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Output of a spirometer. Vital capacity (VC) is the maximum amount of air a person can expel from the lungs after a maximum inhalation. It is equal to the sum of inspiratory reserve volume, tidal volume, and expiratory reserve volume. It is approximately equal to Forced Vital Capacity (FVC). [1] [2]
The most common parameters measured in spirometry are vital capacity (VC), forced vital capacity (FVC), forced expiratory volume (FEV) at timed intervals of 0.5, 1.0 (FEV1), 2.0, and 3.0 seconds, forced expiratory flow 25–75% (FEF 25–75) and maximal voluntary ventilation (MVV), [10] also known as Maximum breathing capacity. [11]
This type of spirometer is used especially for measuring forced vital capacity without using water; it has broad measurements ranging from 1000 ml to 7000 ml. It is more portable and lighter than traditional water-tank type spirometers.
The tidal volume, vital capacity, inspiratory capacity and expiratory reserve volume can be measured directly with a spirometer. These are the basic elements of a ventilatory pulmonary function test. Determination of the residual volume is more difficult as it is impossible to "completely" breathe out.
In order for the forced vital capacity to be considered accurate it has to be conducted three times where the peak is sharp in the flow-volume curve and the exhalation time is longer than 6 seconds. Repeatability of the PFT is determined by comparing the values of forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV1).
The FEV1/FVC ratio, also called modified Tiffeneau-Pinelli index, [1] is a calculated ratio used in the diagnosis of obstructive and restrictive lung disease. [2] [3] It represents the proportion of a person's vital capacity that they are able to expire in the first second of forced expiration to the full, forced vital capacity (). [4]