Functional Diagnostics · Beginner

Fundamentals of spirometry: data interpretation, diagnosis of external respiratory function disorders

Fundamentals of spirometry: technique, interpretation and diagnosis of ventilation disorders.

18academic hours

Beginnerlevel

Distance learningmode of study

Course curriculum

Analysis of indications and contraindications for spirometry. Technical conditions: equipment requirements, sanitary and epidemiological regime, equipment verification and calibration
The concept of spirometry
Main applications of spirometry
Indications for spirometry: diagnosis, monitoring, expert evaluation, public health
Absolute and relative contraindications to performing spirometry
Technical conditions: equipment requirements, sanitary-epidemiological regime, equipment inspection and calibration. Measurement conditions and calibration
The concept of calibration
Biological control as an additional stage to ensure measurement quality
Filling out the registration log
Physiology of the lungs. The concept of volumes and flows. Step-by-step methodology of performing spirography
Physiology of the lungs
Tidal volume
Inspiratory reserve
Residual volume
Inspiratory capacity
Functional residual capacity of the lungs
Vital capacity of the lungs
Total lung capacity
Preparation of Equipment and Patient
Patient data. Patient positioning
Discontinuation of medications
Spirometry procedure technique
Expiratory reserve volume
Forced vital capacity of the lungs
Vital capacity of the lungs measured during forced inspiration
Forced expiratory volume in the first second
Peak expiratory flow rate
Assessment of spirogram quality and identification of artifacts. Bronchodilator test
Artifacts and quality criteria
Cough artifact
Insufficient expiratory effort artifact ("non-blowing")
"Slow start" artifact
"Stop-inspiration" artifact
"Early termination of expiration" artifact
Back-extrapolation volume
Bronchodilation test
Indications and contraindications for the bronchodilator test
Response to a bronchodilator
Features of spirography in children and elderly patients. Additional tests in spirography: exercise test, methacholine test
Features of spirography in children and elderly patients
Methacholine test and exercise challenge test
Comprehensive approach to interpretation. Dysanapsis and nonspecific patterns in the interpretation of spirography results
Interpretation
ERS/ATS, NICE, Comprehensive Guide to Pulmonary Function Tests, Iowa head and neck protocol, ESR and national recommendations
Assessment of the severity of lung function impairment
Diagnostic criteria for obstructive ventilation disorders
Restrictive type of ventilation impairment
Mixed type of pulmonary ventilation function disorders
Assessment of the bronchodilator test result
Dysanapsis and other patterns of FEV1, FVC and FEV1/FVC impairment
The «nonspecific» pattern: low FEV1 and FVC with a normal FEV1/FVC ratio
Non-specific pattern at maximal effort
Nonspecific pattern with insufficient effort
Analysis of recorded spirogram cases. Decision-making algorithms

A basic course on spirometry. You will master the correct examination technique, interpretation of measurements, and the diagnosis of obstructive and restrictive disorders.

Knyazev Konstantin Andreevich

Leading instructor of the MEDTRAIN Training Center, physician in ultrasound and functional diagnostics

Ultrasound diagnostics physician, Member of the Eurasian Association of Ultrasound and Functional Diagnostics Specialists. Member of the European Federation of Societies for Ultrasound in Medicine and Biology.

Knyazev Konstantin Andreevich is a practising specialist with a foundational clinical background in internal medicine and many years of experience in ultrasound and functional diagnostics. He graduated from the Ural State Medical Academy with a degree in General Medicine (2012), completed an internship in internal medicine (2013), and subsequently underwent professional retraining in Ultrasound Diagnostics and Functional Diagnostics.

Konstantin Andreevich is a member of the Eurasian Association of Specialists in Ultrasound and Functional Diagnostics, as well as a member of the European Federation of Societies for Ultrasound in Medicine and Biology. A leading instructor at the MEDTRAIN Training Centre and chair of the examination board, he has developed and teaches more than 25 educational courses and training cycles devoted to the modern capabilities of ultrasound and functional diagnostics.

Konstantin Andreevich's professional interests include neurosonography, paediatric echocardiography with the diagnosis of congenital heart defects, ultrasound assessment of the lower-limb arteries, and ultrasound monitoring of arterial shunts and endovascular interventions. In his teaching he combines current international guidelines with clinical cases, paying particular attention to practical skills and the safe application of ultrasound techniques in real clinical practice.

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