Month October 2012

Peak VO2 and low body weight

The PFT Lab I am associated with performs cardiopulmonary exercise tests for pre-op cardiothoracic surgery patients with lung cancer. Surgeons have to make a decision to operate or not based at lea…

Plethysmographic Puzzle

This PFT report came across my desk the other day. At first glance it looked wrong because when was the last time you saw a patient with a FRC that was 165% of predicted?

DL/VA is really K in disguise

One misconception about DLCO results that I’ve heard over and over is that DLCO/VA is DLCO “adjusted” for lung volume and that using it is a way of “normalizing” DLCO for lung volume. This is…

Is the MVV clinically relevant?

The respiratory system is in part a mechanical pump or bellows. The Maximum Voluntary Ventilation test (MVV, aka Maximum Breathing Capacity, MBC) is intended to measure the maximum ventilation a pa…

Supine spirometry

If you are not already performing supine spirometry you should consider adding it to your arsenal of tests. Other than an exam table no new equipment is needed to perform it and it is a simple tech…