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ICU One Pager Flow Volume Loops

The document describes flow-volume loops and how they can indicate different types of pulmonary obstruction. It contains a table that shows how variable extra-thoracic and intra-thoracic obstructions as well as fixed obstructions present differently on flow-volume loops. Variable extra-thoracic obstructions result in a concave upward expiratory flow with decreased FEF25-75% while preserving FEV1. Variable intra-thoracic obstructions result in a concave upward expiratory flow and reduced FEV1. Fixed obstructions result in truncation or flattening of both inspiratory and expiratory flows and an increased FEF50/FIF50 ratio.

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Ronald Morales
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448 views1 page

ICU One Pager Flow Volume Loops

The document describes flow-volume loops and how they can indicate different types of pulmonary obstruction. It contains a table that shows how variable extra-thoracic and intra-thoracic obstructions as well as fixed obstructions present differently on flow-volume loops. Variable extra-thoracic obstructions result in a concave upward expiratory flow with decreased FEF25-75% while preserving FEV1. Variable intra-thoracic obstructions result in a concave upward expiratory flow and reduced FEV1. Fixed obstructions result in truncation or flattening of both inspiratory and expiratory flows and an increased FEF50/FIF50 ratio.

Uploaded by

Ronald Morales
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PULMONARY FUNCTION: FLOW VOLUME LOOPS by Nick Mark MD ONE onepagericu.

com
@nickmmark
Link to the
most current
version →

VARIABLE VARIABLE FIXED


EXTRA-THORACIC OBSTRUCTION INTRA-THORACIC OBSTRUCTION OBSTRUCTION

Truncation or Truncation or flattening


NORMAL FLOW- flattening of the of BOTH the inspiratory
VOLUME LOOP expiratory flow and expiratory flows
and an increase in
FEF50/FIF50 ratio
PEFR

FEF25%

FEF50%
EXPIRATORY

Truncated or Typically the


flattened inspiratory lesion must restrict
FEF75% flow & reduced FEF50/FIF50 the trachea to <1cm for this occur
RV
(L/SEC)

TLC
FLOW

VOLUME EARLY AIRFLOW OBSTRUCTION AIRFLOW OBSTRUCTION RESTRICTION


INSPIRATORY

(L)
Concave upward or “scooped
out” expiratory flow with Concave upward or
FIF50% decreased FEF25-75%
“scooped out”
and persevered FEV1
expiratory flow
with reduced FEV1

v1.0 (2020-07-17)

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