scholarly journals The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients

2021 ◽  
Vol 11 (11) ◽  
pp. 1067
Author(s):  
Chien-An Liao ◽  
Tai-Horng Young ◽  
Chi-Tung Cheng ◽  
Ling-Wei Kuo ◽  
Chih-Yuan Fu ◽  
...  
Keyword(s):  
Lung Function ◽  
Pulmonary Function ◽  
Complication Rate ◽  
Rib Fractures ◽  
Poor Compliance ◽  
Function Parameter ◽  
P Value ◽  
Good Compliance ◽  
Multiple Rib Fractures ◽  
The Poor

Background: Multiple rib fractures is a common chest trauma with a significant and sustained impact on pulmonary function and quality of life. Continuous monitoring of the pulmonary function parameter was necessary to adjust the therapeutic goals in these patients. We developed an internet-based remote system for lung function monitoring with a remote spirometry and smart device application to follow up these patients consecutively. Method: From Jan 2021 to April 2021, we conducted a prospective study that applied an intelligent spirometry system for patients with multiple rib fractures. With informed consent, we collected clinical data from them and introduced the remote spirometry system. We followed up with these patients for 12 weeks after trauma and compared the recovery of pulmonary function parameters and clinical outcomes. Result: A total of 21 patients were enrolled in our study. We divided them into two groups by the compliance to this remote spirometry system. The improvement of forced vital capacitywas better in the good compliance group than the poor compliance group (110% versus 21%, p value 0.049). Moreover, the complication rate was also lower in the good compliance group than the poor compliance group (10% versus 66.7% p value 0.017). Conclusion: Remote spirometry system is a novel system that can help in lung rehabilitation in patients with multiple rib fractures. Patients that cooperate well with this system presented superior lung function improvement and inferior complication rate.

scholarly journals Thoracic paravertebral block versus intravenous patient-controlled analgesia for pain treatment in patients with multiple rib fractures

2017 ◽  
Vol 45 (6) ◽  
pp. 2085-2091 ◽  
Author(s):  
Ge Yeying ◽  
Yuan Liyong ◽  
Chen Yuebo ◽  
Zhang Yu ◽  
Ye Guangao ◽  
...  
Keyword(s):  
Pain Relief ◽  
Pulmonary Function ◽  
Pain Treatment ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Rib Fractures ◽  
Paravertebral Block ◽  
Patient Controlled Analgesia ◽  
Thoracic Paravertebral Block ◽  
Multiple Rib Fractures

Objectives To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs). Methods Ninety patients with unilateral MRFs were included in this prospective study and randomly assigned to the TPVB or IVPCA group. The visual analogue scale (VAS) pain score, blood gas analysis, and bedside spirometry were measured and recorded at different time points after analgesia. Results TPVB and IVPCA provided good pain relief. VAS scores were significantly lower in the TPVB group than in the IVPCA group at rest and during coughing ( P < 0.05). Patients in the TPVB group had a higher PaO2 and PaO2/FiO2 and lower P(A–a)O2 compared with the IVPCA group ( P < 0.05). Moreover, patients in the TPVB group showed higher FVC, FEV1/FVC, and PEFR, and fewer complications than did the IVPCA group ( P < 0.05). Conclusion TPVB is superior to IVPCA in pain relief and preservation of pulmonary function in patients with MRFs.

Reversive Loss of Pulmonary Function Induced by Acute Chest Syndrome: A Report from the National Acute Chest Syndrome Study Group (NACSG).

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 315-315 ◽  
Author(s):  
Lynne Neumayr ◽  
C. Morris ◽  
A. Wen ◽  
A. Earles ◽  
S. Robertson ◽  
...  
Keyword(s):  
Lung Function ◽  
Pulmonary Function ◽  
Pulmonary Function Tests ◽  
Forced Expiratory Volume ◽  
Therapeutic Interventions ◽  
Acute Chest Syndrome ◽  
P Value ◽  
Lung Volumes ◽  
Expiratory Flow

Abstract Acute Chest Syndrome (ACS) remains the leading cause of death and hospitalization in patients (pts) with sickle cell disease (SCD). There is limited data on the effects of ACS on lung function. From 1993 to 1997, 30 centers participated in the NACSG and prospectively analyzed 671 episodes of ACS in 538 pts. Pulmonary function tests (PFTs) included forced expiratory volume in 1 sec (FEV1), forced vital capacity (FVC), forced expiratory flow during 25% to 75% of FVC (FEF 25–75), peak expiratory flow rate (PEF) and the ratio of FEV1/FVC. Data is reported as percent-predicted of normal values based on age and height. 128 pts (mean 16yrs, 4 to 52 yr range) had PFTs during an ACS episode (within a mean of 2.5 days of diagnosis) and then 12 weeks later. 94% of pts had abnormal lung volumes, defined as either FEV1 or FVC < 80%. Mean lung volumes during ACS and at follow-up are shown below. Table 1: Decreased Lung Volumes During ACS PFT During ACS Follow-up p-value FEV1 52% 79% <.0001 FVC 55% 83% <.0001 FEF 25–75 50% 69% <.0001 PEF 61% 83% <.0001 Pts with abnormal lung volumes (FEV1 or FVC < 80%) and considered to have an obstructive pattern if the FEV1/FVC ratio was < to 85. Obstructive patterns in pts with abnormal lung volumes and the percent of pts who responded to bronchodilators (15% improvement in either FEV1 or FVC) are shown below. Table 2: Patterns of Abnormal Lung Volumes in SCD SCD Patients During ACS Follow-up Abnormal PFTs 94% 45% Obstructive Pattern 48% 46% Respond to bronchodilators 25% 8% In summary, ACS resulted in decreased pulmonary function in 94% of pts. It is striking that 49% pts had their PFTs reduced by half (FEV1 52% and FVC 55%). In pts with abnormal PFTs, 48% had evidence of obstruction and 25% of all pts tested improved with a bronchodilator. This is the first description of reversible abnormalities of pulmonary function occurring during ACS compared to baseline. An obstructive pattern is identified in a higher percentage of pts with SCD than in the local Oakland African American population (asthma prevalance 16%). While some pts PFTs improved with time, 45% remained abnormal at 12-week follow-up. ACS results in acute and chronic worsening of lung function. Future studies of ACS may reveal common pathogenic mechanisms with asthma, and lead to improved therapeutic interventions.

Effect of moisturizers on prevention of hand-foot syndrome associated with capecitabine plus oxaliplatin.

2012 ◽  
Vol 30 (4_suppl) ◽  
pp. 681-681
Author(s):  
Kazuyoshi Kawakami ◽  
Mitsukuni Suenaga ◽  
Takashi Yokokawa ◽  
Kazuo Sugita ◽  
Yutaro Mae ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Metastatic Colorectal Cancer ◽  
Poor Compliance ◽  
P Value ◽  
Cancer Institute Hospital ◽  
First Line ◽  
Good Compliance ◽  
Kaplan Meier ◽  
Hand Foot Syndrome ◽  
The Relationship

681 Background: Capecitabine plus oxaliplatin (XELOX) has been established as first-line treatment for patients with metastatic colorectal cancer. Hand-foot syndrome (HFS) is the most common toxicity associated with capecitabine, and the mechanism of which remains to be clarified. Appropriate management of HFS for continuing treatment is needed to ensure improved survival. In this study, we evaluated the efficacy of our candidate moisturizers for HFS, considering its compliance in each patient at a single institute. Methods: Patients who received XELOX for metastatic colorectal cancer at the Japanese Foundation for Cancer Research, Cancer Institute Hospital, between Apr 1 2010 and Apr 30 2011 were included in this study. Pharmacists conducted the skin care for HFS using moisturizers: heparinoid ointment, a mixture of vitamin A oil and white petrolatums (1:1). All HFS events were graded according to NCI–CTC, version 4.0. The relationship between accumulated dose of capecitabine and incidence of HFS events stratified by frequency of daily moisturizers application was analyzed by using the Kaplan-Meier method. P value of <0.05 was considered significant. Results: Moisturizers were applied two or more times a day in 45 patients (Good compliance group) and once a daily in 28 patients (Poor compliance group). In terms of incidence of grade ≥1 HFS, no significant differences were observed between good compliance group and poor compliance group (p = 0.764). Incidence of grade ≥2 HFS was observed slightly higher in the poor compliance group than in the good compliance group, though the differences were not statistically significant (p = 0.286). Conclusions: The onset of capecitabine-associated HFS is independent of frequency of using moisturizers. However, more frequent application of moisturizers appeared to have a possibility to prevent severe HFS. Assessment for compliance with the moisturizers is important as well as patient-compliance-instruction by pharmacist.

scholarly journals Prognosis of Pulmonary Function in Patients with Multiple Rib Fractures

2017 ◽  
Vol 30 (4) ◽  
pp. 179-185
Author(s):  
Hee Beom Park ◽  
Sung Youl Hyun ◽  
Jin Joo Kim ◽  
Yeon Sik Jang
Keyword(s):  
Pulmonary Function ◽  
Rib Fractures ◽  
Multiple Rib Fractures

scholarly journals Analisis Pengaruh Faktor Lingkungan Dan Faktor Pekerja Terhadap Kapasitas Fungsi Paru Pekerja Industri Meubel Di Kota Pekanbaru Tahun 2013

2014 ◽  
Vol 1 (2) ◽  
pp. 124 ◽  
Author(s):  
Frisca Raynel ◽  
Zulkarnaini Zulkarnaini ◽  
Yulis Hamidy
Keyword(s):  
Lung Function ◽  
Pulmonary Function ◽  
Smoking Habit ◽  
Threshold Value ◽  
Respirable Dust ◽  
P Value ◽  
Furniture Industry ◽  
Use Of Self ◽  
Cross Sectional ◽  
Cross Sectional Design

The objectives of this research are to analyze and investigate the influence ofenvironmental factors and characteristics of workers towards lung function capacity offurniture industry workers at Pekanbaru. This study used a cross-sectional design, with totalsampling technique as much as 52 people of furniture industry workers. The result showed,there are 3 variables which affect lung function capacity of workers, that is exposure torespirable dust, smoking habit, and use of self protective tools. From the bivariate analyzes, itfound that exposure to respirable dust is the most dominant variable that affect the capacityof pulmonary function with p value: 0,000, that is equal to 41 times higher than workers withdust levels below the threshold value. 

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