How To Perform Spirometry Examination For Accurate Lung Function Testing - Clinical Skills - Dr Gill
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- เผยแพร่เมื่อ 16 ก.ค. 2024
- How to Perform Spirometry Lung Function Testing
Lung function testing is a very important part of respiratory disease diagnosis and management.
This very simple bedside test allows for easy diagnosis of obstruction and also restrictive lung diseases such as asthma, COPD and pulmonary fibrosis when used in conjunction with other investigations
Spirometry requires a patient to be safe to perform the examination, and also able. so we must ensure that the patient is not affected currently by nausea or vomiting, or current respiratory tract infections before performing
#DrGill #Spirometry #Asthma
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction and Patient Identification
00:27 - Spirometry Explanation
00:45 - Safety Questions Before the Test
01:19 - Checking Vital Statistics: Height and Weight
02:00 - Setting Up Spirometry Test Details
02:23 - Using the Mouthpiece and Nose Peg
03:04 - Performing the Spirometry Test
03:58 - Reviewing the Spirometry Test Results
04:39 - Outro
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Dynamic Duo is back 🔥
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I have a theory Abby has never had a bad thought about anyone in her life.
She is genuinely very kind.
Did a lot of work on positive mental health, and self care for the medical school
I too imagine this is entirely true. She is an angel among us
@@DrJamesGill Did the great Dr Gill just reply to me? Wow. This is better than the time William Shatner replied to me on Twitter.
In all seriousness, that’s great for Abby. I have MDD and GAD. I’m on multiple medications and I’ve spent time in a psychiatric hospital. So it’s awesome she does that kind of work.
The simplest thing, and most effective, was raising money for a supply of hot water bottles and blankets to be kept in the med school computer room - some people do LONG hours there
I have a dark corner of my mind I go to and scream ……
Abbie always looks like she’s going to laugh 😂
Its because in the majority of the shots I’ve stopped laughing about a second before ……
I keep threatening her with a blooper reel!
@@DrJamesGill Oh Gosh PLEEEEEASE YES!
@@DrJamesGill Release the blooper reel. I mean what better medicine than laughter.
@@DrJamesGill this has to happen
I hope Abby lives a long and happy life.
It's Abbey again!!!!!!🙌😂
We’re going to do the best of 25…
Excellent, my paddling pool is now blown up
🤣🤣🤣
😂
😂😂😂
At this point I feel like I’m growing old with Abbie.
Man. I came here so excited. Only to see 20 hours left 😂😂
Same....
Will he putapitapaper? Stay tuned!
My dissapointment is immeasurable and my day is ruined.
All electronic this time!
Just the same🤣🤣🤣
Abbie is becoming an icon now!
As an asthmatic, I enjoy these ones even more, since it's a glimpse from the 'other side of the desk,' as it were.
Looks like Abby's back, too! :D
Yup. She’s here. I *hope* that she also benefits from doing the videos too 😊
I can confirm that is my back indeed
You should apologise for existing
@@MedbeeMedic Do you feel ASMR when recording these videos? If you do then that makes it super awesome!
I'm old enough to remember when this test was exhaling into a plastic tube to physically move a peg down the scale lol
3:17 that cute proud face. Always enjoying and learning with you, Doc! Hugs from Brazil.
I feel like Abbie is leading the Gill Universe as his mightiest patient 😂👏🏼
Abby looked adorable with her nose clamps on 🤗🥰 Thank you Dr. Gill and Abby for continuing to provide us weird ASMR people with videos to relax to. It has been a life saver for my mental health.
Every time I have to deal with a difficult person I try to find my inner Dr. Gill.
She's an angel, i wish she was in all the videos!
Dr.Gill has to know he's an ASMR legend now right?
He must... he just must.
Good to see Abbie again..you two are a great team! ..thank you both for teaching us!
👍
That last bit of showing that plastic should be thrown in a bin was very educational! 🙃
It was something we thought to include simply because we need to be so careful with things at the moment
Why this dude only has 37k subs? Blows my mind. These videos cure my sleeping problems!
At least for one time, ask him how was his day. The man does everything for you and for your health. 😂😂😂
Ansioso pra ver esse novo video! Seus videos além de interativos são bem relaxantes!
Omg! I'm so happy😭I didnt know he had his own channel. The king of unintentional asmr! 💤💤💤
A very different video but fascinating none the less , great job Dr Gill and well done Abbie. Have a lovely day everyone and thank you for taking the time and effort for bringing this to us
We were going to do The Asthma review, but the option for a spirometer came up, so we took it 😊
My one wish in life is to do something for James that he describes to me as "excellent"
Love these videos! Keep them coming sir!
Production values worthy of the legend.
I’m not sure about that, but improving 😊
As a Maths and Sports Sci grad, it's cool to know about what you're actually doing for once 😅😅. Granted I've wanted to do medicine, but with everything that's gone in my life, SS was the closest doable!
Sport science is cool however. I really want to get into sports medicine
Gill, you and Abbey are back
Dr Gill is a legend! Xx
Dr James I really enjoy these videos. I came across them completely by accident.
Glad you like them, hope they are useful 😊
Thanks this is super helpful! We are learning about respiratory diseases right now.
I love your videos man, keep it up! I am from Brazil! Take care!
Thanks, you too!
I think this is the best resolution of a video I have ever seen on yt.
Btw great video Dr. G
Honestly I have NO IDEA why it has turned out this well, same cameras as normal!
Yay, Abbie’s back 😁
👍
It is literally…… my back
MedbeeMedic ...and I even spelt your name correctly 😁
Suuuuuuch a comforting voice wow
I lovd Abbiee tutt and dr james gill literally they make the best Asmr videos
I thought spirometry was a class at hogwarts.
🤣🤣🤣🤣
probably the best video quality ever seen
👍
That was like a breath of fresh air. 😁
Abby's back in town!!!
Excellent video of how it should be done. I've never been asked any of those questions before the test and never been given a nose clamp 🤦🏻♀️
You are doing a great job.
Thanks, it’s a big learning curve but we’re getting there
And the adventures continue
Interesting. Thank you ⭐🙂
Abbie strikes back! Nice audio Dr!
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Wonderful vid:) Dr Gill u rock as always
Bless you Abbey you legend
Great video as always Dr Gill
Thanks 😊
I need to prep the numbers for the explanation video now!
10 star camera quality 👍
Perfect ... both of you 🥰
Thanks for sharing knowledge
Looking forward to it!:)
Hope you like it!
Can't wait.
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Wow! the Gill & Tutt series seems to move fast.
Your videos are very goods!
Thank you very much!
You and abby are my favorites 💛
Where there's a Gill, there's a way ;) Sterling work as always :)
I just realized all Doctors should do these tests themselves several times just to know what the patients are feeling at each moment , so this is great practice for Abby
(I’ve found it really useful doing the videos for similar reason! 😊 )
Honestly much better without the masks. Audio has been fine but something about the masks makes it harder to follow. Communication is just much better.
The masks - for this sort of thing are not great, but I wanted to continue, so we have what we have
I will however refilm all the mask videos at a later date
@@DrJamesGill Yes I appreciate she'd have to take it off the main bit, I just mean it's definitely better to see communication without them
Now I’m sure you said “nose peg”, but a part of me is enjoying mishearing it as “clothes peg” 🙊
Only when we can’t find the actual nose peg 😜
Dr. Gill we count the hours looking forward to a new video.
Bang on!
Man, I wish these sessions were longer.. 🤞
Your videos are medical related but act as ASMR. We get relaxation more than knowledge.
I've been thinking Abby send very happy in this exam. I realised today that it's just because I can see her smiling lol
So refreshing to see faces.
Love his voice 🥰
Has a very nice manner, and sounds just like legend ‘whispering’ Bob Harris.
Super
I have an asthma review every year but I've never seen this equipment before
Many places use peak flow for the asthma review, but spirometry is more detailed.
It’s more often used to confirm the diagnosis
This really helped me for my exam thank you
Fantastic! Please come back and tell us when you get your results 😊
Of course thank you so much
I have a feeling Abby’s gonna get promoted to Doctor status soon!!!
Glad to finally see some uploads without masks 😄
Hi Doctor Gill! Love all your videos and have been watching you since you appeared on an ASMR channel. As a filmmaker I have one SLIGHT suggestion. You videos are definitely getting better and better but in this video during the opening interview, you break the 180 degree rule resulting in both you and the patient on screen right looking left. If you imagine a line connecting you two from nose to nose, both cameras should be on the same side of the line. So there’s a camera over her RIGHT shoulder which there is) and a camera over your LEFT shoulder (but in this video it’s also on your right shoulder).
Hope this makes sense. Just constructive advise I hope. Love everything else. You teach me (a non doctor) a lot, thought I’d give some knowledge back!
Thank you, I appreciate this - I find how these things “work” visually so interesting
Something I find particularly relevant in this video is that some potential issues are mentioned. I found Dr. Gill's content through the ASMR community but I find myself interested in things such as "what would be a red flag in certain parts of the cranial nerve examination" and so on. Perhaps in future content there could be mentions to what to be on the look out for, etc.
It’s taking me a LONG time to get them done, but when I do the deep Dive videos I go over the red flags
In terms of the cranial nerve red flags. We’ve covered those with an entire PLAYLIST on each cranial nerve
th-cam.com/play/PLi9o6OEHhWUg1obhtBqBLzSr4_9MDsluM.html
@@DrJamesGill thank you so much for taking the time to reply! And thank you for providing the link, this is something I am very curious about, so I'll make sure to check it out in a while. Congratulations on your amazing work and all the best.
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Holy crap, I think I've actually done this before
Nicely trimmed beard Doc
Oi oiiiii Abby is back !! woop woop 🙌
👍
☺️☺️☺️☺️
3:13 a nurse had a go at me when i done 1 of them, saying i didnt try hard enough. I was about 9 and just had an asthma attack a day or 2 ago.
Hi Dr. Gill, just wanted to ask what you consider a normal FEV1 %? For surgery we look for 70% or better without a bronchodilator.
I don't know why I was expecting him to ask if she was vaccinated lol
I suppose that could have been included, but isn’t part of the standard protocol, and spirometry has been paused in many GP practices for the pandemic
I just took this test and this was so much more easier than the one I took.. I didn't get three good test just one and struggle with just that one test.😥
First to use the plastic pin to hold the gears in place then you take a tent put it in the circle of one of the gears place that gear against the inner ring of the first gear and draw and draw and draw that's how you do it
I am going to write Abbi's birthday on my calendar. Oh wait, I already did that three times
Oh we just do love Abby
I don't know if you've ever done a video like so before, but I really like collar bones and the thorax as a whole, so would you mind making a video of you performing an examination on someone's thorax with an stethoscope?
This is a test that I would love to do. I’m curious how strong my lungs might be
Great job. My gp surgery don't have this
A lot of places have paused doing them at the moment - I’m still offering them, but on the porch of the practice so lots of air
@@DrJamesGill before pandemic they didn't have it
shes so so cute
Dr. Gill and Abbie 🤩
She’s final year now, so need to help her out as well
@@DrJamesGill I wish Abbie all the best for her final year!
@@Everyyoueverymiau thank you !!! I’ll need it 🤕
@@DrJamesGill you all ready are !! Half of these i haven’t covered since you taught them to us ….. in first year 😂
Looking forward to the 7th of December...❤
I had blood clots before, suffered from 2 pulmonary embolisms at the age of 26 and 27. What would have happened if a patient said yes to that question?
Congrats on both of you being fully vaccinated!
It does help mentally, but we still need to be careful
@@DrJamesGill I do still wear a mask even if a place doesn't require it
I agree completely, I think that whilst it’s still an issue, I think it HIGHLY unlikely I’ll be able to go to the shops without a mask
@@DrJamesGill I agree!
Thank you Dr James Gill!
I've done this test before! For a study at McGill. As a flute player and an athlete, I felt pressure to perform and blow the test out of the water 😂. Their computer said I was in the 101 percentile (which doesn't make sense to me). So, playing flute and running competitive gives you strong lungs, who'd have thought?
They probably meant 101% of predicted. Ie better than a “normal” version of you. Still good result though 😊
@@DrJamesGill oh hahaha, well I felt really special 😅
5 hour gang!
Abbie..lovely..Tutt
Thank you for this demonstration but I have a question, what's the difference between this test and the one where you inhale through the mouth piece instead exhaling?
I've been waiting for spirometry since lockdown. I'm deemed not "bad enough" and was dropped from the asthma nurse investigations even though I now cannot walk up the street without quite bad SOB. What has happened to the NHS? Gone from being an active gym user and brisk walking 20k a week to a huffing puffing person, all in the space of a month and cannot even get to see a GP. They have dropped the ball.
Dr. Gill may god give you more Power. You are the best. Greetings from Turkey 🇹🇷
Thanks for watching 😊
Hope you find something useful here 😊
Dr Gill how does it feel being a legend?
Pls reply.
Excellent 👍
Dr. Abby!! Hi!
I mean Abbie.
I was told I have COPD based on a PFT after I had a bad pneumonia. I needed to PFT to be allowed to work at my job to make sure the lungs weren't damaged too much for my job.
Yet, I have been an athlete all my life. I finished an ironman after this pneumonia. My v02 max is top 5 % of my age.
I have literally zero lf the symptoms other than the spirometry. No mucus cough, no continued illnesses, not short of breath.....nothing. Yet, even on a CPEX it supposedly showed up.
How is this possible?