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Related Concept Videos

Pulmonary Function Tests01:25

Pulmonary Function Tests

Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration can...
COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...

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Conducting Respiratory Oscillometry in an Outpatient Setting
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Spirometry use among pediatric primary care physicians.

Kevin J Dombkowski1, Fauziya Hassan, Elizabeth A Wasilevich

  • 1Child Health Evaluation and Research Unit, School of Medicine, University of Michigan, Department of Pediatrics and Communicable Diseases, Division of General Pediatrics, 300 N. Ingalls St, Ann Arbor, MI 48109-5456, USA. kjd@med.umich.edu

Pediatrics
|September 8, 2010
PubMed
Summary

Spirometry use for pediatric asthma in primary care is low and inconsistent with guidelines. Most physicians desire more training to improve lung function test interpretation and application.

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Area of Science:

  • Pulmonology
  • Primary Care Medicine
  • Pediatrics

Background:

  • Spirometry is crucial for diagnosing and managing pediatric asthma.
  • Current primary care practices for pediatric asthma management may not align with established guidelines.

Purpose of the Study:

  • To investigate the utilization, knowledge, and attitudes towards spirometry among primary care physicians and pediatricians caring for children with asthma.
  • To identify barriers hindering the effective implementation of spirometry in primary care settings.

Main Methods:

  • A national survey was distributed to family physicians and pediatricians.
  • The survey included questions on spirometry use, knowledge, attitudes, and responses to clinical vignettes.
  • Data were analyzed using chi-squared tests and logistic regression.

Main Results:

  • Only 52% of surveyed physicians used spirometry for pediatric asthma, compared to 80% using peak flow meters.
  • Significant differences in spirometry use and interpretation comfort were observed between family physicians and pediatricians.
  • A majority of physicians identified time and training as key barriers and expressed a need for additional education.

Conclusions:

  • Spirometry adoption and application in primary care for pediatric asthma fall short of national recommendations.
  • Effective implementation requires addressing physician training gaps in spirometry interpretation and overcoming practical barriers.