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Ers school steering committee meeting
Meet the Expert 4
Nuts and bolts of cardiopulmonary exercise testing (CPET): theory,
guidelines and practice
1. Palange, P., S. A. Ward, K. H. Carlsen, R. Casaburi, C. G. Gallagher, Rik Gosselink, D. E.
O'Donnell et al. "Recommendations on the use of exercise testing in clinical practice." European Respiratory Journal
29, no. 1 (2007): 185-209. (available at- free access through ERS e-learning during July and August 2013)
2. Hiraga, Toru, Ryoji Maekura, Yoshinari Okuda, Takashi Okamoto, Atsushi Hirotani, Seigo
Kitada, Kenji Yoshimura, Soichiro Yokota, Masami Ito, and Takeshi Ogura. "Prognostic predictors for survival in patients with COPD using cardiopulmonary exercise testing." Clinical physiology and functional imaging
23, no. 6 (2003): 324-331. (available at- not open access)
3. Oga, Toru, Koichi Nishimura, Mitsuhiro Tsukino, Susumu Sato, and Takashi Hajiro. "Analysis of
the factors related to mortality in chronic obstructive pulmonary disease: role of exercise capacity and health status." American journal of respiratory and critical care medicine
167, no. 4 (2003): 544-549. (available at- open access)
4. Nixon, Patricia A., David M. Orenstein, Sheryl F. Kelsey, and Carl F. Doershuk. "The prognostic
value of exercise testing in patients with cystic fibrosis." New England Journal of Medicine
327, no. 25 (1992): 1785-1788. (available at- open access)
5. Tantisira, Kelan G., David M. Systrom, and Leo C. Ginns. "An elevated breathing reserve index at
the lactate threshold is a predictor of mortality in patients with cystic fibrosis awaiting lung transplantation." American journal of respiratory and critical care medicine
165, no. 12 (2002): 1629-1633. (available at- open access)
6. Palange, Paolo, Silvia Forte, Paolo Onorati, Felice Manfredi, Pietro Serra, and S. Carlone.
"Ventilatory and metabolic adaptations to walking and cycling in patients with COPD." Journal of Applied Physiology
88, no. 5 (2000): 1715-1720. (available at- open access)
7. Palange P, Valli G, Antonucci R. “Exercise testing in the prognostic evaluation of patients with
lung and heart diseases.” In: Clinical Exercise Testing (Ed: P. Palange and S.A.Ward), European Respiratory Monograph 2007. (available at- open access)
8. Man, W. D. C., N. Mustfa, D. Nikoletou, S. Kaul, N. Hart, G. F. Rafferty, N. Donaldson, M. I.
Polkey, and J. Moxham. "Effect of salmeterol on respiratory muscle activity during exercise in poorly reversible COPD." Thorax
59, no. 6 (2004): 471-476. (available at- open access)
9. O'Donnell, Denis E., Chistine. D'Arsigny, and Katherine A. Webb. "Effects of hyperoxia on
ventilatory limitation during exercise in advanced chronic obstructive pulmonary disease." American journal of respiratory and critical care medicine
163, no. 4 (2001): 892-898. (available at- open access)
10. Palange, Paolo, Gabriele Valli, Paolo Onorati, Rosa Antonucci, Patrizia Paoletti, Alessia Rosato,
Felice Manfredi, and Pietro Serra. "Effect of heliox on lung dynamic hyperinflation, dyspnea, and exercise endurance capacity in COPD patients." Journal of Applied Physiology
97, no. 5 (2004): 1637-1642 (available at- open access)
11. Palange, Paolo, Emanuele Crimi, Riccardo Pellegrino, and Vito Brusasco. "Supplemental oxygen
and heliox: 'new' tools for exercise training in chronic obstructive pulmonary disease." Current opinion in pulmonary medicine
11, no. 2 (2005): 145-148. (availabl- not open access)
12. O'donnell, D. E., T. Flüge, F. Gerken, A. Hamilton, K. Webb, B. Aguilaniu, B. Make, and H.
Magnussen. "Effects of tiotropium on lung hyperinflation, dyspnoea and exercise tolerance in COPD." European Respiratory Journal
23, no. 6 (2004): 832-840. (available at- free access through ERS e-learning during July and August 2013)
13. O'donnell, D. E., N. Voduc, M. Fitzpatrick, and K. A. Webb. "Effect of salmeterol on the
ventilatory response to exercise in chronic obstructive pulmonary disease." European Respiratory Journal
24, no. 1 (2004): 86-94. (available at- free access through ERS e-learning during July and August 2013)
14. Oga, Toru, Koichi Nishimura, Mitsushiro Tsukino, Takashi Hajiro, Akihiko Ikeda, and Takateru
Izumi. "The effects of oxitropium bromide on exercise performance in patients with stable chronic obstructive pulmonary disease: a comparison of three different exercise tests." American journal of respiratory and critical care medicine
161, no. 6 (2000): 1897-1901. (available at- open access)
15. Fishman, Alfred, Fernando Martinez, Keith Naunheim, S. Piantadosi, R. Wise, A. Ries, G.
Weinmann, and D. E. Wood. "A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema." N Engl j Med
348, no. 21 (2003): 2059-2073. (available at- open access)
16. Dolmage, T. E., T. K. Waddell, F. Maltais, G. H. Guyatt, T. R. J. Todd, S. Keshavjee, S. van
Rooy, B. Krip, P. LeBlanc, and R. S. Goldstein. "The influence of lung volume reduction surgery on exercise in patients with COPD." European Respiratory Journal
23, no. 2 (2004): 269-274. (available at- free access through ERS e-learning during July and August 2013)
17. Mineo, Tommaso C., Eugenio Pompeo, Paola Rogliani, Mario Dauri, Franco Turani, Patrizio
Bollero, and Natalia Magliocchetti. "Effect of lung volume reduction surgery for severe
emphysema on right ventricular function." American journal of respiratory and critical care medicine
165, no. 4 (2002): 489-494. (available at- open access)
18. Porszasz, Janos, Margareta Emtner, Shinichi Goto, Attila Somfay, Brian J. Whipp, and Richard
Casaburi. "Exercise training decreases ventilatory requirements and exercise-induced hyperinflation at submaximal intensities in patients with COPD." CHEST Journal
128, no. 4 (2005): 2025-2034. (available at– open access)
USE OF MINIMAL SEDATION FOR CLINIC APPOINTMENTS AND DIAGNOSTIC PROCEDURES INTRODUCTION Clients who are anxious or unable to cooperate for necessary diagnostic tests and treatments may benefit from low doses of medications to alleviate anxiety and improve the individuals ability to cooperate. These medications should be administered on the living units prior to transport to the a
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