Measurement of oxygen uptake: validation of a "mask-free" method. 2007

Ivan Corazza, and Laura Fabbiani, and Romano Zannoli
Institute of Cardiology, Policlinico S.Orsola-Malpighi, University of Bologna, Pad. 21, via Massarenti 9, 40138 Bologna, Italy.

In clinical practice, oxygen uptake is an indicator of cardiopulmonary performance. Most commercial systems measure oxygen uptake by collecting expired air through masks or mouthpieces which are often poorly tolerated by the patient. We have developed and validated a novel mask-free system to improve patient comfort and performance. The prototype is composed of a soft walled funnel that collects and conveys the expired air, together with some external air, in a mixing chamber by means of an aspiration system. Oxygen concentration and airflow are measured and then oxygen uptake is calculated. Direct comparison between calculated and preset oxygen uptake values obtained by a mechanical simulator was performed. Errors ranged between 1% and 3.3%, depending on the absolute value of oxygen consumption. Then the prototype was connected "in-series" with a breath-by-breath commercial system, and ten subjects were submitted to a standard stress test. The results showed good agreement (R=0.94) and a mean difference of 5% between the peak values. The longer response time of the prototype caused a delay between the two .V(O2)(t) curves, leading to an underestimation in the exercise phase and an overestimation in the recovery phase, suggesting more technical improvements. Nevertheless in its present form the new system can be used in the whole exercise phase and, with caution, also in the recovery phase.

UI MeSH Term Description Entries
D008397 Masks Devices that cover the nose and mouth to maintain aseptic conditions often for the prevention of the spread of infections (e.g. COVID19) or to administer inhaled anesthetics or other gases. Mask
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010101 Oxygen Consumption The rate at which oxygen is used by a tissue; microliters of oxygen STPD used per milligram of tissue per hour; the rate at which oxygen enters the blood from alveolar gas, equal in the steady state to the consumption of oxygen by tissue metabolism throughout the body. (Stedman, 25th ed, p346) Consumption, Oxygen,Consumptions, Oxygen,Oxygen Consumptions
D011659 Pulmonary Gas Exchange The exchange of OXYGEN and CARBON DIOXIDE between alveolar air and pulmonary capillary blood that occurs across the BLOOD-AIR BARRIER. Exchange, Pulmonary Gas,Gas Exchange, Pulmonary
D001944 Breath Tests Any tests done on exhaled air. Breathalyzer Tests,Breath Test,Breathalyzer Test,Test, Breath,Test, Breathalyzer,Tests, Breath,Tests, Breathalyzer
D003936 Diagnosis, Computer-Assisted Application of computer programs designed to assist the physician in solving a diagnostic problem. Computer-Assisted Diagnosis,Computer Assisted Diagnosis,Computer-Assisted Diagnoses,Diagnoses, Computer-Assisted,Diagnosis, Computer Assisted
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012680 Sensitivity and Specificity Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed) Specificity,Sensitivity,Specificity and Sensitivity
D015203 Reproducibility of Results The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results. Reliability and Validity,Reliability of Result,Reproducibility Of Result,Reproducibility of Finding,Validity of Result,Validity of Results,Face Validity,Reliability (Epidemiology),Reliability of Results,Reproducibility of Findings,Test-Retest Reliability,Validity (Epidemiology),Finding Reproducibilities,Finding Reproducibility,Of Result, Reproducibility,Of Results, Reproducibility,Reliabilities, Test-Retest,Reliability, Test-Retest,Result Reliabilities,Result Reliability,Result Validities,Result Validity,Result, Reproducibility Of,Results, Reproducibility Of,Test Retest Reliability,Validity and Reliability,Validity, Face

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