscles. (galemed.com)
Patients5
  • The results from the EMPROVE trial demonstrate the positive impact the Spiration Valve can have on emphysema patients," said Dr. Gerard Criner , Chair and Professor of Thoracic Medicine and Surgery at the Lewis Katz School of Medicine at Temple University and director of the Temple Lung Center, who is lead investigator of the EMPROVE trial. (whnt.com)
  • The FDA recommends that healthcare providers be aware of the risk of SVD with Trifecta valves, discuss risk with patients, and monitor patients who have undergone implantation with Trifecta valves. (ctsnet.org)
  • Efficient for a wide range of patients: Oscillations begin at ≥ 10 lpm allowing treatment of patients with low forced expiratory volume (FEV). (tri-anim.com)
  • Single-Centre Case Series Assessment of Early Exercise Capacity Data Among Patients Who Received an Alterra Prestent and SAPIEN 3 Valve Placement. (cpxinternational.com)
  • However, liquids are cleared from the stomach within 2 hours of ingestion, and no differences in the volume or pH of gastric contents is noted in those patients taking clear fluids 2 hours before surgery compared to those taking clear fluids 9 hours before surgery. (medscape.com)
Mouthpiece1
Residual1
  • A residual eustachian valve can direct flow preferentially from the inferior vena cava toward the interatrial septum. (allenpress.com)
Forcefully1
COPD1
  • Potential adverse events which may be associated with the use of the Spiration Valve System may include, but are not limited to, pneumothorax, worsening of COPD symptoms, pneumonia, and dyspnea. (whnt.com)
Flow2
  • The primary signal measured in spirometry may be volume or flow. (ersjournals.com)
  • In fetal circulation, the foramen ovale functions as a one-way valve that enables blood to flow from the right atrium (RA) to the left atrium (LA) so that oxygenated blood from the placenta can bypass the unaerated lungs and directly enter the fetus' systemic circulation. (allenpress.com)
Reserve Volume1
System1
  • For more information about the Spiration Valve System, visit the patient and family website . (whnt.com)
Treatment1
  • Awani Kumar, MD Now Monmouth Medical Center (MMC) is the first hospital in the region to offer Zephyr Valves, a new lung valve treatment. (com.ng)
Urinary1
  • volumes are bleeding, gastrointestinal bleeding, and urinary/lung bleeding. (web.app)
Spirometer2
  • The spirometer must be capable of accumulating volume for ≥15 s (longer times are recommended) and measuring volumes of ≥8 L (BTPS) with an accuracy of at least ±3% of reading or ±0.050 L, whichever is greater, with flows between 0 and 14 L·s −1 . (ersjournals.com)
  • The total resistance must be measured with any tubing, valves, pre-filter, etc . included that may be inserted between the subject and the spirometer. (ersjournals.com)
Function1
  • Spirometry is a physiological test that measures how an individual inhales or exhales volumes of air as a function of time. (ersjournals.com)
Improve1