Shortness of Breath - Flow Volume Loop
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- Опубликовано: 1 июн 2024
- Roger Seheult, MD of MedCram demonstrates reading a flow volume loop in a recent case of tracheal stenosis. See all Dr. Seheult's videos at: www.medcram.com/
(This video was recorded on March 14th, 2024)
Roger Seheult, MD is the co-founder and lead professor at www.medcram.com/
He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine.
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#pft #pulmonary #stenosis
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Many more, including EKG, heart failure, and bedside ultrasound .
I really enjoy those case presentations, makes me miss the classrooms. Thanks for sharing with us doc, always so easy to learn here.
I had a similar issue due to vocal chord dysfunction brought on by excessive acid reflux from covid
Yes, this is not uncommon.
Very interesting case history Doc! I really enjoy these types of case presentations. Thanks! 👍👍
More to come!
manual therapy and visceral work to the anterior costal-clavicular area and cranial base can be a beneficial-non invasive technique for the connective tissue layers to open up lung volume
Thank for this interesting video, learned a lot from it.
Glad it was helpful!
I’m an RRT, RPFT. About 25 years ago I had a young man who had been treated for suspected asthma for some time. His PFT looked just like your example. It turns out he had a goiter compressing his trachea.
Love that story.
the graph at 3:11 shows the same air volume being breathed in
does that mean the patient has to compensate for the obstruction with deeper breaths, making more use of musculature to draw air in?
do they develop stronger muscles in abdomen/diaphragm/intercostals?
How does this differ from acute onset interstitial lung disease, or the increasing inability of gas exchange? (Hemoglobin production decrease, autoimmune inflammation)
This example was caused by a blockage of the airway (trachea). Interstitial lung disease occurs in the actual lung tissue, where oxygen moves into the blood.
In this case the issue was with the air transportation but not the diffusion in the tissue.
Always good stuff.
Do you offer CEs for acupunctureists?
I have had chronic dyspnea from vape damage to my airway/vocal chord(s) (dysfunction) for almost 4 years now. Any suggestion you have to improve the perception of a full breath again would be greatly appreciated. (My flow volume loop is normal)
How do you know vape damaged your lungs?
Reincarnation
@@FirstnameLastname-pe5ibThey found metal flakes coming off of it.. Do you have advice that helps?
@@adamloepker8057 Yes, chelation therapy and N Acetyl Cysteine will help a lot. Your lungs will be fine, just takes time to chelate and repair.
Vocal cord dysfunction is often treated with speech therapy.
Could something nebulized have been given as a treatment at discharge (for home use) to have helped the damage heal properly?
Not really
@@Medcram
How about infrared light?
@@Medcram
Looks like injury is not uncommon.
What might have caused this woman's greater injury?
Does her injury go into the records of whoever intubated her?
www.ncbi.nlm.nih.gov/pmc/articles/PMC7969363/
I posted a study link, looks like it disappeared.
It appears intubation injury is not uncommon.
Do injuries go into the records of whoever does the intubation?
How are people trained to do the least injurious intubations?
Are there any records on the least injurious intubation hardware?
Is the injury caused in part from compression of the tissue and lack of oxygen to those tissues?
Would cyclic compression help to reduce the injury by allowing reperfusion?
Would using a gas permeable material such as that of contact lenses help?
Is there a pressure meter on the equipment to know how much force is being exerted on the tissue?
@@mballerYep we measure the cuff pressures frequently. This isn’t a common occurrence anymore since we use low pressure higher volume cuffs nowadays.
I have normal PFT but my throat feels constricted almost 24/7. Doctors suspect gerd. I’ve been this way for 3 years now. When I exercise throat starts to get tighter and sob gets worse. Asthma meds don’t really do anything. Xolair didn’t do anything.
Speech therapists treat this.
Have you been evaluated to see if montelukast could be beneficial or if you have SCM muscles that are getting too tight?
@@darilekron4590 I’ve tried it in the past and unsure if it really worked or not. I’m scared to take it now because of all the people saying the wild side effects that could come with it. I’ll look int SCM muscles getting to tight. I haven’t hear of that one.
Do you have a RPFT running these tests? How long was she intubated for?
Not sure how long.
We use RT s
Cool
Is it possible for someone with asthma to have that type of surgery to increase the volume of air they can blow out? Could that cure them of asthma? How risky is that surgery?
There’s no surgery that will improve airflow. Typically bronchodilators are the way to do this. There is something called broncothermoplasty which can prevent constriction
Why cuts and not balloon dilation?
Need both