References

Association for Respiratory Technology and Physiology. Risk minimisation in spirometry re-start. 2021. https://www.artp.org.uk/write/MediaUploads/Standards/COVID19/ARTP_PCRS_spiro_re-start_FINAL2.pdf (accessed 8 July 2021)

Association for Respiratory Technology and Physiology, British Thoracic Scoiety. ARTP guidance on restoring lung function May 2020. https://www.artp.org.uk/write/MediaUploads/Standards/COVID19/Respiratory_Function_Testing_During_Endemic_COVID_V1.5.pdf (accessed 8 July 2021)

Crimi C, Impellizzeri P, Campisi R Practical considerations for spirometry during the COVID-19 outbreak: Literature review and insights. Pulmonology.. 2020; https://doi.org/10.1016/j.pulmoe.2020.07.011

European Respiratory Society. Lung function testing during COVID-19 pandemic and beyond - Recommendation from ERS Group 9.1. 2021. https://ers.app.box.com/s/zs1uu88wy51monr0ewd990itoz4tsn2h (accessed 8 July 2021)

Spirometry going forward – should we restart?

02 August 2021
5 min read
Volume 32 · Issue 8

Abstract

It has been advised that spirometry should restart. Chris Loveridge explains how she has adapted her practice as we move towards the new normal

Spirometry is a test of lung function which confirms or refutes a respiratory diagnosis. It gives a pattern of airflow from numerical interpretation, which alongside clinical history gives a diagnosis. With this objective test comes responsibility; as with any diagnosis, there are implications for the person receiving it.

COVID-19 bought a halt to lung function testing and the advice from various professional bodies meant that spirometry was ceased as it was deemed to be an aerosol generating procedure (AGP). It was the potential for cough during the procedure that caused it to be high risk and it was therefore added to the list of procedures that should not be undertaken (European Respiratory Society, 2021). The latest statement to restart spirometry originates from a larger Task and Finish Group and replaced the original ARTP statement (Association for Respiratory Technology and Physiology (ARTP) and British Thoracic Society (BTS), 2020). NHS England and Improvement guidance specifically provides advice on the safety of performing spirometry, during the COVID-19 ‘endemic phase’. The statement is applicable to spirometry performed in both primary and secondary care settings and is underpinned by further COVID-19 information, developed by the ARTP, BTS and other international organisations.

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