Scribd
Upload
678 views

Steth Ography

The document describes the process of stethography, which uses a stethograph device attached to the chest to record the effects of physical and chemical stimuli on respiratory movements, with tracings produced on a kymograph drum showing patterns related to activities like breathing, coughing, swallowing, and changes in gas concentrations. The procedure for performing stethography on a test subject is also outlined, including attaching the stethograph, connecting it to the recording tambour and kymograph, and instructing the subject to perform various maneuvers while recordings are taken.

Uploaded by

shahidkhan 654321654321
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
678 views

Steth Ography

The document describes the process of stethography, which uses a stethograph device attached to the chest to record the effects of physical and chemical stimuli on respiratory movements, with tracings produced on a kymograph drum showing patterns related to activities like breathing, coughing, swallowing, and changes in gas concentrations. The procedure for performing stethography on a test subject is also outlined, including attaching the stethograph, connecting it to the recording tambour and kymograph, and instructing the subject to perform various maneuvers while recordings are taken.

Uploaded by

shahidkhan 654321654321
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 13

By Dr Gulshan Munir

 It is the process to record the effects of various


physical and chemical stimuli on respiratory
movements.
 Physical stimuli : various activities like breathing,
coughing and sneezing.
 Chemical stimuli : concentration Of CO2, O2, pH
of blood etc
 The instrument used for this purpose is called
stethograph and the recording obtained is called
stethogram.
 Normal respiratory rate: 12-20 per min( at rest).
 KYMOGRAPH:
an instrument for recording pressure changes by the trace of stylus
on rotating cylinder.
 STETHOGRAPH OR PNEUMOGRAPH:
It consists of a corrugated canvas rubber tube with side clips.One end
of the tube is closed and the other end can be connected to the
Marey’s tambour. There is a metallic chain attached to the closed
end of the stethograph for tying the instument around the chest.
 MAREY’S TAMBOUR:
This consists of a writing lever, metal tube to which the stethograph
is connected and a diaphragm which is attached to the end of the
metal tube. The diaphragm consists of a metallic cup with a thin
rubber membrane tied tautly around its mouth. The writing lever is
placed in contact with the rubber membrane by means of a metal
disc.
 SUBJECT
stethography
Stethograph or pneumograph

Site for Corrugated


Side clips attachment of rubber tube
pressure Metallic chain
rubber tubing
Marey’s tambour

Metallic cup
Writing lever membrane
Metal tube , Pressure
Metallic disc site for attachment rubber
for rubber tubing tubing
kymograph

Graph paper
attached on it

Control panel
 The stethograph or pneumograph is attached around the chest of the subject or
around the rib cage, as the subject breathes the chest movements produce
pressure changes within the pneumograph/stethograph that are transmitted to
the recording tambour and then to the recording drum.
 During inspiration the chest expands and the stethograph is stretched. The
pressure inside the stethograph decreases, this fall in pressure being transmitted
to the Marey’s tambour. The rubber diaphragm is therefore pulled down causing
a downward movement of the writing lever. During expiration recoil of the
stethograph causes the reverse changes and therefore an upward movement of
the writing lever. Thus downstroke in the tracing represents inspiration and
upstroke, expiration.
 During voluntary hyperventilation, there is an increase in the rate and depth of
respiration. This is followed by a temporary cessation of breathing (apnoea), after
which breathing returns to normal.
 During deglutition there is a temporary stoppage of breathing. This is called
deglutition apnoea and is followed by normal breathing.
 This recording is a qualitative one showing the effect on rate, rhythm and
amplitude.
 Ask the subject to sit comfortably with his /her
back to the apparatus.
 Attach the pneumograph around the chest at the
level of the nipples in the 4th intercostal cartilage.
It should be attached firmly but not restrictively.
 Connect the pneumograph with the help of
tubing to the recording tambour.
 Set the kymograph speed at 1 mm/sec.
 Arrange the pointer in such a way that it should
touch the drum tangentially.
 Normal respiration is recorded for about 5cm
 The subject is asked to drink water and the effect of deglutition on the respiratory
movement is recorded .Then a normal tracing is taken.
 After a normal tracing , the subject is asked to hold his breath as long as possible after quiet
inspiration & expiration and following deep inspiration and deep expiration and the effects
are recorded.
 Normal respiration is recorded and the drum is stopped. The subject is asked to take deep
breaths as rapidly as possible for one and a half minutes. Immediately
after hyperventilation, the drum is started and the effect on respiratory movements is
recorded .
 Similarly ask the subject to:
 Read loudly/ talk
 cough
 Sneeze
 Laugh and record the effects on respiratory movements.
 Normal respiration is recorded. The stethograph is disconnected from Marey’s tambour and
the subject is asked to exercise (spot jogging )for one minute. Immediately after exercise,
the stethograph is connected to the kymograph and the effect of exercise on respiratory
movements is recorded.
 The subject should be seated comfortably and in an erect
posture.
 Subject should not be facing the recording.
 All the connections should be checked before starting the
experiment.
 The stethograph should be tied at the level of 4th
intercostal space as the expansion of the chest is
maximum at this level.
 Before & after the recordings for each maneuver ,normal
tracings should be taken.
 The recording should not be made during the act of
hyperventilation but immediately after it.
 All the activities should be performed in a sequence
without any interruption.
 Stick the photocopy of the tracing on the white page of your practical notebook.
name age gender date

ACTIVITY EFFECT ON RATE EFFECT ON EFFECT ON RYTHM


AMPLITUDE
Normal breathing
Breath holding
hyperventilation
deglutition
Laughing
Talking loud
coughing
sneezing

You might also like