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How Long Do We Stop SABA or LABA Prior to Spirometry - Dr. Sheetu Singh For more details of Spirometry Treatment Visit Dr. Sheetu Singh. www.drsheetusingh.com
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Spirometry Diagnosis
Role of other ancillary investigations • Bronchial provocation • Allergy tests • FENO • Helps in phenotyping asthma • Predicts response to ICS • FeNO guided therapies have been said to bring down the exacerbation rate
Differential diagnosis • Upper airway obstruction • Tracheal obstruction • Hyperventilation syndrome • Panic attack • COPD • Bronchiectasis • Cystic fibrosis • Mitral stenosis • Cardiac failure • Parenchymal lung disease
Asthmawith no improvement • 45 Y M F/C Asthmawith increase in symptoms since 2 months • Symptoms more in night • Not responding to triple regime of LAMA, LABA and ICS • On examination – decreased air entry • SpO2 95% RA