CLINICAL PULMONARY FUNCTION TESTING
Authors: BRUCE W. ARMSTRONG
Journal: Annals of Internal Medicine (1959)

Editorials1 August 1959CLINICAL PULMONARY FUNCTION TESTINGBRUCE W. ARMSTRONG, M.D.BRUCE W. ARMSTRONG, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-51-2-405 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMany clinicians—doctors who practice medicine and see patients at the bedside rather than those who spend most of their work day in laboratories—frequently think of pulmonary function testing in terms of an elaborate methodology, intricate calculations and an obscure terminology. Although it is perfectly true that many aspects of pulmonary physiology are difficult to understand, there are several tests of pulmonary function with proved, practical value that are basically simple to understand and to use. Equally important, they can be fitted into a schema that unifies the test results into an integrated picture of the patient.Practically, there are three...1 BaldwinCournandRichards EdADW: Pulmonary insufficiency. I. Physiological classification, Medicine 27: 243, 1948. CrossrefMedlineGoogle Scholar2 Macklin C: X-ray studies on bronchial movements, Am. J. Anat. 35: 303, 1925. CrossrefGoogle Scholar3 Motley HL: Pulmonary function in the pneumoconioses, chapter in Clinical cardiopulmonary physiology, edited by Gordon, B., 1957, Grune & Stratton, New York. Google Scholar4 HurtadoFray AWW: Studies of total pulmonary capacity and its subdivisions. II. Correlation with physical and radiological measurements, J. Clin. Investigation 12: 807, 1933. CrossrefMedlineGoogle Scholar5 WhitfieldWaterhouseArnott AGJAWM: The total lung volume and its subdivisions. A study in physiological norms. III. Correlation with other anthropometric data, Brit. J. Social Med. 4: 113, 1950. MedlineGoogle Scholar6 WhitfieldSmithRichardsWaterhouseArnott AGOEDGJAWM: The correlation between the radiological and spirometric appearances and the clinical and spirometric state in emphysema, Quart. J. Med. 20: 247, 1951. MedlineGoogle Scholar7 ShepardCohnCohenArmstrongCarrollDonosoRiley RHJEGBWDGHRL: The maximal diffusing capacity of the lung in chronic obstructive disease of the airways, Am. Rev. Tuberc. and Pul. Dis. 71: 249, 1955. Google Scholar8 CosbyStowellHartwigMayo RSECWRM: Pulmonary function in left ventricular failure, including cardiac asthma, Circulation 15: 492, 1957. CrossrefMedlineGoogle Scholar9 GoughWentworth JJE: The use of thin sections of entire organs in morbid anatomical studies, J. Roy. Micr. Soc. 69: 231, 1949. CrossrefMedlineGoogle Scholar10 CohnCochranPinney JETHC: A comparison of pulmonary physiologic studies with Gough sections of postmortem lungs, Clin. Res. 7: 128, 1959. Google Scholar11 BlumenthalBoren BJHG: Lung structure in three dimensions after inflation and fume fixation, Am. Rev. Tuberc. and Pul. Dis. 79: 764, 1959. Google Scholar12 SheldonOtis MBAB: Effect of adrenalin on resistance to gas flow in the respiratory tract and on the vital capacity of normal and asthmatic subjects, J. Appl. Physiol. 3: 513, 1951. CrossrefMedlineGoogle Scholar13 Dayman H: Mechanics of airflow in health and in emphysema, T. Clin. Investigation 30: 1175, 1951. CrossrefMedlineGoogle Scholar14 Bernstein L: Indications of quantal behavior in the inflation and deflation of rabbit lungs, Second Conference on Research on Emphysema, Aspen, Colorado, June, 1959. Google Scholar15 Bernstein L: A critical discussion of the recorded form of the fast vital capacity record, Thorax 9: 63, 1954. CrossrefMedlineGoogle Scholar16 SteadWellsGaultOganovitch WWHSNLJ: Inaccuracy of the conventional water-filled spirometer for recording rapid breathing, J. Appl. Physiol. 14: 448, 1959. CrossrefMedlineGoogle Scholar17 WellsSteadRossingOganovitch HSWWTDJ: Accuracy of an improved spirometer for recording of fast breathing, J. Appl. Physiol. 14: 451, 1959. CrossrefMedlineGoogle Scholar18 AustrianMcClementRenzettiDonaldRileyCournand RJHADKWRLA: The syndrome of "alveolar-capillary block," Am. J. Med. 11: 667, 1951. CrossrefMedlineGoogle Scholar19 Filley GF: Effects of pulmonary fibrosis on pulmonary function: man, Handbook of respiration, National Academy of Sciences, National Research Council, 1958, W. B. Saunders Company, Philadelphia, p. 268. Google Scholar20 Forster RE: Exchange of gases between alveolar air and pulmonary capillary blood: pulmonary diffusing capacity, Physiol. Rev. 37: 391, 1957. CrossrefMedlineGoogle Scholar21 Bates DV: The measurement of the pulmonary diffusing capacity in the presence of lung disease, J. Clin. Investigation 37: 591, 1958. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: BRUCE W. ARMSTRONG, M.D.Affiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 August 1959Volume 51, Issue 2Page: 405-412KeywordsPulmonary functionRespiratory physiology ePublished: 1 December 2008 Issue Published: 1 August 1959 PDF downloadLoading ...