Body plethysmography: Recommendations and procedure
Guerrero-Zúñiga, Selene; Vázquez-García, Juan Carlos; Gochicoa-Rangel, Laura; Cid-Juárez, Silvia; Benítez-Pérez, Rosaura; del-Río-Hidalgo, Rodrigo; Torre-Bouscoulet, Luis
2016, Number 4
2016; 75 (4)
ABSTRACT
Body plethysmography (BP) is a pulmonary function test that measures functional residual capacity (FRCpleth) and specific airway resistance (sRaw). BP currently constitutes the gold standard for measuring pulmonary volumes. Results of this test are effective in confirming the presence of pulmonary restriction, while in cases of obstructive disease they permit quantification of pulmonary hyperinflation and air trapping. The objective of this manuscript is to describe the standardized procedure for BP testing followed at the Respiratory Physiology Laboratory at Mexico City’s National Institute of Respiratory Diseases (Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas). While respecting current international standards, the article includes some practical recommendations for performing and interpreting this test that we hope readers will find useful.
KEYWORDS
Body plethysmography, procedure, lung function, lung volume, specific airway resistance.
Criée CP, Sorichter S, Smith HJ, et al. Body plethysmography-its principles and clinical use. Respir Med 2011;105(7):959-971. doi: 10.1016/j.rmed.2011.02.006.
DuBois AB, Botelho SY, Bedell GN, Marshall R, Comroe JH Jr. A rapid plethysmographic method for measuring thoracic gas volume: a comparison with a nitrogen washout method for measuring functional residual capacity in normal subjects. J Clin Invest 1956;35(3):322-326.
Wanger J, Clausen JL, Coates A, et al. Standardisation of the measurement of lung volumes. Eur Respir J 2005;26(3):511-522.
Flesch JD, Dine CJ. Lung volumes: measurement, clinical use, and coding. Chest 2012;142(2):506-510. doi: 10.1378/chest.11-2964.
DeCamp MM Jr, Lipson D, Krasna M, Minai OA, McKenna RJ Jr, Thomashow BM. The evaluation and preparation of the patient for lung volume reduction surgery. Proc Am Thorac Soc 2008;5(4):427-431. doi: 10.1513/pats.200707-087ET.
Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J 2005;26(5):948-968.
Miller MR, Crapo R, Hankinson J, et al. General considerations for lung function testing. Eur Respir J 2005;26(1):153-161.
Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. Eur Respir J 2005;26(2):319-338.
Hepper NG, Black LF, Fowler WS. Relationships of lung volume to height and arm span in normal subjects and in patients with spinal deformity. Dis Chest 1964;37:314-320.
Parker JM, Dillard TA, Phillips YY. Arm span-height relationships in patients referred for spirometry. Am J Respir Crit Care Med 1996;154(2 Pt 1):533-536.
Chumlea WC, Guo SS, Wholihan K, Cockram D, Kuczmarski RJ, Johnson CL. Stature prediction equations for elderly non-Hispanic white, non-Hispanic black, and Mexican-American persons developed from NHANES III data. J Am Diet Assoc 1998;98(2):137-142.
Citado por: Stocks J, Quanjer PH. Reference values for residual volume, functional residual capacity and total lung capacity. ATS Workshop on Lung Volume Measurements. Official Statement of the European Respiratory Society. Eur Respir J 1995;8(3):492-506.
Roca J, Burgos F, Barbera JA, et al. Prediction equations for plethysmographic lung volumes. Respir Med 1998;92(3):454-460.
Manzke H, Stadlober E, Schellauf HP. Combined body plethysmographic, spirometric and flow volume reference values for male and female children aged 6 to 16 years obtained from «hospital normals». Eur J Pediatr 2001;160(5):300-306.
Garcia-Rio F, Dorgham A, Pino JM, Villasante C, Garcia-Quero C, Alvarez-Sala R. Lung volume reference values for women and men 65 to 85 years of age. Am J Respir Crit Care Med 2009;180(11):1083-1091. doi: 10.1164/rccm.200901-0127OC.
Koch B, Friedrich N, Völzke H, et al. Static lung volumes and airway resistance reference values in healthy adults. Respirology 2013;18(1):170-178. doi: 10.1111/j.1440-1843.2012.02268.x.
Casanova C, Cote C, De Torres JP, et al. Inspiratory to total lung capacity ratio predicts mortality in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005;171(6):591-597.
Vilozni D, Efrati O, Hakim F, Adler A, Livnat G, Bentur L. FRC measurements using body plethysmography in young children. Pediatric Pulmonol 2009;44(9):885-891. doi: 10.1002/ppul.21072.
Bisgaard H, Nielsen KG. Plethysmographic measutements of specific airway resistance in young children. Chest 2005;128(1):355-362.
Piatti G, Fasano V, Cantarella G, Tarantola C. Body plethysmographic study of specific airway resistance in a sample of healthy adults. Respirology 2012;17(6):976-983. doi: 10.1111/j.1440-1843.2012.02206.x.