Elevation of peak expiratory flow by a 'spitting' maneuver

Measured with five peak flowmeters

Valerie Strayhorn, Kenneth Leeper, Elizabeth Tolley, Timothy Self

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Study objective: To determine if peak expiratory flow (PEF) is higher using incorrect technique versus correct technique with five marketed peak flowmeters. Design: Randomized, nonblinded study. Setting: University pulmonary medicine clinic. Patients: Twenty adults with clinically stable asthma. Interventions: After inhaling 2 puffs of albuterol via a valved aerosol holding chamber (Aerochamber), patients were instructed over the next 15 min in correct and incorrect (a 'spitting' action) technique when using peak flowmeters. Order of use of five peak flowmeters and correct vs incorrect technique was random. Measurements and results: PEF (percentage of personal best) was recorded for best of three attempts with correct and incorrect technique. Each peak flowmeter had a statistically significant elevation in PEF with incorrect technique. The range for elevation in PEF using incorrect technique was 12.4 to 68.2% above the PEF with the subject using correct technique. Conclusion: Each of the five marketed peak flowmeters had a significant elevation in PEF when a 'spitting action' was used. Clinicians need to instruct patients carefully regarding correct technique when using peak flowmeters.

Original languageEnglish (US)
Pages (from-to)1134-1136
Number of pages3
JournalChest
Volume113
Issue number4
DOIs
StatePublished - Jan 1 1998

Fingerprint

Flowmeters
Inhalation Spacers
Pulmonary Medicine
Albuterol
Inhalation
Asthma

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Elevation of peak expiratory flow by a 'spitting' maneuver : Measured with five peak flowmeters. / Strayhorn, Valerie; Leeper, Kenneth; Tolley, Elizabeth; Self, Timothy.

In: Chest, Vol. 113, No. 4, 01.01.1998, p. 1134-1136.

Research output: Contribution to journalArticle

Strayhorn, Valerie ; Leeper, Kenneth ; Tolley, Elizabeth ; Self, Timothy. / Elevation of peak expiratory flow by a 'spitting' maneuver : Measured with five peak flowmeters. In: Chest. 1998 ; Vol. 113, No. 4. pp. 1134-1136.
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