Description and development of a Flow Breathing Encourager (Inspiratio)

Authors

DOI:

https://doi.org/10.33233/fb.v24i5.5491

Keywords:

Innovation, Incentive Spirometry, Physiotherapy

Abstract

Objective: To describe the development of a respiratory flow incentive, called Inspiratio. Methods: Cross-sectional study. Inspiratio, developed by three phisiotherapists, is composed of single-body paper, and can have three different weights, with horizontal and vertical folds. The variables measured in the tests were: Maximum Inspiratory Pressure (MIP) and Maximum Expiratory Pressure (MEP), flow, volume and levels of exhaled CO2 (EtCO2). Results: Inspiratio was developed and registered at the National Institute of Industrial Property (INPI). This device is characterized by being single use and disposable, not requiring a sterilization process. Three different weights were developed that are directly associated with resistance in the airways as well as pressure of the respiratory muscles. Conclusion: The development of national equipment contributes to the improvement in several areas of health, and that is why Inspiratio is of great importance, as it can be used by patients who are assisted by professionals who work in the areas of intensive care, hospitalization and, also, in home care.

Author Biographies

Alexandre Jung, Clínica de Reabilitação Cardíaca Alexandre Jung

Clínica de Reabilitação Cardíaca Alexandre Jung, Lajeado, RS, Brasil

Aline Felicio Bueno Ingrassia, UFRGS

Programa de Pós-Graduação em Ciências do Movimento Humano da Universidade Federal do Rio Grande do Sul (PPGCMH-UFRGS), Hospital de Clínicas de Porto Alegre, RS Brasil

Vanessa Simon da Silveira, UFRGS

Programa de Pós-Graduação em Ciências Pneumológicas Universidade Federal do Rio Grande do Sul (PPGCP-UFRGS), Hospital de Clínicas de Porto Alegre, RS, Brasil

Luiz Alberto Forgiarini Junior, UFRGS

Programa de Pós-Graduação em Ciências Pneumológicas Universidade Federal do Rio Grande do Sul (PPGCP-UFRGS), Programa de Mestrado Profissional em Pesquisa Clínica, Hospital de Clínicas de Porto Alegre (PMPPC/HCPA), RS, Brasil

Alexandre Simões Dias , UFRGS

Programa de Pós-Graduação em Ciências Pneumológicas Universidade Federal do Rio Grande do Sul (PPGCP-UFRGS); Programa de Mestrado Profissional em Pesquisa Clínica,Hospital de Clínicas de Porto Alegre (PMPPC/HCPA), RS, Brasil

References

Moreira FC, Teixeira C, Savi A, Xavier R. Changes in respiratory mechanics during res-piratory physiotherapy in mechanically ventilated patients. Rev Bras Ter Intensiva. 2015;27(2):155-60. doi: 10.5935/0103-507X.20150027

Barbas CSV, Ísola AM, Farias AMC, Cavalcanti AB, Gama AMC, Duarte ACM, et al. Recomendações brasileiras de ventilação mecânica 2013. Parte I. Rev Bras Ter Intensiva. 2014;26(2):89-121. doi: 10.5935/0103-507X.20140017

França EE, Ferrari F, Fernandes P, Cavalcanti R, Duarte A, Martinez BP, et al. Fisioterapia em pacientes críticos adultos: recomendações do Departamento Fisioterapia da de Associação de Medicina Intensiva Brasileira. Rev Bras Ter Intensiva. 2012;24(1):6-22. doi: 10.1590/S0103-507X2012000100003

Bartlett RH, Gazzaniga AB, Geraghty TR. Respiratory maneuvers to prevent postoperative pulmonary complications. A critical review. JAMA. 1973;224(7):1017-21.

Brasher PA, McClelland KH, Denehy L, Story I. Does removal of deep breathing exercises from a physiotherapy program including pre-operative education and early mobilization af-ter cardiac surgery alter patient outcomes? Aust J Physiother. 2003;49(3):165-73. doi: 10.1016/S0004-9514(14)60236-1

Douce FH. Incentive spirometry and others aids to lung inflation. In: Barnes TA, editor. Core Textbook of Respiratory Care Practice. New York: Mosby; 1994. p. 231-41.

Restrepo RD, Wettstein R, Wittnebel L, Tracy M. Incentive spirometry: 2011. Respir Care. 2011 Oct;56(10):1600-4. doi: 10.4187/respcare.01471

Narayanan AL, Hamid SR, Supriyanto E. Evidence regarding patient compliance with in-centive spirometry interventions after cardiac, thoracic and abdominal surgeries: A sys-tematic literature review. Can J Respir Ther. 2016 Winter;52(1):17-26.

Yamaguti WPS, Sakamoto ET, Panazollo D, Peixoto CC, Cerri GG, Albuquerque ALP. Mobilidade diafragmática durante espirometria de incentivo orientada a fluxo e a volume em indivíduos sadios. J Bras Pneumol. 2010;36(6):738-45.

Pascotini, F. dos S., Ramos, M. de C., Silva, A. M. V. da, & Trevisan, M. E. Espirometria de incentivo a volume versus a fluxo sobre parâmetros respiratórios em idosos . Fisioter Pesqui 2023:20(4):355-60. doi: 10.1590/S1809-29502013000400009

Urell C, Westerdahl E, Hedenström H, Janson C, Emtner M. Lung Function before and Two Days after Open-Heart Surgery. Crit Care Res Pract. 2012;2012:291628. doi: 10.1155/2012/291628

Barra DCC, Dal Sasso GTM. Tecnologia móvel à beira do leito: processo de enfermagem informatizado em terapia intensiva a partir da cipe 1.0®. Text Context - Enferm. 2010;19(1):54-63. doi: 10.1590/S0104-07072010000100006

Wattie J. Incentive spirometry following coronary artery bypass surgery. Physiotherapy. 1998;84:508-14

Arozullah AM, Conde MV, Lawrence VA. Preoperative evaluation for postoperative pulmo-nary complications. Med Clinics North Am. 2003;87:153-73. doi: 10.1016/s0025-7125(02)00151-7

Forbes AR, Horrigan RW. Mucociliary flow in the trachea during anesthesia with enflu-rane, ether, nitrous oxide and morfine. Anesthesiology. 1977;46:319-21. doi: 10.1097/00000542-197705000-00002

Pascotini FS, Ramos MC, Silva AMV, Trevisan ME. Espirometria de incentivo a volume versus a fluxo sobre parâmetros respiratórios em idosos . Fisioter Pesqui. 2023;20(4):355-60. doi: 10.1590/S1809-29502013000400009

Weindler J, Kiefer RT. The efficacy of postoperative incentive spirometry is influenced by the device: specific imposed work of breathing. Chest. 2001;119:1858-64.

Lunardi AC, Porras DC, Barbosa RC, Paisani DM, Silva CCM, Tanaka C, et al. Compari-son of distinct incentive spirometers on chest wall volumes, inspiratory muscular activity and thoracoabdominal synchrony in the elderly. Respir Care. 2013. doi: 10.4187/respcare.02665

Published

2023-10-26

Issue

Section

Management and innovation in health services