Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
SPIROMETRY
Measurement of volume and/or flow rate of
air breathed in and/or out of the lungs under
the specific condition of maximal effort,
according to established criteria and
standards
Study of procedure of measurement of
lung volumes and capacities
SPIROMETER
1. Diagnostic spirometers
2. Monitoring spirometers
PARTS OF SPIROMETER
PARTS OF A SPIROMETER
MAIN TANK
THERMOMETER
OPEN FLOAT
COUNTER WEIGHT
SODALIME CONTAINER
VALVE LEVER
CORRUGATED RUBBER TUBE
NOSE CLIP
INK PEN
MAIN TANK
Rectangular metallic tank with a raised
platform
Drain hole in the base
Water level marked on side wall
Platform has three openings i.e. one for
oxygen and two large ones connected to
corrugated tubes for inlet and outlet of air
and gases
THERMOMETER
Attached to side of platform
Records temperature of contents of tank
OPEN FLOAT
COUNTER WEIGHT
Adjusts the balance and position of the float
VALVE LEVER
Adjusts corrugated tube connections to
atmosphere and spirometer
T- TUBE
Connects the mouth piece to corrugated
tubes
Its stem is connected to the mouth piece
One limb consisting expiratory valve is
connected to outer tube
Other limb consisting inspiratory valve is
connected to inner tube
MOUTH PIECE
Connected to the stem of T-tube
Two in number
Inner tube for filling the oxygen into the float
Outer tube for drainage of water
Lumens of these tubes can be occluded by
adjusting screws
NOSE CLIP
Close the nostrils while breathing through
mouth
INK PEN
Can be filled by ordinary ink
Adjusted on kymograph with writing lever to
write on the graph paper mounted on
revolving drum
PRINCIPLE OF SPIROMETRY
SPIROGRAM
Graphical representation of lung volumes
and capacities using a spirometer
TYPICAL READINGS ON A
SPIROGRAM
SPIROGRAM
(NORMAL VS ABNORMAL)
Tidal volume
Functional residual capacity
Inspiratory capacity
Inspiratory reserve volume
Expiratory reserve volume
Residual volume
Vital capacity
Total lung capacity
Forced expiratory volume in one (first) second
MAXIMUM VOLUNTARY
VENTILATION (MVV)
Volume of air exhaled in a specified period
(1minute), during rapid and forced breathing
Also called as maximum breathing capacity
125-170 L/min
INDICATIONS
Detection for presence or absence of lung dysfunction
and/or presence of other abnormal diagnostic tests (CXR,
ABGs)
Assessment of severity of known lung disease
Assessment of change in lung function over time or
following administration of, or change of, therapy
Assessment of potential effects or response to environment
or occupational exposure
Assessment of risk for surgical procedures known to affect
lung function
Assessment of impairment or disability (for legal reasons,
rehabilitation, military recruitments etc)
RELATIVE CONTRAINDICATIONS
Hemoptysis (may aggravate!)
Pneumothorax
Unstable cardiovascular status
Thoracic, abdominal or cerebral aneurysm (danger
of rupture of vessels due to increased thoracic
pressure)
Recent ophthalmic, thoracic, cerebral or abdominal
surgery
Presence of acute disease that might interfere with
test performance e.g., nausea & vomiting
HAZARDS
Although spirometry is a very safe process for
assessment of lung function, following have rarely
been observed!
Pneumothorax
Increased intracranial pressure
Dizziness
Chest pain
Contraction of nosocomial infections
Bronchospasm
ACCEPTABILITY CRITERIA
NUMBER OF TRIALS
At least 3 acceptable FVC maneuvers
Good and rapid start
No cough
No early termination of exhalation
A minimum exhalation time of 6 seconds is
recommended
REPRODUCABILITY
2 largest FVCs from acceptable maneuvers
should not vary by more than 200 ml
2 largest FEV1s from acceptable
maneuvers should not vary by more than
200 ml
RELATED TOPICS
Total ventilation
Alveolar ventilation
Increases in depth of breathing
Increases in rate of breathing
Dead spaces
Respiratory zone
PROTOCOL
Obtain the following lung volumes for each
subject by carefully following each set of
instructions:
Each group member should measure
resting heart rate and respiration rate and
the resting lung volumes below. Then each
group should choose one set of data to be
entered on the computer/notebook to be
used as class data.
OBSTRUCTIVE
In obstructive lung conditions, the airways are
narrowed, usually causing an increase in the time
it takes to empty the lungs. Obstructive lung
disease can be caused by conditions such as
emphysema, bronchitis, infection (which
produces inflammation), and asthma.
Lower
Lower
Lower
Lower
Lower
Normal or lower
Normal or higher
Higher
Higher
Normal or lower
Higher
RESTRICTIVE
In restrictive lung conditions, there is a loss of lung
tissue, a decrease in the lungs' ability to expand,
or a decrease in the lungs' ability to transfer
oxygen to the blood (or carbon dioxide out of the
blood). Restrictive lung disease can be caused by
conditions such as pneumonia, lung cancer,
scleroderma, pulmonary fibrosis, sarcoidosis, or
multiple sclerosis. Other restrictive conditions
include some chest injuries, being very overweight
(obesity), pregnancy, and loss of lung tissue due to
surgery.
Normal or lower
Normal or higher
Normal or lower
Normal or lower
Normal or lower
Lower
Lower
Normal or higher
Normal or lower
Normal or lower
TABLE 1. Respiratory Diseases and Conditions Commonly Associated With a Restrictive Breathing
Pattern.
LUNGS
Polio
Pneumonia
Obesity
Sarcoidosis
Myasthenia gravis
Lung fibrosis
Diaphragm paralysis
Pickwickian syndrome
Pleural effusion and pleural disease
Asthma
Chronic bronchitis
Emphysema
Cystic fibrosis
Sarcoidosis
Croup
Laryngotracheobronchitis
Epiglottitis
Various tumors and foreign bodies that may involve the
upper airway
BYE
FOR
NOW