Richard Johnston The ATS has released its first standard for reporting pulmonary function results. This report is in the December 1, 2017 issue of the American Journal of Respiratory and Critical Care Medicine. At the present time however, despite its importance it is not an open access article and you must either be a member of the … Read more
When lung volumes are measured in a plethysmograph the actual measurement is called the Thoracic Gas Volume (TGV). This is the volume of air in the lung at the time the shutter closes and the subject performs a panting maneuver. Ideally, the TGV measurement should be made at end-exhalation and should be approximately equal to … Read more
Yesterday while reviewing reports I ran across an interesting error in the Inspiratory Volume (VI) from a DLCO test. I’ve probably seen this before but this time I realized what effect it could have on DLCO. Specifically, what I saw was that at the start of the DLCO test the subject had not finished exhaling … Read more
My wife watches the Food Network a lot and I occasionally watch it with her but I can only take so much of it before I go off and read or work on one of my projects. I’ve noticed however in the various cooking contests that sometimes a chef will deconstruct a familiar recipe. This … Read more
I was reviewing a report recently that included the results for walking oximetry. These showed that the individual has a resting SaO2 of 97% and desaturated significantly to 86% after walking a couple hundred yards. This was curious since a DLCO had also been performed and the results for that test were 94% of predicted. … Read more
My medical director and I had a discussion today about where the cutoff for a normal FEV1/FVC ratio would be for a 93 year old patient of his. Part of the problem is that there are almost no reference equations for patients this age and the best you can usually do is to extrapolate. Another … Read more
The Global Lung Initiative (GLI) has been working for several years to develop a universal reference equation for DLCO. Although this endeavor is not necessarily complete, an article describing the GLI DLCO reference equation for Caucasians was published in the September issue of the European Respiratory Journal as an open access article and can be … Read more
Well, not necessarily anything, although as usual that depends on the circumstances. Recently I was contacted by an individual who was concerned that their DLCO had decreased from 120% of predicted to 99% of predicted. They also mentioned that their DLCO results have normally ranged from 117% to 140% of predicted over the last 9 … Read more
I’ve been thinking about quality control and quality improvement lately. Mostly this has been about how to go about determining whether the lab has a quality problem with testing and what statistics should be used for this purpose but I was reminded recently about an issue concerning biological quality control that came up a couple … Read more