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To interpret the significance of peak expiratory flow measurements, a comparison is made to reference (normal, predicted) values based on measurements taken from the general population. Various reference values have been published in the literature and vary by population, ethnic group, age, sex, height and weight of the patient.
Spirometry (meaning the measuring of breath) is the most common of the pulmonary function tests (PFTs). It measures lung function, specifically the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled.
The interpretation of tests depends on comparing the patients values to published normals from previous studies. Deviation from guidelines can result in false-positive or false negative test results, even though only a small minority of pulmonary function laboratories followed published guidelines for spirometry, lung volumes and diffusing ...
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.
Preconceived notions that 'white' people have greater pulmonary function are embedded in spirometer measurement interpretation and have only been reinforced through this medical stereotyping. In the United States, spirometers use correction factors of 10-15% for those identified as 'black' and 4-6% for those identified as 'Asian.' [ 6 ]
Traditional incentive spirometers can be more challenging for children due to compliance and submaximal effort. [9] Age-appropriate devices including whistles, pinwheels, and bubble wands should be considered. [10] These toys and activities reinforce proper breathing mechanics by stimulating deep inhalation and prolonged exhalation. [citation ...
In obstructive lung disease, the FEV1 is reduced due to an obstruction of air escaping from the lungs. Thus, the FEV1/FVC ratio will be reduced. [4] More specifically, according to the National Institute for Clinical Excellence, the diagnosis of COPD is made when the FEV 1 /FVC ratio is less than 0.7 or [8] the FEV 1 is less than 75% of predicted; [9] however, other authoritative bodies have ...
A Wiggers diagram modified from [1]. A Wiggers diagram, named after its developer, Carl Wiggers, is a unique diagram that has been used in teaching cardiac physiology for more than a century.