Assessing changes in DLCO

We have a number of patients who have spirometry and DLCO testing performed at regular intervals. I’ve noticed that every so often DLCO results change significantly without a change in spirom…

It doesn’t make any sense

For a variety of reasons my wife recently had a full panel of PFTs (spiro+BD, lung volumes, DLCO) at a different hospital than the one I work at. I went with her and was pleased to see the technici…

Ventilatory Challenge Testing

Airway hyper-responsiveness is a primary feature of asthma. There are a number of bronchial challenge tests designed to evoke and measure this factor, the most common of which require the inhalatio…

Airway obstruction and the FVC

Spirometry is the most commonly performed (and mis-performed) pulmonary function test around the world. The apparent simplicity of spirometry is misleading since there are numerous subtleties that …

LLN versus 80%

Recently a rather eminent reader commented on an older blog entry. He finished his comment with a paragraph on another topic, however. Specifically: By the way, it is also high time that we scuttle…

An FVC is not an SVC

I’ve discussed the issue of inserting a predicted FVC into the predicted lung volumes several times now. At the risk of beating this issue to death I’d like to put to rest the notion th…