Lung Volumes & Breathing
How much air fits in your lungs, and how much of each breath actually reaches the air sacs? From the four lung volumes get the capacities (vital capacity, total lung capacity and more) on a spirogram, the minute ventilation and the alveolar ventilation after the dead space. Add a spirometry result for the FEV₁/FVC ratio that separates obstructive from restrictive lung disease.
Volumes, Capacities and Ventilation
The lungs hold four volumes that do not overlap: the tidal volume, the inspiratory and expiratory reserve volumes, and the residual volume. Adding two or more gives a capacity. The vital capacity is the biggest breath you can take out after the deepest breath in; with the residual volume it makes the total lung capacity. The functional residual capacity is the air left after a normal breath out: it keeps the oxygen level in the blood steady between breaths.
Breathing rate times tidal volume is the minute ventilation. But the first 150 mL or so of each breath only fills the windpipe and bronchi, the dead space, so the air that refreshes the air sacs is the alveolar ventilation. That is why fast, shallow breathing is inefficient: the same 6 L per minute brings far less fresh air to the air sacs.
In obstructive disease (asthma, COPD) the airways are narrowed: air comes out slowly, so FEV₁/FVC falls below 0.70 and air stays trapped (high residual volume). In restrictive disease (fibrosis, a stiff chest wall) the lungs are small but the airways are open: all volumes shrink and FEV₁/FVC is normal or even high.
Spirogram
TLCCompared With a Healthy Adult at Rest
lung size depends on height, age and sex| Quantity | Your values | Typical adult |
|---|
Worked Techniques
Every capacity contains at least two volumes. Any capacity that includes the residual volume (FRC, TLC) cannot be measured with a spirometer alone.
Take the dead space off each breath before multiplying by the rate. Halving the tidal volume and doubling the rate keeps the minute ventilation, but the alveolar ventilation drops.
A healthy person blows out most of the vital capacity in the first second. A ratio below 0.70 after a bronchodilator is the GOLD criterion for COPD.
Sources & Verification
- J. E. Hall and M. E. Hall, Guyton and Hall Textbook of Medical Physiology, 14th ed., Elsevier, 2021 — the chapter on pulmonary ventilation: lung volumes and capacities, minute and alveolar ventilation, dead space.
- J. B. West and A. M. Luks, West’s Respiratory Physiology: The Essentials, 11th ed., Wolters Kluwer, 2021 — ventilation and dead space; obstructive and restrictive patterns.
- Global Initiative for Chronic Obstructive Lung Disease (GOLD), Global Strategy for the Diagnosis, Management and Prevention of COPD, 2024 report — post-bronchodilator FEV₁/FVC < 0.70.