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Correction factors for oxygen and flow-rate effects on neonatal Fleisch and Lilly pneumotachometers
Yvonne Snepvangers1, Peter de Winter, Huibert Burger
1Department of Pediatric Pulmonology, University Medical Center Utrecht, Utrecht, The Netherlands.
Objective:
To assess the effects of different oxygen concentrations and flow rates on the measurement errors of neonatal pneumotachometers in heated and unheated situations and to develop correction factors to correct for these effects.
Design:
Prospective laboratory study.
Setting:
Outpatient clinic with equipment in a standardized setting.
Subjects:
Neonatal pneumotachometers.
Interventions:
In standardized conditions, the tested pneumotachometer was calibrated at a flow rate of 3 L/min with 60% oxygen and was set in series with a closed spirometer system being used as a reference. Different air-flow levels (1-9 L/min) and oxygen concentrations (21-100%) were infused into the closed system with the pneumotachometer and spirometer.
Measurements And Main Results:
The pneumotachometers were significantly affected by changing oxygen concentrations (p < .01) and increasing flow rates (p < .01), increasing the actually measured flow rate. Correction factors, developed by multiple regression analysis, significantly reduced the overall maximum errors of the pneumotachometers from -1.1 to 0.6 L/min to -0.5 to 0.4 L/min.
Conclusions:
The effects of changes in oxygen concentrations and flow rates on neonatal pneumotachometers could be considerably decreased by the use of correction factors such as were calculated in this study. This will preclude frequent calibration procedures with actual flow and oxygen levels during changes in experimental settings.