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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 ]
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.
Diffusing capacity of the lung (D L) (also known as transfer factor) measures the transfer of gas from air in the lung, to the red blood cells in lung blood vessels. It is part of a comprehensive series of pulmonary function tests to determine the overall ability of the lung to transport gas into and out of the blood.
Factors that can increase the D LCO include polycythaemia, asthma (can also have normal D LCO) and increased pulmonary blood volume as occurs in exercise.Other factors are left to right intracardiac shunting, mild left heart failure (increased blood volume) and alveolar hemorrhage (increased blood available for which CO does not have to cross a barrier to enter).
Impulse oscillometry (IOS), also known as respiratory oscillometry, forced oscillatory technique (FOT), or just oscillometry, is a non-invasive lung function test that measures the mechanical properties of the respiratory system, particularly the upper and intrathoracic airways, lung tissue and chest wall, usually during the patient's tidal breathing (the way someone breathes when they are ...
A spirometer is the main piece of equipment used for basic Pulmonary Function Tests (PFTs). Lung diseases such as asthma, bronchitis, and emphysema may be ruled out from the tests. In addition, a spirometer often is used for finding the cause of shortness of breath, assessing the effect of contaminants on lung function, the effect of medication ...
There are a number of non-equivalent scales used in the interpretation of peak expiratory flow. [4] Some examples of Reference Values are given below. There is a wide natural variation in results from healthy test subjects. Wright scale [5] [6] EN 13826 or EU scale [7] NHANESIII [8] reference values provided by the US Centers for Disease ...
The amount of He in the spirometer is known at the beginning of the test (concentration × volume = amount). The patient is then asked to breathe (normal breaths) in the mixture starting from FRC (functional residual capacity), which is the gas volume in the lung after a normal breath out. The spirometer measures helium concentration.
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