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The Annals of the American Thoracic Society is a peer-reviewed medical journal that publishes clinical trials and original scientific research related to adult and pediatric pulmonary and respiratory sleep medicine, as well as adult critical care medicine, that is applicable to clinical practice, the formative and continuing education of clinical specialists, and the advancement of public health.
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.
Pulmonary function testing (PFT) is a complete evaluation of the respiratory system including patient history, physical examinations, and tests of pulmonary function. The primary purpose of pulmonary function testing is to identify the severity of pulmonary impairment. [1]
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 ...
In 1960, the European Community for Coal and Steel (ECCS) first recommended guidelines for spirometry. [7] The organization then published predicted values for parameters such as spirometric indices, residual volume, total lung capacity, and functional residual capacity in 1971. [ 8 ]
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An initial spirometry is performed to assess the patient's native respiratory status. The patient will be asked to take a deep breath and then blow into the mouthpiece of the spirometer as hard as you can. This is a baseline measurement.
The peak expiratory flow (PEF), also called peak expiratory flow rate (PEFR) and peak flow measurement, [1] is a person's maximum speed of expiration, as measured with a peak flow meter, a small, hand-held device used to monitor a person's ability to breathe out air.