Table. 4—

Procedures for recording forced vital capacity

Check the spirometer calibration
Explain the test
Prepare the subject
 Ask about smoking, recent illness, medication use, etc.
 Measure weight and height without shoes
Wash hands
Instruct and demonstrate the test to the subject, to include
 Correct posture with head slightly elevated
 Inhale rapidly and completely
 Position of the mouthpiece (open circuit)
 Exhale with maximal force
Perform manoeuvre (closed circuit method)
 Have subject assume the correct posture
 Attach nose clip, place mouthpiece in mouth and close lips around the mouthpiece
 Inhale completely and rapidly with a pause of <1 s at TLC
 Exhale maximally until no more air can be expelled while maintaining an upright posture
 Repeat instructions as necessary, coaching vigorously
 Repeat for a minimum of three manoeuvres; no more than eight are usually required
 Check test repeatability and perform more manoeuvres as necessary
Perform manoeuvre (open circuit method)
 Have subject assume the correct posture
 Attach nose clip
 Inhale completely and rapidly with a pause of <1 s at TLC
 Place mouthpiece in mouth and close lips around the mouthpiece
 Exhale maximally until no more air can be expelled while maintaining an upright posture
 Repeat instructions as necessary, coaching vigorously
 Repeat for a minimum of three manoeuvres; no more than eight are usually required
 Check test repeatability and perform more manoeuvres as necessary
  • TLC: total lung capacity.