Pulmonary Function Testing
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Pulmonary Function Testing
Pulmonary function testing (PFT) is a complete evaluation of the respiratory system including patient history, physical examinations, and tests of pulmonary function. The primary purpose of pulmonary function testing is to identify the severity of pulmonary impairment. Pulmonary function testing has diagnostic and therapeutic roles and helps clinicians answer some general questions about patients with lung disease. PFTs are normally performed by a pulmonary function technician, respiratory therapist, respiratory physiologist, physiotherapist, pulmonologist, or general practitioner. Indications Pulmonary function testing is a diagnostic and management tool used for a variety of reasons, such as: * Diagnose lung disease. * Monitor the effect of chronic diseases like asthma, chronic obstructive lung disease, or cystic fibrosis. * Detect early changes in lung function. * Identify narrowing in the airways. * Evaluate airway bronchodilator reactivity. * Show if environmental facto ...
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Respiratory System
The respiratory system (also respiratory apparatus, ventilatory system) is a biological system consisting of specific organs and structures used for gas exchange in animals and plants. The anatomy and physiology that make this happen varies greatly, depending on the size of the organism, the environment in which it lives and its evolutionary history. In land animals the respiratory surface is internalized as linings of the lungs. Gas exchange in the lungs occurs in millions of small air sacs; in mammals and reptiles these are called alveoli, and in birds they are known as atria. These microscopic air sacs have a very rich blood supply, thus bringing the air into close contact with the blood. These air sacs communicate with the external environment via a system of airways, or hollow tubes, of which the largest is the trachea, which branches in the middle of the chest into the two main bronchi. These enter the lungs where they branch into progressively narrower secondary and tert ...
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Functional Residual Capacity
Functional residual capacity (FRC) is the volume of air present in the lungs at the end of passive expiration. At FRC, the opposing elastic recoil forces of the lungs and chest wall are in equilibrium and there is no exertion by the diaphragm or other respiratory muscles. FRC is the sum of expiratory reserve volume (ERV) and residual volume (RV) and measures approximately 2500 mL in a 70 kg, average-sized male (or approximately 30ml/kg). It cannot be estimated through spirometry, since it includes the residual volume. In order to measure RV precisely, one would need to perform a test such as nitrogen washout, helium dilution or body plethysmography. A lowered or elevated FRC is often an indication of some form of respiratory disease. For instance, in emphysema, FRC is increased, because the lungs are more compliant and the equilibrium between the inward recoil of the lungs and outward recoil of the chest wall is disturbed. As such, patients with emphysema often have no ...
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Pulmonary Function Testing
Pulmonary function testing (PFT) is a complete evaluation of the respiratory system including patient history, physical examinations, and tests of pulmonary function. The primary purpose of pulmonary function testing is to identify the severity of pulmonary impairment. Pulmonary function testing has diagnostic and therapeutic roles and helps clinicians answer some general questions about patients with lung disease. PFTs are normally performed by a pulmonary function technician, respiratory therapist, respiratory physiologist, physiotherapist, pulmonologist, or general practitioner. Indications Pulmonary function testing is a diagnostic and management tool used for a variety of reasons, such as: * Diagnose lung disease. * Monitor the effect of chronic diseases like asthma, chronic obstructive lung disease, or cystic fibrosis. * Detect early changes in lung function. * Identify narrowing in the airways. * Evaluate airway bronchodilator reactivity. * Show if environmental facto ...
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Global Initiative For Chronic Obstructive Lung Disease
The Global Initiative for Chronic Obstructive Lung Disease (GOLD) is a non-profit organization started by the World Health Organization and the US National Heart, Lung, and Blood Institute in 1997 to improve care for chronic obstructive pulmonary disease (COPD). They have organized the annual awareness day, World COPD Day, every November since 2002. This organization issues recommendations for the treatment of chronic obstructive pulmonary disease and related medical conditions. GOLD issued its first formal recommendations in 2001. Their approach departed from previous medical guidelines in two significant respects: * Previous recommendations were usually written by groups of experts, usually from a single medical specialty, partly on the basis of their own experiences. They were the first to evaluate the levels of evidence that supported their recommendations. GOLD's approach to evidence-based medicine was more rigorous than the previous COPD recommendations, but other organiz ...
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European Respiratory Society
The European Respiratory Society, or ERS, is a non-profit organization with offices in Lausanne, Brussels and Sheffield. It was founded in 1990 in the field of respiratory medicine. The organization was formed with the merger of the Societas Europaea Physiologiae Clinicae Respoiratoriae (founded in 1966) and the European Society of Pneumology (founded 1981). The organization's membership is made up of medical professionals and scientists working in the area of respiratory medicine. ERS founded thEuropean Lung Foundation(ELF) in 2000. The foundation aims to bring together patients and the public with respiratory professionals to positively influence lung health. Activities The ERS publishes academic journals and books as well as hosting events aimed at educating health professionals, including a large annual congress. The organization's stated goal is to "promote lung health in order to alleviate suffering from disease and drive standards for respiratory medicine globally". Publi ...
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American Thoracic Society
The American Thoracic Society (ATS) is a nonprofit organization focused on improving care for pulmonary diseases, critical illnesses and sleep-related breathing disorders. It was established in 1905 as the American Sanatorium Association, and changed its name in 1938 to the American Trudeau Society. In 1960, it changed its name again to the American Thoracic Society. Originally the medical section of the American Lung Association, the Society became independently incorporated in 2000 as a 501 (c) (3) organization. Medical and scientific areas of interest Pulmonology, critical care, sleep medicine, infectious disease, pediatrics, allergy/immunology, thoracic surgery, behavioral science, environmental and occupational medicine, physiology, molecular biology, among others. Membership More than 15,000 physicians, research scientists, and nurses and other allied healthcare professionals (32 percent of whom work outside the United States). ATS Assemblies The interests of members ar ...
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Arterial Blood Gas
An arterial blood gas (ABG) test, or arterial blood gas analysis (ABGA) measures the amounts of arterial gases, such as oxygen and carbon dioxide. An ABG test requires that a small volume of blood be drawn from the radial artery with a syringe and a thin needle, but sometimes the femoral artery in the groin or another site is used. The blood can also be drawn from an arterial catheter. An ABG test measures the blood gas tension values of the arterial partial pressure of oxygen (PaO2), and the arterial partial pressure of carbon dioxide (PaCO2), and the blood's pH. In addition, the arterial oxygen saturation (SaO2) can be determined. Such information is vital when caring for patients with critical illnesses or respiratory disease. Therefore, the ABG test is one of the most common tests performed on patients in intensive-care units. In other levels of care, pulse oximetry plus transcutaneous carbon-dioxide measurement is a less invasive, alternative method of obtaining similar ...
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Idiopathic Pulmonary Fibrosis
Idiopathic pulmonary fibrosis (IPF), or (formerly) fibrosing alveolitis, is a rare, progressive illness of the respiratory system, characterized by the thickening and stiffening of lung tissue, associated with the formation of scar tissue. It is a type of chronic scarring lung disease characterized by a progressive and irreversible decline in lung function. The tissue in the lungs becomes thick and stiff, which affects the tissue that surrounds the air sacs in the lungs. Symptoms typically include gradual onset of shortness of breath and a dry cough. Other changes may include feeling tired, and abnormally large and dome shaped finger and toenails (nail clubbing). Complications may include pulmonary hypertension, heart failure, pneumonia or pulmonary embolism. The cause is unknown, hence the term idiopathic. Risk factors include cigarette smoking, acid reflux disease (GERD), certain viral infections, and genetic predisposition. The underlying mechanism involves scarring of th ...
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