Dead space guided recruitment allows avoiding regional overdistension or reduction in cardiac output in critical care patients with ALI or ARDS. Lung recruitment is a dynamic process that combines recruitment manoeuvres (RMs) with positive end expiratory pressure (PEEP) and low Vt to recruit collapsed alveoli. Different dead space indices can provide useful information in acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) patients, where changes in microvasculature are the main determinants for the increase in dead space and consequently a worsening of the outcome. Dead space is not routinely measured in critical care practice, because the difficulties in in interpreting capnograms and the different methods of calculations. So thanks for watching and I hope to see you again soon.Dead space is the portion of each tidal volume that does not take part in gas exchange and represents a good global index of the efficiency of the lung function. If you want to learn how Medmastery can help you become a great clinician, make sure to watch the about mastery video. Absolutely, make sure to check out the course this video was taken from and to register for a free trial account which will give you access to select the chapters of the course. So, an elevation in arterial carbon dioxide tension would only be seen when the patient can't sustain the overall level of ventilation necessary to compensate. These individuals can compensate for the increase in Dead Space by increasing the overall level of ventilation to keep pa co2 constant.
However, in most disorders characterized by an increase in lung areas with high v Q hypercapnia does not occur. Conceptually, any alveolar units with v Q greater than one, but not infinity, can be described as if the units were functionally equivalent to areas of Deadspace.Īreas of high v Q or physiologic Deadspace represent regions of wasted ventilation as far as carbon dioxide elimination is concerned. Another form of abnormal ventilation perfusion relationship can be seen as a result of alveolar units with ventilation, but no persistent perfusion.
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