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Pulmonary Function Tests in Clinical Practice by Pearce Wilcox, Ali Altalag, Jeremy Road

By Pearce Wilcox, Ali Altalag, Jeremy Road

Whole overview of pulmonary functionality checks in medical perform, together with functionality and interpretation of lung functionality exams with an emphasis on useful points. evaluation of polysomnographic thoughts and interpretive ideas back with a pragmatic hands-on technique. An integrative aproach to cardiopulmonary workout trying out with interpretive method. contains case discussions illustrating key options.

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CLINICAL SIGNIFICANCE OF FRC • A high FRC (as in emphysema) means that when the patient is not breathing in, the lungs contain more air than normal. 7. (a) Represents the ideal curve; (b) represents an obstructive disorder with increased TLC and RV and shift of FV curve to the left; (c) represents a restrictive disorder with decreased TLC and RV and shift of FV curve to the right. Breathing at that high lung volume helps prevent collapse of the airways and air trapping in emphysematous lungs, but at the same time, increases the effort of breathing.

Standardisation of spirometry. Eur Respir J 2005;26:319–338. 2. American Thoracic Society. Standardization of spirometry, 1994 update. Am J Respir Crit Care Med 1995;152:1107–1136. 3. Paoletti P, Pistelli G, Fazzi P, et al.. Reference values for vital capacity and flow–volume curves from a general population study. Bull Eur Physiopathol Respir 1986;22:451–459. 4. Brusasco V, Pellegrino R, Rodarte JR. Vital capacities during acute and chronic bronchoconstriction: dependence on flow and volume histories.

Keep in mind that an obstructive disorder (such as emphysema) with pulmonary resection (lobectomy or pneumonectomy) can give a similar pattern. • Chapter 6 discusses the approach to such PFTs in detail. References 1. Wanger J, Clausen JL, Coates A, et al. Standardisation of the measurement of lung volumes. Eur Respir J 2005;26:511–522. 2. Hyatt RE, Scanlon PD, Nakamura M. Interpretation of Pulmonary Function Tests, A Practical Guide, Second Edition. Lippincott Williams & Wilkins, Philadelphia, PA, 2003.

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