RT Journal Article SR Electronic T1 A Cleaning and Calibration Method for the SpiroPro Portable Spirometer's Pneumotachometer Tube in a Remote Field Study JF Respiratory Care FD American Association for Respiratory Care SP 443 OP 452 VO 55 IS 4 A1 Matthew R Baldwin A1 William Checkley A1 Robert A Wise A1 Subarna K Khatry A1 Steve C LeClerq A1 Keith P West, Jr YR 2010 UL http://rc.rcjournal.com/content/55/4/443.abstract AB BACKGROUND: We developed a systematic method of cleaning and calibration-checking for the pneumotachometer tube of the SpiroPro portable spirometer; this method maximized spirometry accuracy in a population-based study in a remote area of Nepal. METHODS: We tested 10 factory-calibrated pneumotachometer tubes. Each use consisted of a full set of spirometry maneuvers, per the American Thoracic Society (ATS) spirometry criteria. RESULTS: The pneumotachometers remained accurate, per the ATS criteria, for 5–9 disinfections, but began to drift toward inaccuracy after the first disinfection. All the pneumotachometers had become inaccurate, per the ATS criteria, after 10 disinfections. CONCLUSIONS: In a remote field setting the SpiroPro pneumotachometer tube can be cleaned and reused 5–9 times before it becomes inaccurate per the ATS criteria. Rigorous rinsing in distilled water and repeated calibration checks, at various flows up to 12 L/s, are essential for precise and accurate spirometry with the SpiroPro. Reusing the SpiroPro pneumotachometer in a remote setting may impose measurement bias. Single use of SpiroPro pneumotachometers, albeit more costly, will provide better data.