ATS Pulmonary Function Laboratory Manual

ATS Pulmonary Function Laboratory Management & Procedure Manual | 3rd Edition

3.

Personnel Qualifications (9): 3.1.

The director of the laboratory performing the CPET should be a physician, preferably a pulmonolo- gist or cardiologist certified in advanced cardiovascular life support, with knowledge of exercise physiology and with training in calibration, quality control, performance, and interpretation of CPET. 3.2. The director, based on the clinical situation and clinical judgment, should determine whether a physician needs to be present during the actual test or whether it is sufficient for the physician to be physically available in the proximity of the exercise laboratory, so as to be able to respond immedi- ately in case of emergency. 3.3. The technicians should be trained in the field related to CPET such as exercise physiology, respirato- ry therapy, or pulmonary function testing. The technicians must have the basic knowledge of normal and abnormal exercise responses and be certified in basic cardiac life support (advanced cardiac life support preferred). They should be able to recognize an abnormal rhythm and ST depression on and ECG. The technician must have a minimum of 3 months of experience or internship in CPET before being given full responsibility for conduct of tests, and be competent in calibrating the equipment, and performing quality control procedures. Speed range 0.5 to 8 mph (0.5 to 15 mph for healthy physically active and competitive athletes) 1.3. Grade range 0% to 20% 1.4. Accommodate body weights up to 350 lb 1.5. Emergency stop button 1.6. Padded hand rails, front and sides 2. Cycle ergometer (20, 21) 2.1. Electromagnetically braked 2.2. Capable of calibration 2.3. Handlebars and seat that adjust to height 3. ECG system 3.1. Instrumentation should meet the most current specifications set by the American Heart Association (AHA) 4. Blood pressure 4.1. Sphygmomanometer (cuff measurement method) 1. Assorted cuff sizes 2. Mercury column or calibrated pressure gauge 4.2. Direct method using in-dwelling arterial catheter 1. Pressure transducer 2. Recorder 3. Intravenous (IV) administration set and associated pressure tubing 4. 500-ml IV bag of heparinized saline solution with 1,000 units of heparin (2 units/ml) to be put under pressure for catheter flushing apparatus. Equipment and Supplies 1. Treadmill (20, 21) 1.1. Electrically driven 1.2.

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