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Vital signs in acute, severe asthma are: respiratory rate usually >30 breaths/min; heart rate >120 beats/min; wheezing throughout both the inspiration and the expiration; use of accessory respiratory muscles; evidence of suprasternal retractions; and pulsus paradoxus >12 mmHg.
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Finally, it is important to rule out whether the fall in CVP is actually due to the release of an active expiration and use of abdominal muscles.
Waist circumference (WC) is measured in the midpoint of the lowest rib and iliac crest in the end of expiration using a measuring tape to the nearest of 0.1 cm To measure blood pressure (BP), subjects are allowed to be in sitting position at least 10 minutes.
Glottic linear measurements, expressed in pixels, were taken of arytenoids at their most adducted position (end of expiration) using the UTHSCSA Image Tool 3.00 for Windows software.
Skinfold thicknesses were measured using Holtain skinfold callipers (Holtain Ltd) at specified sites and abdominal circumference was taken at the end of expiration using a blank tape measured against a fixed scale.
Waist circumference (WC) was measured twice at the end of normal expiration using a measuring tape placed at the top of the iliac crest as suggested by the US National Institutes of Health.
Waist circumference (WC) was measured in duplicate to the nearest 0.1 cm in the standing position, at the high point of the iliac crest at the end of a gentle expiration, using a flexible tape measure (Seca 201).
Dynamic assessment may include measurements of vessel diameter during inspiration and expiration using m-mode.
Progression of symptoms, as well as possible decline in forced expiratory volume in the first second of expiration (FEV1), warrant the use of long-acting bronchodilators.
Inaccuracy of HIV diagnosis in the field is also often related to the fact that the staff in the health care facility is not adequately trained, a high turn over of personnel, the use of tests after expiration dates, or shipment of tests in sub-optimal conditions.
In this study, the tests were performed according to recently published guidelines concerning devices for breath sampling, stationary and immediate analyses, prolonged expiration and correction for alveolar CO2, use of antibiotics, diet, cigarette smoking and physical exercise [ 15].
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