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An incentive spirometer is a device used to help you keep your lungs healthy after surgery or when you have a lung illness, such as pneumonia . Using the incentive spirometer teaches you how to take slow deep breaths. After surgery, it may be too painful to take deep breaths. You may also feel too weak to take deep breaths. Not breathing deeply enough can lead to lung illness. By using the incentive spirometer every 1 to 2 hours, or as instructed by your nurse or doctor, you can take an active role in your recovery and keep your lungs healthy. Sit up and hold the incentive spirometer. A piece in the incentive spirometer will rise as you breathe in. A smaller piece in the incentive spirometer looks like a ball or disc. Hold your breath for 3 to 5 seconds. Then slowly exhale. Take 10 to 15 breaths with your spirometer every 1 to 2 hours, or as often as instructed by your nurse or doctor . These tips may be helpful: do Nascimento Jr P, Módolo NSP, Andrade S, et al. Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery. Cochrane Database Sys Rev . Published online February 8, 2014. Available at: onlinelibrary.wiley.com/doi/10.1002/14651858.CD006058.pub3/full . Accessed December 30, 2015. Kulaylat MN, Dayton MT. Surgical complications. In: Townsend CM, Beauchamp RD, Evers BM, et al., eds. Sabiston Textbook of Surgery . 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 13. Restrepo RD, Wettstein R, Wittnebel L, et al. Incentive spirometry: 2011. Respir Care . 2011;56(10):1600-4. PMID: 22008401 www.ncbi.nlm.nih.gov/pubmed/22008401 . Share on PinterestExample of an incentive spirometer. To use, place your mouth around the mouthpiece, breathe out slowly, and then inhale slowly only through your mouth as deeply as you can. Try to get the piston as high as you can while keeping the indicator between the arrows, and then hold your breath for 10 seconds. You can place your marker at the highest point you were able to get the piston, so you have a goal for the next time you use it. Illustration by Diego Sabogal An incentive spirometer is a handheld medical device that measures the volume of your breath. It can help the lungs heal after surgery or in cases of lung disease and conditions that fill the lungs with fluid. Your doctor, surgeon, or nurse will give you specific instructions on how to use it. Spirometers are commonly used at hospitals after surgeries or prolonged illnesses that lead to extended bed rest. Your doctor or surgeon may also give you a take-home spirometer after surgery. In this article, we’ll look at who might benefit from using an incentive spirometer, break down how spirometers work, and explain how to interpret the results. An incentive spirometer helps your lungs recover after surgery or lung illness, keeping them active and free of fluid. A piston rises inside the device to measure your breath volume when you breathe from an incentive spirometer. A healthcare professional can set a target breath volume for you to hit. Breathing slowly with a spirometer allows your lungs to inflate fully. These breaths help break up fluid in the lungs that can lead to pneumonia if it’s not cleared. It’s important to know that the spirometer works when you inhale because of the resistance it places on your breath. In a way, it works similarly to a straw. Exhaling into the spirometer will not help your lungs. In addition, using it correctly can also help your diaphragm function better over time. Next to the central chamber of your spirometer is a slider. This slider can be used to set a target breath volume. Your doctor will help you set an appropriate goal based on your age, health, and condition. Your doctor, surgeon, or nurse will also give you specific instructions on using your incentive spirometer. The following is the general protocol: Set up
How to breathe
Additional tipsSome additional tips for using an incentive spirometer include:
Research has found conflicting results on the effectiveness of using an incentive spirometer compared with other lung-strengthening techniques. However, there is some evidence that it can help people after surgery because it can keep the lungs active during bed rest. Keeping the lungs active with a spirometer is thought to lower the risk of developing complications like atelectasis, pneumonia, bronchospasms, and respiratory failure. In addition, an incentive spirometer may help people with the following conditions:
The main column of your incentive spirometer has a grid with numbers. These numbers are usually expressed in millimeters and measure the total volume of your breath. The piston in the main chamber of the spirometer rises upward along the grid as you breathe in. The deeper your breath, the higher the piston rises. Next to the main chamber is an indicator that your doctor can set as a target. There’s a smaller chamber on your spirometer that measures the speed of your breath. This chamber contains a ball or piston that bobs up and down as the speed of your breath changes. The ball will go to the top of the chamber if you’re breathing in too quickly and will go to the bottom if you’re breathing too slowly. Many spirometers have a line on this chamber to indicate the optimal speed. Healthy values for spirometry vary. Your age, height, and physical or sexual attributes all play a role in determining what’s typical for you. Your doctor will consider these factors when setting a goal for you. Consistently hitting a result higher than the goal set by your doctor is a positive sign. The Centers for Disease Control and Prevention has a reference calculator you can use to get an idea of the typical values for your demographic. But this calculator isn’t meant for clinical use. Don’t use it as a replacement for your doctor’s analysis. You may feel dizzy or lightheaded when breathing from your spirometer. If you feel like you’re going to faint, stop and take several typical breaths before continuing. If symptoms persist, contact your doctor. You may want to call your doctor if you’re unable to achieve the goal or if you have pain when you breathe deeply. Aggressive use of an incentive spirometer can lead to lung damage. The hospital may give a take-home incentive spirometer if you’ve recently had surgery. You can also get a spirometer at some pharmacies, rural health clinics, and federally qualified health centers. Some insurance companies may cover the cost of a spirometer. One 2018 study found the per-patient cost of using an incentive spirometer is between $65.30 and $240.96 for an average 9-day hospital stay in an intermediate care unit. An incentive spirometer is a device that can help you strengthen your lungs. Your doctor might give you a spirometer to take home after leaving the hospital after surgery. People with conditions that affect the lungs, like COPD, may also use an incentive spirometer to keep their lungs fluid-free and active. Along with using an incentive spirometer, following good pulmonary hygiene may help you clear your lungs of mucus and other fluids. Last medically reviewed on October 18, 2022 Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Oct 19, 2022 Medically Reviewed By Nick Villalobos, MD Copy Edited By Megan McMorris Nov 9, 2021 Medically Reviewed By Megan Soliman, MD Copy Edited By Connor Rice |