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Actualización de la espirometría 2019: fase 4 de inspiración máxima forzada y nuevos criterios de aceptabilidad
Sunil K Chhabra1, Mandeep Singh2
1Department of Pulmonary Medicine, Primus Superspeciality Hospital, New Delhi, India.
Breathe (Sheffield, England)
|August 21, 2025
Resumen
La espirometría ahora incluye una inspiración forzada después de la expiración (FIVC) para evaluar la función pulmonar. Un nuevo control de calidad compara FIVC y FVC para garantizar resultados precisos.
Área de la Ciencia:
- Pruebas de la función pulmonar
- Medicina de las vías respiratorias
Sus antecedentes:
- La espirometría es una piedra angular de las pruebas de función pulmonar.
- La evaluación de la capacidad inspiratoria completa es crucial para la evaluación integral de la función pulmonar.
Objetivo del estudio:
- Para introducir y validar el volumen inspiratorio forzado en 1 segundo (FIVC).
- Establecer un nuevo criterio de aceptabilidad de la espirometría basado en la diferencia FIVC-FVC.
Principales métodos:
- Procedimiento de espirometría modificado que incorpora una inspiración completa forzada después de la expiración final.
- Desarrollo y aplicación de una medida de control de calidad que compare los valores FIVC y FVC.
Principales resultados:
- La maniobra FIVC se ha integrado con éxito en la espirometría estándar.
- Un nuevo criterio de aceptabilidad que utiliza la diferencia FIVC-FVC mejora la calidad de los datos.
Conclusiones:
- La adición de FIVC a la espirometría proporciona una evaluación más completa de la mecánica pulmonar.
- El criterio de diferencia FIVC-FVC mejora la fiabilidad y precisión de las mediciones por espirometría.
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