A piston rises inside the device to measure your breath volume when you breathe from an incentive spirometer. A healthcare professional can set a target breath volume for you to hit. Spirometers are commonly used at hospitals after surgeries or prolonged illnesses that lead to extended bed rest. Your doctor or surgeon may also give you a take-home spirometer after surgery. Breathing slowly with a spirometer allows your lungs to inflate fully.
Your doctor, surgeon, or nurse will likely give you specific instructions on using your incentive spirometer. The following is the general protocol :. You can also clear your lungs throughout the day with relaxed breathing exercises like the below:. Get emergency help if you develop shortness of breath, cough up blood, or see fluid or blood coming from an incision site when you cough. Next to the central chamber of your spirometer is a slider.
This slider can be used to set a target breath volume. Your doctor will help you set an appropriate goal based on your age, health, and condition. You can write down your score each time you use your spirometer. This can help you track your progress over time and also help your doctor understand your progress.
The main column of your incentive spirometer has a grid with numbers. These numbers are usually expressed in millimeters and measure the total volume of your breath. The piston in the main chamber of the spirometer rises upward along the grid as you breathe in. The deeper your breath, the higher the piston rises. Next to the main chamber is an indicator that your doctor can set as a target. This chamber contains a ball or piston that bobs up and down as the speed of your breath changes.
Normal values for spirometry vary. Your doctor will take these factors into account when setting a goal for you. Consistently hitting a result higher than the goal set by your doctor is a positive sign. The Centers for Disease Control and Prevention has a reference calculator you can use to get an idea of the normal values for your demographic. Research has found conflicting results on the effectiveness of using an incentive spirometer compared with other lung strengthening techniques.
Respiratory physiotherapy to prevent pulmonary complications after abdominal surgery: a systematic review. Chest ; 6 : — Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery.
Preoperative evaluation of the patient with pulmonary disease. Chest ; 5 : — The effect of incentive spirometry on postoperative pulmonary complications: a systematic review. Chest ; 3 : — Short-term respiratory physical therapy treatment in the PACU and influence on postoperative lung function in obese adults.
Obes Surg ; 19 10 : — Deep breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. Incentive spirometry for preventing pulmonary complications after coronary artery bypass graft. The effects of intermittent positive pressure and incentive spirometry in the postoperative of myocardial revascularization. Arq Bras Cardiol ; 89 2 : 94 — Comparison between deep breathing exercises and incentive spirometry after CABG surgery.
Rev Bras Cir Cardiovasc ; 24 2 : — Preoperative use of incentive spirometry does not affect postoperative lung function in bariatric surgery. Transl Res ; 5 : — Effect of preoperative and postoperative incentive spirometry on lung functions after laparoscopic cholecystectomy.
Surg Laparosc Endosc Percutan Tech ; 20 3 : — Vats N. Effect of deep breathing exercises and incentive spirometry in the prevention of postoperative pulmonary complications in the patients of cancer esophagus undergoing esophagectomy.
Ind J Physiother Occup Ther ; 3 3 : — Intrapulmonary percussive ventilation versus incentive spirometry for children with neuromuscular disease. Arch Pediatr Adolesc Med ; 6 : — Kips JC. Preoperative pulmonary evaluation. Acta Clin Belg ; 52 5 : — The effect of abdominal binders on postoperative pulmonary function. Am Surg ; 75 2 : — Postoperative pulmonary complications after gynecologic surgery.
Int J Gynaecol Obstet ; 93 1 : 74 — Incentive spirometry to prevent acute pulmonary complications in sickle cell disease. NEJM ; 11 : — Weindler J , Kiefer RT. The efficacy of postoperative incentive spirometry is influenced by the device-specific imposed work of breathing. Chureemas G , Kovindha A. The use of sustained maximal inspiration SMI to improve respiratory function in spinal cord injury.
J Thai Rehabil ; 2 1 : 20 — Positive expiratory pressure device acceptance by hospitalized children with sickle cell disease is comparable to incentive spirometry. Respir Care ; 50 5 : — Respiratory physiotherapy and incidence of pulmonary complications in off-pump coronary artery bypass graft surgery: an observational follow-up study.
BMC Pulm Med ; 9 : Incentive spirometry with expiratory positive airway pressure reduces pulmonary complications, improves pulmonary function and 6-minute walk distance in patients undergoing coronary artery bypass graft surgery.
Am Heart J ; 5 : Incentive spirometry with expiratory positive airway pressure brings benefits after myocardial revascularization. Arq Bras Cardiol ; 94 2 : — Asseessment of tidal volume and thoracoabdomilal motion using volume and flow-oriented incentive spirometer in healthy subjects.
Braz J Med Biology Res ; 38 7 : — Comparison of inspiratory work of breathing through six different spirometers. Respir Care ; 33 10 : — Your healthcare provider or respiratory therapist will direct you as to how frequently and for how long you should use the spirometer.
Most of the time it's recommended that spirometry be done every one to two hours, but some healthcare providers may recommend more or less frequent usage. After surgery, it can be helpful to use your spirometer for as long as you are at risk for lung complications such as pneumonia, which usually means until you are up and moving around similar to your pre-surgery activity level.
It may seem difficult at first to use your spirometer, but following these steps will help you quickly catch on:. Repeat these steps 10 to 12 times every hour you are awake, or as often as your healthcare provider or respiratory therapist recommends. Aim to meet or beat the level you reached during your previous use. If you do not reach your goal, do not get discouraged. You will improve with practice and as you heal. After each use, clean the mouthpiece of your spirometer with warm water and soap.
Don't reuse a disposable mouthpiece for more than 24 hours. Some discomfort is to be expected as you work to strengthen your lungs. Be sure to always follow the instructions of your healthcare provider or respiratory therapist.
If you are using an incentive spirometer after surgery with a chest or abdominal incision, taking a deep breath is important but may be painful. Some people have found it helpful to hold a pillow tightly against their incision area when taking deep breaths. Contact your healthcare team with any questions or concerns.
Relative to many other methods used to treat lung disease and prevent complications from surgery, incentive spirometry is not only relatively easy and quick but is a noninvasive technique that you can take charge of yourself. Carefully follow your healthcare provider's instructions and make sure they are aware of any problems you may or might have with the procedure.
An incentive spirometer is a handheld device used to help your lungs recover after surgery or a lung illness. The device prompts you to inhale at a slow, steady pace to build lung strength and capacity. An incentive spirometer differs from a diagnostic spirometer used for pulmonary function tests.
An incentive spirometer is used by people who are at risk of or have complications from certain lung diseases or surgeries. This includes people:. An incentive spirometer is made up of a breathing tube with a mouthpiece, a smaller chamber with a flow indicator, and a larger chamber premarked in millimeters with a free-moving piston.
The body of the device is constructed of clear plastic. An incentive spirometer is typically used every one to two hours with 10 to 15 breaths for each session. To use an incentive spirometer:. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Cleveland Clinic. Incentive Spirometer. Updated May 2, Respiratory Care. Using an incentive spirometer. Updated September 1,
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