The purpose of Lung Function Testing

Lung function tests help Respiratory Physicians understand, diagnose, evaluate and monitor respiratory conditions.

Here at Northern Respiratory we make it our priority to ensure that your testing experience is as comfortable as possible. We are committed to providing a high quality, professional service in a comfortable environment to assist in the evaluation and diagnosis of respiratory conditions.

All tests are performed according to ATS recommendations. To accurately understand and assess lung function, your results will be compared to a set of established reference values for healthy individuals. These reference values are determined from your age, gender, height and ethnicity.

Testing & Reporting

All tests are conducted by a trained and experienced Respiratory Technician and reported on by a Respiratory Physician.

Results are forwarded to the referring doctor via mail, fax or email and are typically sent within 24 hours. If possible, urgent studies can be reported on the same day.

What you should expect at your appointment

A friendly Respiratory Technician will check your height and weight, and ask questions about your respiratory history (smoking, inhalers used, allergies etc.)  They will then explain, demonstrate and guide you through each test in a simple and easy to understand manner to help you achieve high quality results. It is important to note that the accuracy of your results is also dependent on your effort. Should you find that you cannot produce the effort, please inform the Technician on the day of your test. The most important thing you can do on the day is to remain calm and relaxed. We will help you achieve the best results on the day. To help you feel more comfortable, we encourage you to bring a spouse, friend or relative to the test.

Depending on the test the doctor has requested, you should allow for up to an hour for your lung function test. Your results will be reviewed and reported on by one of our Respiratory Physicians and sent to your referring doctor, usually within 24 hours. Urgent studies can be reported on the same day if possible. You can then make an appointment to see your referring doctor for your results.

Available Tests

Purpose: To measure how quickly and effectively the lungs can be filled and emptied. These measures, termed flow volume loops, are conducted before and after bronchodilator. A bronchodilator acts to open up the bronchial tubes (air passages) of the lungs. This test is particularly important in the diagnosis and management of certain obstructive disorders including asthma and emphysema as well as other lung disorders.

Includes Spirometry, Diffusing Capacity / Transfer Factor and Static Lung Volumes.

Purpose:  Measures the rate at which gas is transferred from the lungs into the blood stream. This provides information on the effectiveness of the alveolocapillary membrane, particularly important for smokers or ex-smokers, and patients with an interstitial lung disease. A blood sample obtained from a finger prick is additionally taken to measure haemoglobin levels. Haemoglobin transports oxygen from the lungs to the body.

Purpose: To measure lung volumes of the various sub-divisions of the lung to determine overall lung capacity. This is useful in diagnosing a variety of lung disorders where lung volumes are increased, indicating gas trapping or hyperinflation and restrictive disorders where volumes are reduced.

Purpose: The Hypertonic Saline Challenge is designed to identify airway hyper-activity. A saline (salty) vapour is inhaled at gradually increasing doses with bronchial flow (spirometry) monitored at each step (i.e. how quickly and effectively your lungs can be filled and emptied). The saline solution has a dehydrating effect on the airways in some people, causing bronchoconstriction or airway narrowing. It is thought that this process imitates the changes that occur in the lungs with exercise-induced asthma. This test is particularly useful if asthma is suspected and previous spirometry results are normal.

Purpose: This test is particularly useful is assessing airway hyper-activity commonly associated with exercise induced asthma. A sugar-based fine powder is inhaled in gradually increasing doses with bronchial flow (spirometry) monitored at each step (i.e. how quickly and effectively your lungs can be filled and emptied). The sugar powder has a dehydrating effect on the airways in some people causing bronchoconstriction. It is thought that this process imitates the changes that occur in the lungs with exercise-induced asthma.

Purpose: Measurement is for the purpose of determining eligibility for pulmonary arterial hypertension medications subsidised under the Pharmaceutical Benefits Scheme or eligibility for the provision of portable oxygen. This test should be ordered by a Respiratory Physician.  NO treadmill is involved.

Patient Preparation:

  1. Comfortable clothing should be worn including appropriate walking shoes.
  2. Take all of your usual medication including any respiratory inhalers.
  3. Do not vigorously exercise within 2 hours of beginning the test.
  4. No nail polish (due to interference with the transmission of light impulses of oximeter).

Purpose: This is used to assess the nasal airflow and resistance of each nostril. Both baseline and dilation measurements can be obtained. Dilation is achieved via the administration of a nasal decongestant allowing investigation to reversibility of rhinitis / congestion or resistance of an anatomical obstruction. This test can be useful for the diagnosis and treatment of nasal congestion and as an aid to guide effective CPAP application.

Purpose: Measures the level of oxygen and carbon dioxide in the blood stream as well as other components of blood chemistry, including bicarbonate levels and blood pH.  The blood sample is collected from on artery.

This test needs to be booked in at a Clinpath Laboratory prior to your lung function test.  The results will then be added to your lung function report.

How to prepare for your test

Patient Pre Test Instructions:

To achieve accurate results it is important to follow specific instructions for each test.

Please make the Respiratory Technician aware if you have had any of the following:

  • Abdominal surgery in the past six weeks
  • Thoracic (chest/heart) surgery in the past six weeks
  • Neurosurgery (brain/spinal cord) in the past six weeks
  • Ocular (eye) surgery in the past six weeks
  • Pneumothorax (punctured lung) in the past six weeks
  • Angiogram in the previous 24 hours
  • Transbronchial biopsy in the previous 24 hours
  • Recent Myocardial Infarction (heart attack)
  • Recent Pulmonary Embolus
  • Whooping Cough
  • Pulmonary Tuberculosis

Please withhold respiratory medications for the appropriate time as outlined on our website.

  • Take all your other medications as normal.
  • We ask for no smoking on the day of the test (minimum 6 hours prior).
  • Comfortable clothing and walking shoes are recommended for the six minute walk. If you normally use a walking frame or a stick, please bring it for support.
  • You are NOT required to fast on the day.

The patient preparation guidelines are recommended for all tests performed at Northern Respiratory. Please refer to each specific test for more detailed instructions.

There are a list of medications to withhold in preparation for each test. If you are unsure about which medications you should withhold and it’s not listed here, please contact us on (08) 8287 2040.

Test

Time prior to Test

Do not use




Fees

A fee estimate will be provided at time of booking. All accounts are payable in full on the day. Pensioner and health care card concessions apply.

We accept cash, cheques, EFTPOS, Visa, MasterCard and DVA Gold Card.

A Medicare rebate only applies to all non-pre-employment related lung function tests.

Medicare does not provide a rebate for tests associated with employment or recreational medicals.  GST is additionally charged for all pre-employment or recreational tests.

Private health insurance does not cover Lung Function Testing.