Efficient use of dry powder inhalers, such as Turbuhaler, is dependent on the generation of adequate inspiratory flow. It is not clear whether patients with acute asthma are able to generate adequate flow. Peak inspiratory flow (PIF) was measured through an empty Turbuhaler, and without this device, in 99 adults presenting to hospital with acute exacerbations of asthma. Where possible, patients...

BACKGROUND Although self-inflating bags are widely used for manual hyperinflation, they do not allow ventilation parameters, such as pressure or volume, to be set. We studied the ventilation performance of neonatal and pediatric self-inflating bags. METHODS We asked 22 physiotherapists to manually hyperinflate 2 lung models (neonatal and pediatric), using self-inflating bags from 3 manufactur...

In 101 asthmatic adults with varying degrees of bronchial obstruction, lung function tests including peak inspiratory flow (PIF), inspiratory vital capacity (IVC), peak expiratory flow (PEF), forced vital capacity (FVC), and forced expiratory volume in one second (FEV1) measurements were made. Significant correlations between inspiratory and expiratory volumes were found. In most patients, PIF ...

BACKGROUND When choosing a specific inhalation device for a chronic obstructive pulmonary disease (COPD) patient, the internal airflow resistance and the ability of the patient to overcome it and to create an optimal inspiratory flow are essential. OBJECTIVES The purpose of the present study was to investigate: (1) the peak inspiratory flow (PIF) that a patient with COPD can generate while br...

The ventilator is a supporter of respiratory needs which very important for the patient so that there are several parameters must be monitored specifically, such as measurement pressure and flow rate used in system, accuracy accordance with respirator. One to monitor PIF (Peak Inspiratory Flow) peak inspiratory given through ventilator. too high or low can cause adverse effects on patient. moni...

BACKGROUND Dry powder inhalers (DPIs) are inspiratory flow driven and hence flow dependent. Most patients with chronic obstructive pulmonary disease (COPD) are elderly and have poor lung function. The factors affecting their inspiratory flows through inhalers are unclear. OBJECTIVE To study peak inspiratory flows (PIFs) and their determinants through a DPI in COPD patients of varying age and ...

Dry powder inhalers (DPIs) are increasingly replacing metered dose inhalers in elderly chronic obstructive pulmonary disease (COPD) patients. However, most DPIs are dependent on inspiratory flow, which is compromised by the ageing process itself. Using the in-check dial method, the present study compared peak inspiratory flow (PIF) rates in 26 elderly COPD patients and 14 matched control subjec...

INTRODUCTION Manual hyperinflation (MH), a maneuver applied in mechanically ventilated patients to facilitate secretion removal, has large variation in its performance. Effectiveness of MH is usually evaluated by its capacity to generate an expiratory flow bias. The aim of this study was to compare the effects of MH-and its resulting flow bias-applied according to clinical practice versus accor...

The aim of the present study was to verify that the patient/ventilator interaction is similar, regardless of the mode of assisted mechanical ventilation (i.e. pressure- or volume-limited) used, if tidal volume (VT) and peak inspiratory flow (PIF) are matched. Therefore, the authors compared the effects of three different modes of assisted ventilation on the work of breathing (WOB) and gas excha...

Background & Aims: The purpose of the present study was to evaluate the effect of 8 weeks specific aquatic therapy on kyphosis angle and some pulmonary indices in male university students with kyphosis. Methods: A total of 15 males with increased normal thoracic Kyphosis (kyphosis 40 degrees, 20.70 ± 0.705 years old, height 175.5 ± 6.19 cm, weight 64.19 ± 8.23 kg) were selected. Before and afte...