DIBH/ABC

Question 1

How to prepare patient for coaching session

Answer 1

Setup and measurements
-lie on treatment bed with arms up
- foam peg on nose
- single use mouthpiece
- patient to hold the control switch for the spirometer
- only mouth breathing through the snorkel, with no air leaking from mouth or nose
- instruct the patient to take 3 Big breaths in and out to determine maximum lung capacity and set a threshold
- a threshold is set at approximately 75% of max capacity, this is the amount of air required to breathe in and hold for treatment, making it possible to hold for the treatment time, often 20-25 seconds

Question 2

Breath hold script

Answer 2

Go up in 5 second increments to 25 seconds

1. Press the Start button – (release at any stage for free breathing)
2. Start with 2 Easy breaths:
3. Easy Breath 1
4. Easy Breath 2
5. On the next breath, breathe in as much as you can and hold for 5,4,3,2,1…
6. Breathe normally

Question 3

How many times would you repeat

Answer 3

3-5 times for each session
Up to 10 times for SABR patients