Spirometer: What You Need To Know

Spirometry Overview and Uses

Spirometry is a common test that measures the volume of air expelled from the lungs and the speed at which it is expelled. This involves taking a deep breath and blowing into a sensor. The test is utilized for individuals experiencing breathing difficulties, such as asthma or COPD (Chronic Obstructive Pulmonary Disease), to monitor disease progression, assess response to treatment, or determine surgical risks in lung patients. For healthy individuals, spirometry can be part of routine health screenings to check lung function.

The results from spirometry provide insights into respiratory health.

Diagnosis and Preparation for Spirometry Test

A spirometry test measures the functionality of the lungs, gauging the volume of air that can be inhaled and exhaled, as well as the speed with which the lungs can be emptied. This test is instrumental in diagnosing conditions such as asthma, pulmonary fibrosis, and COPD.

Preparations for a spirometry test include:

  • Avoiding large meals to eliminate discomfort or bloating.
  • The intake of medications for lung disease prior to the test should be consistent with medical guidance.
  • Engaging in strenuous exercise before the test is not recommended.
  • Wearing clothing that does not restrict breathing is beneficial.

The impact of smoking on test results can be minimized by abstaining from smoking at least one hour before the test. Consumption of alcohol is to be avoided within four hours of the spirometry appointment due to its potential to alter lung function measurements.

The use of bronchodilators or inhalers is typically avoided six hours before the test, unless there is specific guidance from a healthcare provider.

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Spirometry Testing Procedure and Interpretation

Spirometry testing measures the amount of air an individual can breathe in and out, and the speed at which air can be expelled. To perform the test, an individual takes a deep breath and then blows into a mouthpiece connected to a spirometer.

The interpretation of results involves comparing the test outcomes to normal values based on age, height, gender, and race. Two primary measurements are taken into account: Forced Vital Capacity (FVC) and Forced Expiratory Volume in one second (FEV1). FVC is the largest amount of air that can be forcibly exhaled after taking the deepest breath possible. FEV1 is the volume of air that can be forced out in the first second of a forceful exhale.

  • Lower than normal values for both FVC and FEV1 may indicate the presence of obstructive lung diseases such as asthma or chronic bronchitis.
  • A situation where FEV1 is within normal ranges but FVC is reduced could suggest restrictive lung diseases like pulmonary fibrosis.

Spirometry is a common test used in diagnosing lung conditions. It measures how much air an individual can breathe out, and how fast. However, like all tests, it comes with risks.

Risks of Spirometry

The primary risk associated with spirometry is the potential for feeling lightheaded or dizzy during the test, which can occur if the individual breathes too hard or too fast. Additional possible reactions include coughing or fatigue following the test. In rare instances, the effort required for the test may lead to chest pain or shortness of breath.

Certain conditions may increase the risk associated with spirometry, including:

  • recent eye surgery
  • abdominal surgery
  • heart attack
  • unstable angina (chest pain)
  • collapsed lung (pneumothorax)
  • a blood clot in the lungs (pulmonary embolism)

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There are two main types of spirometers: volume-displacement and flow-sensing.

  • The volume-displacement spirometer is larger and less portable.
  • The flow-sensing spirometer is smaller and more portable, making it more convenient for home use.

Additionally, peak flow meters exist, which measure the speed - but not the amount - of air expelled. These devices are less accurate than full-sized spirometers but serve as useful monitoring tools, particularly for individuals with asthma.

This information is intended for general knowledge.