Different patterns of ventilation affect also CO 2 elimination in fact, end-inspiratory pause prolongation reduces dead space, increasing respiratory system compliance plateau pressure and consequently driving pressure increase accordingly. 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. Policy of Dealing with Allegations of Research MisconductĪbstract: 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.Policy of Screening for Plagiarism Process.Some apparatus dead space may actually reduce total dead space, as an ETT bypasses the majority of anatomical dead space of the patient (nasopharynx).ĭead space from the patient. Types of Dead Spaceĭead space from equipment, such as tubes ventilator circuitry. Glomerular Filtration and Tubular Functionĭead space is the proportion of minute ventilation which does not participate in gas exchange. Functional Anatomy and Control of Blood Flow

Physiologic dead space calculation