IMPACTS OF AIR RESISTANCE IMPOSED BY RESPIRATORY FILTERS ON VOLUME AND FLOW VALUES DURING SIMULATED RESPIRATORY PATTERN.

Pulmonary function and respiratory pattern exams are essential for the diagnosis of various diseases, such as COPD and asthma. Most equipment used in these exams is not sterilized, making the use of respiratory filters necessary for biological protection of the evaluated individual. However, the use of filters with high air resistance can alter the measurement of airflow and air volume during these evaluations. Thus, analyzing the influence of this resistance is important to ensure that the results of these exams can be reliable. To analyze the influence of the resistance of a respiratory filter on the flow and volume values collected in an innovative equipment used for the examination of the human respiratory pattern. This is an experimental study. The measurement system consists of an Active Servo Lung (ASL) 5000 human breathing simulator; a respiratory filter holder for the KOKO spirometer; a respiratory filter for spirometry; and the Respiratory Diagnostic Assistant (RDA) device, developed by the LINDEF/UFPE laboratory for the evaluation of the respiratory pattern. The ASL 5000 was configured to simulate the normal respiratory pattern of a healthy adult individual. The settings were: respiratory frequency = 10 bpm; inspiratory time 2 s, expiratory time 4 s, I:E ratio = 1:2; tidal volume = 0.5L; airway resistance = 3cmH2O; lung compliance = 100mL/cmH2O; and muscle pressure = 15cmH2O. The breathing simulation was programmed to occur for 3 minutes, and thus, the ASL 5000 produced a total of 30 respiratory cycles, of which the flow and volume curves and respiratory pattern parameters were recorded by the RDA. This same procedure was performed twice, once with the presence of the filter membrane inside the filter holder, and another time without the presence of the filter membrane. The results were subsequently analyzed by the RDA Analysis software. With the addition of the filter to the system, there was a decrease from 84.46 L/min to 79.76 L/min in inspiratory flow and from 90.25 L/min to 85.76 L/min in expiratory flow, with a consequent reduction from 1323.63 mL to 1285.26 mL in inspiratory tidal volume and from 1293.73 mL to 1270.96 mL in expiratory tidal volume. By comparing the mean values of inspiratory and expiratory flow and volume in the simulation of a basal respiration, it can be inferred that the resistance imposed by the filter added to the system produced considerable decreases in inspiratory and expiratory flow and volume values. The differences obtained in this result are useful for compensation adjustments in the RDA software, aiming to correct this resistance imposed by the filter membrane, necessary during collection. Thus, this result will contribute to ensuring a respiratory pattern exam as close as possible to what the evaluated patient actually presents. It also brings reflection on the need to correct the volume and flow values obtained by other software responsible for the processing of respiratory pattern and pulmonary function data, which require the use of respiratory filters in their execution. [ABSTRACT FROM AUTHOR]