A: Representation of a volumetric capnogram with a schematic approach for the measurement of dead space. A: Representation of a volumetric capnogram with.

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Presentation transcript:

A: Representation of a volumetric capnogram with a schematic approach for the measurement of dead space. A: Representation of a volumetric capnogram with a schematic approach for the measurement of dead space. Noninvasive estimation of dead space is related to Bohr's approach after estimation of alveolar PCO2 (PACO2), whereas Enghoff's method requires an invasive measurement of arterial PCO2 (PaCO2). PACO2 is calculated as the middle point of a line joining the intersection of S2 and S3 slopes and end-tidal PCO2 (PETCO2). P̄ECO2 is mixed expiratory PCO2 that corresponds to the integration of the PCO2 vs tidal volume curve. Airway dead space (VDaw) is calculated according Fowler's method (ie, the equality of area p and q). B: A representation of Riley's model of the lung with a superposition of Bohr and Enghoff dead space assessment formulas. In the bottom, the ventilation/perfusion ratio (V̇/Q̇) tends to infinity (dead space); in the top, V̇/Q̇ tends to zero and represents the amount of venous admixture or shunt. Enghoff's dead space (arrows on the left) is the addition of high V̇/Q̇ and low V̇/Q̇ units. It may be higher than Bohr's dead space (arrow on the right), which represents “pure dead space” (ie, high V̇/Q̇ units). Data from Reference 10. Pierre Bourgoin et al. Respir Care 2017;62:468-474 (c) 2012 by Daedalus Enterprises, Inc.