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Research ArticleOriginal Research

Inter-Rater Agreement of Auscultation, Palpable Fremitus, and Ventilator Waveform Sawtooth Patterns Between Clinicians

Marc P Berry, Joan-Daniel Martí and George Ntoumenopoulos
Respiratory Care October 2016, 61 (10) 1374-1383; DOI: https://doi.org/10.4187/respcare.04214
Marc P Berry
Physiotherapy Department, Guy's and St Thomas' NHS Foundation Trust, King's Health Partners, London, United Kingdom.
Physiotherapy Department, Hampshire Hospitals NHS Foundation Trust, Basingstoke and North Hampshire Hospital, Hampshire, United Kingdom.
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  • For correspondence: [email protected]
Joan-Daniel Martí
Pulmonary Critical Care Unit and Animal Experimentation Division, Thorax Institute, Hospital Clínic, Barcelona, Spain, and the Centro de Investigación en Red-Enfermedades Respiratorias (CIBERES), Mallorca, Spain.
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George Ntoumenopoulos
Physiotherapy Department, Guy's and St Thomas' NHS Foundation Trust, King's Health Partners, London, United Kingdom.
University of Technology Sydney, Sydney, New South Wales, Australia.
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    Fig. 1.

    Percentage agreements between the research clinician and ICU clinicians, of variable experience, on the presence or absence of breath sounds during auscultation in all lung zones.

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    Fig. 2.

    Percentage agreements between the research clinician and ICU clinicians, of variable experience, on the presence or absence of abnormal and adventitious sounds during auscultation in all lung zones. Br = bronchial breath sounds, Icr = inspiratory crackles, Iwh = inspiratory wheeze, Ecr = expiratory crackles, Ewh = expiratory wheeze, Pr = pleural rub.

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    Fig. 3.

    Percentage agreements between the research clinician and ICU clinicians, of variable experience, on the presence or absence of ventilator flow-time sawtooth pattern during inspiration and expiration.

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    Fig. 4.

    Percentage agreements between the research clinician and ICU clinicians, of variable experience, on the presence or absence of palpable fremitus in all lung zones.

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Respiratory Care: 61 (10)
Respiratory Care
Vol. 61, Issue 10
1 Oct 2016
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Inter-Rater Agreement of Auscultation, Palpable Fremitus, and Ventilator Waveform Sawtooth Patterns Between Clinicians
Marc P Berry, Joan-Daniel Martí, George Ntoumenopoulos
Respiratory Care Oct 2016, 61 (10) 1374-1383; DOI: 10.4187/respcare.04214

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Inter-Rater Agreement of Auscultation, Palpable Fremitus, and Ventilator Waveform Sawtooth Patterns Between Clinicians
Marc P Berry, Joan-Daniel Martí, George Ntoumenopoulos
Respiratory Care Oct 2016, 61 (10) 1374-1383; DOI: 10.4187/respcare.04214
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Keywords

  • auscultation
  • palpation
  • ventilators
  • mechanical
  • observer variation
  • respiratory sounds
  • critical care
  • humans

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