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Spirometry: recommendations and procedure

Benítez-Pérez, Rosaura Esperanza; Torre-Bouscoulet, Luis; Villca-Alá, Nelson; Del-Río-Hidalgo, Rodrigo Francisco; Pérez-Padilla, Rogelio; Vázquez-García, Juan Carlos; Silva-Cerón, Mónica; Cid-Juárez, Silvia; Gochicoa-Rangel, Laura





2016, Number 2

2016; 75 (2)






ABSTRACT

Forced spirometry is the most highly-standardized and best-known pulmonary function test, as it evaluates the mechanical properties of the respiratory system and represents the gold standard for diagnosing airflow obstruction. It measures exhaled flows and volumes from a maximum inspiration, and performance of the maneuvers required is simple, quick and non-invasive. The most important parameters obtained by spirometry are: forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC ratio. This manuscript contains a review of the current international recommendations for the use of forced spirometry, according to the standardizations published by the American Thoracic Society (ATS) and the European Respiratory Society in 2005. In addition, it presents several recommendations for the utilization of this technique in relation to occupational diseases, with suggestions concerning the local application of this procedure.

KEYWORDS

Spirometry, procedure, pulmonary function test, vital capacity, airway obstruction, asthma.

REFERENCES

  1. Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. Eur Respir J 2005;26(2):319-338.

  2. García-Río F, Calle M, Burgos F, et al.; Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). Spirometry. Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). Arch Bronconeumol 2013;49(9):388-401. doi: 10.1016/j.arbres.2013.04.001.

  3. Pérez-Padilla JR, Vázquez GJC. Manual para el uso y la interpretación de la espirometría por el médico. México: Asociación Latinoamericana del Tórax, 2007.

  4. Silva-Cerón M, Gochicoa-Rangel L, Guerrero-Zúñiga S. Manual de procedimiento de espirometría forzada del Laboratorio de Función Pulmonar. México: INER. Observaciones no publicadas.

  5. Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J 2005;26(5):948-968.

  6. Bradley B, Branley HM, Egan JJ, et al.; British Thoracic Society Interstitial Lung Disease Guideline Group, British Thoracic Society Standards of Care Committee; Thoracic Society of Australia; New Zealand Thoracic Society; Irish Thoracic Society. Interstitial lung disease guideline: the British Thoracic Society in collaboration with the Thoracic Society of Australia and New Zealand and the Irish Thoracic Society. Thorax 2008; 63 Suppl 5: v1-58. doi: 10.1136/thx.2008.101691.

  7. Martinez FJ, Flaherty K. Pulmonary function testing in idiopathic interstitial pneumonias. Proc Am Thorac Soc 2006;3(4):315-321.

  8. Caminati A, Harari S. Which prognostic indicator should we use for clinical practice in the initial evaluation and follow-up of IIP: should we depend on PFT, HRCT or... what? Sarcoidosis Vasc Diffuse Lung Dis 2005;22 Suppl 1:S24-30.

  9. Burakgazi AZ, Höke A. Respiratory muscle weakness in peripheral neuropathies. J Peripher Nerv Syst 2010;15(4): 307-313. doi: 10.1111/j.1529-8027.2010.00293.x.

  10. Qaseem A, Wilt TJ, Weinberger SE, et al.; American College of Physicians; American College of Chest Physicians; American Thoracic Society; European Respiratory Society. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society. Ann Intern Med 2011;155(3):179-191. doi: 10.7326/0003-4819-155-3-201108020-00008.

  11. Lin K, Watkins B, Johnson T, Rodriguez JA, Barton MB.; U.S. Preventive Services Task Force. Screening for chronic obstructive pulmonary disease using spirometry: summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 2008;148(7):535-543.

  12. Qaseem A, Snow V, Fitterman N, et al.; Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med 2006;144(8):575-580.

  13. Ramírez VA, Sansores R (coordinadores); Red de EPOC en México. Guías para el diagnóstico y tratamiento de la enfermedad pulmonar obstructiva crónica del Cuarto Consenso Mexicano para el Diagnóstico y Tratamiento de la EPOC. Neumol Cir Torax 2012;71 Suppl 1:1-89.

  14. Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for Diagnosis, Management and Prevention of COPD (updated 2015). The Global Initiative for Chronic Obstructive Lung Disease, 2015. Access date: 2016 June 01. Available from: http://www.goldcopd.org/uploads/users/files/GOLD_Report_2015.pdf).

  15. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention 2014. (updated 2016). Access date: 2016 June 01. Available from: http://www.ginasthma.org/local/uploads/files/GINA_Report_2014_Aug12_1.pdf.

  16. Ratjen F. Cystic fibrosis. In: Hammer J, Eber E, editors. Pediatric pulmonary function testing. Basel, Suiza: Karger; 2005. p. 216-217.

  17. Smyth AR, Bell SC, Bojcin S, et al.; European Cystic Fibrosis Society. European Cystic Fibrosis Society Standards of Care: Best Practice guidelines. J Cyst Fibros 2014;13 Suppl 1: S23-42. doi: 10.1016/j.jcf.2014.03.010.

  18. Kim HJ, Perlman D, Tomic R. Natural history of idiopathic pulmonary fibrosis. Respir Med 2015;109(6):661-670. doi: 10.1016/j.rmed.2015.02.002.

  19. Finder JD, Birnkrant D, Carl J, et al.; American Thoracic Society. Respiratory care of the patient with Duchenne muscular dystrophy: ATS consensus statement. Am J Respir Crit Care Med 2004;170(4):456-465.

  20. Bushby K, Finkel R, Birnkrant DJ, et al.; DMD Care Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care. Lancet Neurol 2010;9(2):177-189. doi: 10.1016/S1474-4422(09)70272-8.

  21. Birnkrant DJ, Bushby KM, Amin RS, et al. The respiratory management of patients with duchenne muscular dystrophy: a DMD care considerations working group specialty article. Pediatr Pulmonol 2010;45(8):739-748. doi: 10.1002/ppul.21254.

  22. Tessy, P. Lung Transplantation. En Le, T, Khosa S, editores. ATS Review for the Pulmonary Boards. New York: American Thoracic Society, 2015. p. 396.

  23. Redlich CA, Tarlo SM, Hankinson JL, et al. Official American Thoracic Society Technical Standards: Spirometry in the Occupational Setting. Am J Respir Crit Care Med 2014; 189 (8): 984–994.

  24. Bossi G, Cerveri I, Volpini E, et al. Long-term pulmonary sequelae after treatment of childhood Hodgkin’s disease. Ann Oncol 1997;8 Suppl 1:19-24.

  25. Cooper BG. An update on contraindications for lung function testing. Thorax 2011;66(8):714-723. doi: 10.1136/thx.2010.139881.

  26. Schlegelmilch R. Pulmonary function testing. In: Kramme, R, Klaus-Peter H, Pozos R, editors. Springer Handbook of Medical Technology. Alemania: Springer; 2011. p. 96-98.

  27. Hankinson JL, Odencrantz JR, Fedan KB. Spirometric reference values from a sample of the general U.S. population. Am J Respir Crit Care Med 1999; 159(1):179-187.

  28. Centers for Disease Control and Prevention [homepage on internet]. Atlanta: National Institute for Occupational Safety and Health Respiratory Health Division. Updated 2015 October 23; cited 2016 February 15. Spirometry Training Program. NHANES III Reference Values [about 4 screens]. Available from: http://www.cdc.gov/niosh/topics/ spirometry/nhanes.html

  29. Torre-Bouscoulet L, Pérez-Padilla R; Grupo de trabajo del estudio PLATINO en México. Ajuste de varias ecuaciones de referencia espirométrica a una muestra poblacional en México. Salud Pública Mex 2006;48(6):466-473.

  30. Miller MR, Crapo R, Hankinson J. General considerations for lung function testing. Eur Respir J 2005;26(1):153-161.

  31. Hankinson JL, Gardner RM. Standard waveforms for spirometer testing. Am Rev Respir Dis 1982;126(2):362-364.


2016, Number 2

2016; 75 (2)