La curva flujo-volumen como test de broncodilatacion
Flow-volume curve as a test of bronchodilatation
F. Montemayor Rubio, J. Castillo Gómez, M. Diaz Fernández, E. Rodríguez Becerra, P. Ramis Bisellach, J. López Mejías
Sección de Fisiopatología Respiratoria Departamento de Medicina Interna Seguridad Social Virgen del Rocío. Sevilla
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"apellidos" => "Schoendorff Marín" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615326983?idApp=UINPBA00003Z" "url" => "/03002896/0000001300000001/v1_201509151304/S0300289615326983/v1_201509151304/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "La curva flujo-volumen como test de broncodilatacion" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "21" "paginaFinal" => "26" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "F. Montemayor Rubio, J. Castillo Gómez, M. Diaz Fernández, E. Rodríguez Becerra, P. Ramis Bisellach, J. López Mejías" "autores" => array:6 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Montemayor Rubio" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Diaz Fernández" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Rodríguez Becerra" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Ramis Bisellach" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "López Mejías" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Fisiopatología Respiratoria Departamento de Medicina Interna Seguridad Social Virgen del Rocío. Sevilla" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Flow-volume curve as a test of bronchodilatation" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Queremos como resumen de lo expuesto, dejar una serie de conclusiones:<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1.</span><p id="par0010" class="elsevierStylePara elsevierViewall">Deberán inscribirse los volumenes en el eje (X) y los flujos en el eje (Y).</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2.</span><p id="par0015" class="elsevierStylePara elsevierViewall">No se utilizará la constante de tiempo del sistema.</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3.</span><p id="par0020" class="elsevierStylePara elsevierViewall">Se evitarán amplificaciones más allá de la posición 2, así como errores en la medición.</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4.</span><p id="par0025" class="elsevierStylePara elsevierViewall">Se practicará un mínimo de tres trazados similares, de los que se tomarán los valores máximos.</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">5.</span><p id="par0030" class="elsevierStylePara elsevierViewall">El flujo, es un buen parámetro para ver la reversibilidad de la obstrución bronquial. Posee ventajas en algunos aspectos sobre el FEV<span class="elsevierStyleInf">1</span>, FEV<span class="elsevierStyleInf">1</span>% y Raw.</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">6.</span><p id="par0040" class="elsevierStylePara elsevierViewall">Habida cuenta de la reproductibilidad en los flujos, para dar una positividad del efecto broncodilatador, exigiremos de un 25 a un 30% o más de mejoría.</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">7.</span><p id="par0045" class="elsevierStylePara elsevierViewall">Entre los flujos instantáneos de la curva MEFV, nos parece oportuno utilizar como índice de broncodilatación el V50, ya que los flujos a más bajos volúmenes pulmonares, tienen mayores errores en cuanto a la medición, y mayor variabilidad en cuanto a la reproductibilidad.</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">8.</span><p id="par0050" class="elsevierStylePara elsevierViewall">La morfología de la curva MEFV nos aportará algún dato aclaratorio sobre la broncodilatación producida.</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">9.</span><p id="par0055" class="elsevierStylePara elsevierViewall">Es útil asimismo la inscripción de la curva MEFV a VT.</p></li></ul></p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">As a summary of their work, the authors have written a series of conclusions:<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">1.</span><p id="par0060" class="elsevierStylePara elsevierViewall">The volumes should be inscribed in the axis (X) and the flows in the axis (Y).</p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">2.</span><p id="par0065" class="elsevierStylePara elsevierViewall">The constant of time of the System will not be used.</p></li><li class="elsevierStyleListItem" id="lsti0065"><span class="elsevierStyleLabel">3.</span><p id="par0070" class="elsevierStylePara elsevierViewall">Amplifications beyond position 2 are to be avoided as well as errors in measurement.</p></li><li class="elsevierStyleListItem" id="lsti0070"><span class="elsevierStyleLabel">4.</span><p id="par0075" class="elsevierStylePara elsevierViewall">A mínimum of three similar tracings will be made, from which the máximum valúes will be taken.</p></li><li class="elsevierStyleListItem" id="lsti0075"><span class="elsevierStyleLabel">5.</span><p id="par0080" class="elsevierStylePara elsevierViewall">The flow is a good parameter to see the reversibility of the bronchial obstruction. It has advantages, in some aspects, over the FEV1, FEV1% and Raw.</p></li><li class="elsevierStyleListItem" id="lsti0080"><span class="elsevierStyleLabel">6.</span><p id="par0085" class="elsevierStylePara elsevierViewall">Taking into account the reproductibility of the flows, to give a positive take of the bronchodilator effect, a 25 to a 30% or more improvement will be required.</p></li><li class="elsevierStyleListItem" id="lsti0085"><span class="elsevierStyleLabel">7.</span><p id="par0090" class="elsevierStylePara elsevierViewall">Among the instantaneous flows oí the curve MEFV, the authors feel it opportune to use V50 as Índex of bronchodilatation, as the flows at lower pulmonary volumes have greater errors with respect to measurement, and greater variability with resoect to reoroductibility.</p></li><li class="elsevierStyleListItem" id="lsti0090"><span class="elsevierStyleLabel">8.</span><p id="par0095" class="elsevierStylePara elsevierViewall">The morphology of the curve MEFV will give some explanatory data on the bronchodilatation produced.</p></li><li class="elsevierStyleListItem" id="lsti0095"><span class="elsevierStyleLabel">9.</span><p id="par0100" class="elsevierStylePara elsevierViewall">The inscription of the curve MEFV to VT is also useful.</p></li></ul></p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:35 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 2 | 5 |
| 2024 October | 31 | 14 | 45 |
| 2024 September | 31 | 22 | 53 |
| 2024 August | 58 | 39 | 97 |
| 2024 July | 31 | 30 | 61 |
| 2024 June | 37 | 35 | 72 |
| 2024 May | 41 | 50 | 91 |
| 2024 April | 23 | 34 | 57 |
| 2024 March | 33 | 29 | 62 |
| 2024 February | 35 | 38 | 73 |
| 2024 January | 0 | 3 | 3 |
| 2023 December | 0 | 1 | 1 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 2 | 2 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 11 | 11 |
| 2023 March | 6 | 4 | 10 |
| 2023 February | 18 | 33 | 51 |
| 2023 January | 30 | 30 | 60 |
| 2022 December | 32 | 28 | 60 |
| 2022 November | 35 | 19 | 54 |
| 2022 October | 31 | 31 | 62 |
| 2022 September | 22 | 36 | 58 |
| 2022 August | 25 | 44 | 69 |
| 2022 July | 22 | 32 | 54 |
| 2022 June | 18 | 34 | 52 |
| 2022 May | 32 | 20 | 52 |
| 2022 April | 27 | 33 | 60 |
| 2022 March | 34 | 42 | 76 |
| 2022 February | 34 | 33 | 67 |
| 2022 January | 27 | 29 | 56 |
| 2021 December | 18 | 38 | 56 |
| 2021 November | 18 | 32 | 50 |
| 2021 October | 20 | 31 | 51 |
| 2021 September | 20 | 42 | 62 |
| 2021 August | 15 | 21 | 36 |
| 2021 July | 17 | 23 | 40 |
| 2021 June | 29 | 26 | 55 |
| 2021 May | 14 | 24 | 38 |
| 2021 April | 30 | 16 | 46 |
| 2021 March | 27 | 9 | 36 |
| 2021 February | 28 | 31 | 59 |
| 2021 January | 18 | 18 | 36 |
| 2020 December | 24 | 14 | 38 |
| 2020 November | 8 | 10 | 18 |
| 2020 October | 5 | 13 | 18 |
| 2020 September | 14 | 11 | 25 |
| 2020 August | 12 | 8 | 20 |
| 2020 July | 21 | 14 | 35 |
| 2020 June | 9 | 13 | 22 |
| 2020 May | 12 | 14 | 26 |
| 2020 April | 20 | 10 | 30 |
| 2020 March | 8 | 17 | 25 |
| 2020 February | 23 | 21 | 44 |
| 2020 January | 15 | 13 | 28 |
| 2019 December | 22 | 26 | 48 |
| 2019 November | 10 | 10 | 20 |
| 2019 October | 5 | 14 | 19 |
| 2019 September | 9 | 27 | 36 |
| 2019 August | 11 | 10 | 21 |
| 2019 July | 14 | 22 | 36 |
| 2019 June | 13 | 19 | 32 |
| 2019 May | 11 | 22 | 33 |
| 2019 April | 18 | 23 | 41 |
| 2019 March | 3 | 18 | 21 |
| 2019 February | 2 | 3 | 5 |
| 2019 January | 7 | 6 | 13 |
| 2018 December | 2 | 12 | 14 |
| 2018 November | 14 | 14 | 28 |
| 2018 October | 16 | 16 | 32 |
| 2018 September | 15 | 4 | 19 |
| 2018 May | 7 | 0 | 7 |
| 2018 April | 6 | 5 | 11 |
| 2018 March | 7 | 4 | 11 |
| 2018 February | 12 | 10 | 22 |
| 2018 January | 7 | 8 | 15 |
| 2017 December | 9 | 8 | 17 |
| 2017 November | 7 | 6 | 13 |
| 2017 October | 8 | 6 | 14 |
| 2017 September | 3 | 6 | 9 |
| 2017 August | 9 | 11 | 20 |
| 2017 July | 4 | 6 | 10 |
| 2017 June | 8 | 9 | 17 |
| 2017 May | 11 | 8 | 19 |
| 2017 April | 5 | 16 | 21 |
| 2017 March | 3 | 24 | 27 |
| 2017 February | 5 | 5 | 10 |
| 2017 January | 4 | 6 | 10 |
| 2016 December | 4 | 5 | 9 |
| 2016 November | 18 | 17 | 35 |
| 2016 October | 17 | 19 | 36 |
| 2016 September | 8 | 9 | 17 |
| 2016 August | 17 | 7 | 24 |
| 2016 July | 15 | 5 | 20 |
| 2016 June | 15 | 6 | 21 |
| 2016 May | 17 | 7 | 24 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 12 | 0 | 12 |
| 2016 February | 8 | 1 | 9 |
| 2016 January | 12 | 7 | 19 |
| 2015 December | 16 | 9 | 25 |
| 2015 November | 29 | 11 | 40 |
| 2015 October | 8 | 2 | 10 |
| 2015 September | 2 | 0 | 2 |
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