1. Sarthak Jain Shailendra Singh ANAECON INDIA HEALTHCARE PVT. LTD P-13, M.I.G. FLATS,PRASAD NAGAR, NEW DELHI – 110 005

10. TV IRV ERV FRC RV VC FRC = ERV + RV TLC = ERV + RV + TV + IRV

16. Quality Check Partial effort dependent (determined by the leastic recoil of the lung) Steepness of the volume acceleration phase can be achieved from every patient independent of disease and degree of disease. Volume Flow- acceleration limitation End-expiratory phase Effort - dependent A: Maximal effort B: Submaximal effort C: Low effort A: Maximal effort B: Exhalation not complete A: Maximal effort B: Submaximal effort 1 2 3 Flow [L/s] Volume [L] TLC Effort dependent RV A B C A B A B

17. Quality Check Patient should exhale suddenly and forced. Patient should exhale suddenly and forced Patient should cough before starting the measurement Patient should inhale longer and to the maximum Patient should exhale as long as possible; minimal 6 s Different reasons; more details in next slight www.spiro-webCard.de

20. Staging Obstructive parameters FEV1 / IVC < 5% Percentile of predicted (< 70% pred.) Recommendations of German „Atemwegsliga“ 2005 I Mild FEV1 > 70% pred. II Moderate FEV1 60 - 69% pred. III Moderate severe FEV1 50 - 59% pred. IV Severe FEV1 35 - 49% pred. V Very severe FEV1 < 35% pred.

21. Staging of Restrictive parameters TLC < 5% Percentile of predicted (< 80% pred.) Recommendations of German „Atemwegsliga“ 2005 I Mild IVC > 70% pred. II Moderate IVC 60 - 69% pred. III Moderate severe IVC 50 - 59% pred. IV Severe IVC 35 - 49% pred. V Very severe IVC < 35% pred.

29. Spirometry interpretation Pre - Post Cases COPD Asthma  FEV1 < 12%  FEV1 >= 12%