LUNG VOLUMES & CAPACITIES VOLUME-TIME CURVES

FLOW-VOLUME CURVES

O=Obstructive disease
R(P) = Restrictive parenchymal disease
R(E) = Restrictive extraparenchymal disease

VARIOUS FLOW-VOLUME ICURVES N DISEASES CHANGES IN FLOW-VOLUME CURVES WITH AGE

 UNACCEPTABLE SPIROGRAMS

PREMATURE CLOSURE OF GLOTTIS HESITANT START COUGH EXPIRATORY LEAK

TRANSIENT OCCLUSION OF MOUTHPIECE BY TONGUE & DENTURES SUBMAXIMAL EFFORT INABILITY TO MEET END OF TEST
 LUNG VOLUMES & CAPACITIES

IRV
IC
VC

TLC VT

ERV

FRC
RV RV

TLC = TOTAL LUNG CAPACITY IC = INSPIRATORY CAPACITY VT = TIDAL VOLUME

VC = VITAL CAPACITY FRC = FUNCTIONAL RESIDUAL CAPACITY ERV = EXPIRATORY RESERVE VOLUME
RV = RESIDUAL VOLUME IRV = INSPIRATORY RESERVE VOLUME
FLOW-VOLUME CURVES
VOLUME-TIME CURVES
VOLUME-TIME CURVES
FLOW-VOLUME CURVES
FLOW-VOLUME CURVES
FLOW-VOLUME CURVES
VARIOUS FLOW-VOLUME CURVES IN DISEASE
 EFFECT OF DECREASED EFFORT & COUGH

Expiratory flow-volume curve Expiratory flow-volume curve

recorded during a series of recorded during coughing (solid
expirations with increasing efforts, line), approximating the maximal
finally producing a maximal flow- flow-volume envelope (dashed line)
volume envelope.
Premature closure of the glottis
A volume-time tracing for a patient with COPD who
does not meet end of test criteria despite an
exhalation time exceeding 20 seconds.
cough
expiratory leak
hesitant start
partial mouthpiece obstruction by denture
transient occlusion of mouthpiece by tongue.
submaximal effort
submaximal effort
simple algorithm for interpreting spirometry
beginning with the FEV1/FVC ratio is shown