Exercise respirator testing

Crapo RO, Casaburi R, Coates AL, et al. American Thoracic Society statement Guidelines for methacholine and exercise challenge testing— 1999. Am J Respir Crit Care Med 2000 161 309-329. 

Subjects undergoing respirator protection tests are often required to perform simple exercises. Different testing and regulatory authorities require different exercises, but they typically include the following ... 

After the test exercises, the test subject shall be questioned by the test conductor regarding the comfort of the respirator upon completion of the protocol. If it has become unacceptable, another model of respirator shall be tried. 

ATS/ACCP Statement on Cardiopulmonary Exercise Testing. Am J Respir Crit Care Med 2003 167 211-277. 

Miyamoto S, Nagaya N, Satoh T, et al. Clinical correlates and prognostic significance of six-minute walk test in patients with primary pulmonary hypertension. Comparison with cardiopulmonary exercise testing. Am J Respir Crit Care Med 1999 161 487-92. 

Exercise regimen. Prior to the commencement of the fit test, the test subject shall be given a description of the fit test and the test subject s responsibilities during the test procedure. The description of the process shall include a description of the test exercises that the subject will be performing. The respirator to be tested shall be worn for at least 5 minutes before the start of the fit test. 

The exercises identified in Section 1.A.14 of this appendix shall be performed by the test subject while the respirator seal is being continually challenged by the smoke, directed around the perimeter of the respirator at a distance of six inches. 

Respirator restraining strajjs shall not be over-tightened for testing. The straps shall be adjusted by the wearer without assistance from other persons to give a reasonably comfortable fit typical of normal use. The respirator shall not be adjusted once the fit test exercises begin. 

B) Maximum peak penetration method means the method of determining test agent penetration in the respirator as determined by strip chart recordings of the test. The highest peak penetration for a given exercise is taken to be representative of average penetration into the respirator for that exercise. 

Hansen JE, Sue DY, Wasserman K. Predicted values for clinical exercise testing. Am Rev Respir Dis 1984 129(suppl) 549. 

Kent, L.,0 NeiU,B.,Davison,G.,Nevill,A.,Elbom,J.,Bradley,J., 2009. Validity and reliability of cardiorespiratory measurement recorded by the LifeShirt during exercise tests. Respir. Physiol. Neurobiol. 167 (2), 162 167. http //dx.doi.Org/10.1016/j.resp.2009.03.013. 

Eaton T, Yoimg P, Milne D, et al. Six-minute walk, maximal exercise tests reproducihrUty in fihrotic interstitial pnermronia. Am J Respir Crit Care Med 2005 171 115(L1157. 

Schwaiblmair M, Beinert T, Vogelmeier C, et al. Cardiopulmonary exercise testing following hay exposure challenge in farmer s lung. Eur Respir J 1997 10 (10) 2360-2365. 

Kawut SM, O Shea MK, Bartels MN, et al. Exercise testing determines survival in patients with diffuse parenchymal lung disease evaluated for lung transplantation. Respir Med 2005 99(11) 1431-1439. 

The grimace exercise is intended to test the respirator s ability to reseal to the wearer s face. 

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