UNIT 6 - MIP/MEP
ACCEPTABILITY & REPRODUCIBILITY CRITERIA - ANSAcceptability:
-Pressure plateau of one-3 seconds
-At least three trials for each (MIP & MEP)
ACCEPTABILITY & REPRODUCIBILITY CRITERIA - ANSReproducibility:
+/- 10% or 10 cmH20 which ever is more.
CLINICAL APPLICATION OF MEP
Maximal Expiratory Pressure (MEP) - ANSMaximum Pressure generated for the duration of
an energetic exhalation.
Usually from TLC.
CLINICAL APPLICATION OF MIP
Maximal Inspiratory Pressure (MIP) - ANSMaximum pressure generated at some stage in an
active inhalation.
Usually from RV.
CLINICAL APPLICATION OF MIP & MEP - ANSAssessment of emphysema:
Can assist to quantify the impact of the sickness on pulmonary mechanics.
CLINICAL APPLICATION OF MIP & MEP - ANSAssessment of neuromuscular illnesses:
Can music progression of muscle weakness.
Helps to determine pending respiration failure.
EQUIPMENT NEEDED FOR MIP & MEP - ANSHand held manometer
Just like within the ICU, best substitute a scuba mouthpiece and nostril clips.
EQUIPMENT NEEDED FOR MIP & MEP - ANSPlethysmograph and software program
Need software program to control the valving of the respiratory manifold. Pressure
transducers of the perfect variety.
SIGNIFICANCE OF MIP & MEP
Diminished MEP - ANS-Neuromuscular
-Neurological impairment of the abdominal muscle groups or popular muscle weak spot.
-High C-Spine Fracture
-Emphysema
-Air trapping and increased RV
-Muscles are not working correctly (Starling's law)
-NORMAL MEP > - 80-a hundred cmH20
SIGNIFICANCE OF MIP & MEP
Diminished MIP - ANS-Emphysema
ACCEPTABILITY & REPRODUCIBILITY CRITERIA - ANSAcceptability:
-Pressure plateau of one-3 seconds
-At least three trials for each (MIP & MEP)
ACCEPTABILITY & REPRODUCIBILITY CRITERIA - ANSReproducibility:
+/- 10% or 10 cmH20 which ever is more.
CLINICAL APPLICATION OF MEP
Maximal Expiratory Pressure (MEP) - ANSMaximum Pressure generated for the duration of
an energetic exhalation.
Usually from TLC.
CLINICAL APPLICATION OF MIP
Maximal Inspiratory Pressure (MIP) - ANSMaximum pressure generated at some stage in an
active inhalation.
Usually from RV.
CLINICAL APPLICATION OF MIP & MEP - ANSAssessment of emphysema:
Can assist to quantify the impact of the sickness on pulmonary mechanics.
CLINICAL APPLICATION OF MIP & MEP - ANSAssessment of neuromuscular illnesses:
Can music progression of muscle weakness.
Helps to determine pending respiration failure.
EQUIPMENT NEEDED FOR MIP & MEP - ANSHand held manometer
Just like within the ICU, best substitute a scuba mouthpiece and nostril clips.
EQUIPMENT NEEDED FOR MIP & MEP - ANSPlethysmograph and software program
Need software program to control the valving of the respiratory manifold. Pressure
transducers of the perfect variety.
SIGNIFICANCE OF MIP & MEP
Diminished MEP - ANS-Neuromuscular
-Neurological impairment of the abdominal muscle groups or popular muscle weak spot.
-High C-Spine Fracture
-Emphysema
-Air trapping and increased RV
-Muscles are not working correctly (Starling's law)
-NORMAL MEP > - 80-a hundred cmH20
SIGNIFICANCE OF MIP & MEP
Diminished MIP - ANS-Emphysema
