BASIC PRINCIPLE ON

LUNG FUNCTION TEST

Prof.dr.Tamsil Syafiuddin, SpP(K)

Department Pulmonology and respiration
FK-UISU
2009
SPIROMETRI
( To Spir = Bernapas )
 Tingkat kemampuan menurut Piramid Miller :

Tingkat kemampuan 1: Mengetahui dan Menjelaskan

Tingkat kemampuan 2: Pernah Melihat atau pernah didemonstrasikan

Tingkat kemampuan 3: Pernah melakukan atau pernah

menerapkan di bawah supervisi

Tingkat kemampuan 4: Mampu melakukan secara mandiri

Standar Kompetensi Dokter, Konsil Kedokteran Indonesia 2006

Diagnostic procedures

lung function tests/spirometry -1- -2- -3- -4-

histamine provocation test -1- -2- -3- -4-
allergy tests -1- -2- -3- -4-
hyperventilation provocation test -1- -2- -3- -4-
perfusion/ventilation scan -1- -2- -3- -4-
Bronchoscopy -1- -2- -3- -4-

Standar Kompetensi Dokter, Konsil Kedokteran Indonesia 2006

 INTRODUCTION

 The function of lung is for gas exchange

 Respiration is to allow oxygen to move

from the air into the venous blood and

carbon dioxide to move out
 RESPIRATION

 Ventilation
 Diffusion
 Perfusion
 VENTILATION

Lung volume

 Static lung volume

 Dynamic lung volume

 SPIROMETRY

Measurement of Lung volume

 Simple

 Easy to perform

 Reliable
 SPIROMETRY

 Sensitive

 Accurate

 Reproducible
 SPIROMETRY

ATS recommendation :

 3 acceptable
 2 reproducible
 Maximal 8 maneuver
 SPIROMETRY
 Good preparation
 Good maneuver
 Accurate result

Garbage in – garbage out

Lung volume:
• Static Lung volume
• Dynamic Lung Volume
The new spirometri = Dynamic lung volume

• Flow Obtructive Obstructive

• Volume Restrictive Restrictive
 RESIDUAL VOLUME

I. Helium equilibrium
~ Open circuit method
~ Close circuit method
II. Body plethysmograph
 IRV

IC VC

Vt EC

ERV

RV FRC
 TV 0,5
IRV 3,0
ERV 1,3
RV 1,2
IC 3,5
VC 4,8
FRC 2,5
TLC 6,0

Tab. 1. Static
ventilatory
parameters in litres.
 6

4
Volume (liters)

3
FEV1 FVC
2

0 1 2 3 4 5 6
Time (sec)
Fig . Normal forced expiration curve
Obstructive FEV1
Restrictive FVC
 RESTRICTION

VC < 80% VC predicted

FVC < 80 % FVC predicted
 OBSTRUCTION

FEV1 < 75%

FVC

FEV1 < 80% FEV1 predicted

PEAK FLOW METER

 Serial measurement

 Restriction / obstruction
FLOW – VOLUME CURVE

 Maneuver

 Additional information
VENTILATION SCANNING

Using radioactive gas

 Xenon

 Argon
 DIFFUSION

 DLCO

 Single breath method

 Rebreathing method
 PERFUSION

 Dye dilusion

 Perfusion scanning
LUNG FUNCTION TEST

1. To establish diagnosis
LUNG FUNCTION TEST

2. To evaluate treatment
 LUNG FUNCTION TEST

3. To monitor the nature of disease

 LUNG FUNCTION TEST

4. To determine the degree of disability

LUNG FUNCTION TEST

5. To determine the prognosis

 CONCLUSION
 Lung function test give information
about the disease
 Spirometry is a simple method to
measure ventilation
 Good preparation and good maneuver
is important
 Serial measurement is necessary