Alveolar and airway CO2 during the ventilatory cycle: flow (upper graph) and mean alveolar and airway CO2 pressure scalars (lower graph). Alveolar and.

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Presentation transcript:

Alveolar and airway CO2 during the ventilatory cycle: flow (upper graph) and mean alveolar and airway CO2 pressure scalars (lower graph). Alveolar and airway CO2 during the ventilatory cycle: flow (upper graph) and mean alveolar and airway CO2 pressure scalars (lower graph). Alveolar PCO2 (PACO2) is lower at end inspiration (as far as fresh air dilutes alveolar gas) and higher at end expiration (because blood keeps releasing CO2 into the alveolus). PACO2 varies between alveoli: it is higher (A) in units with lower V̇A/Q̇ ratios (closer to mixed venous PCO2) and lower (B) in units with higher V̇A/Q̇ ratios (closer to inspired PCO2). Airway CO2 is zero during inspiration (provided there is no rebreathing, phase I of the capnogram). At the very beginning of expiration, CO2 remains zero as long as the gas comes purely from airway dead space; it then increases progressively (phase II) when units start to empty (low time constant units first, high time constant units later). Phase III is considered to represent alveolar gas, and the end of phase III (end-tidal PCO2 [PETCO2]) is used as a reference of mean alveolar gas composition. Phase IV of the capnogram shows the sudden fall in PCO2 at the start of inspiration. Gaston Murias et al. Respir Care 2014;59:1795-1807 (c) 2012 by Daedalus Enterprises, Inc.