Updated Technical Standards for the Measurement of Lung Volumes

Nirav R. Bhakta, Aisling McGowan, Kathryn A. Ramsey, Brigitte Borg, Jana Kivastik, Shandra Lee Knight, Karl Sylvester, Felip Burgos, Erik R. Swenson, Kevin McCarthy, Brendan G. Cooper, Francisco García-Río, Gwen Skloot, Meredith McCormack, Carl Mottram, Charles G. Irvin, Irene Steenbruggen, Allan L. Coates, David A. Kaminsky




Technical standard

Produced by:


European Respiratory Journal 2023 62: 2201519; DOI: 10.1183/13993003.01519-2022
This document updates the 2005 European Respiratory Society (ERS) and American Thoracic Society (ATS) technical standard for the measurement of lung volumes. The 2005 document integrated the recommendations of an ATS/ERS task force with those from an earlier National Heart, Lung, and Blood Institute workshop that led to the publication of background papers between 1995 and 1999 and a consensus workshop report with more in-depth descriptions and discussion. Advancements in hardware and software, new research and emerging approaches have necessitated an update to the 2005 technical standard to guide laboratory directors, physiologists, operators, pulmonologists and manufacturers. Key updates include standardisation of linked spirometry, new equipment quality control and validation recommendations, generalisation of the multiple breath washout concept beyond nitrogen, a new acceptability and grading system with addition of example tracings, and a brief review of imaging and other new techniques to measure lung volumes. Future directions and key research questions are also noted.

Read more
Read less