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The prediction is that infection is more likely for small poorly ventilated rooms, and if the infected person is highly infectious. The Wells-Riley is a highly simplified model of a very complex process, but does at least make predictions for how the probability of infection varies with things within our control, such as room ventilation .
A ventilation perfusion scan or lung scintigraphy can be used to diagnose areas of lungs being ventilated but not adequately perfused. This results in a raised Alveolar-arterial (A-a) gradient which is responsive to supplemental oxygen. In conditions with right to left shunts, there are also ventilation perfusion defects with high A-a gradients.
The Shunt equation (also known as the Berggren equation) quantifies the extent to which venous blood bypasses oxygenation in the capillaries of the lung.. “Shunt” and “dead space“ are terms used to describe conditions where either blood flow or ventilation do not interact with each other in the lung, as they should for efficient gas exchange to take place.
This matching may be assessed in the lung as a whole, or in individual or in sub-groups of gas-exchanging units in the lung. On the other side Ventilation-perfusion mismatch is the term used when the ventilation and the perfusion of a gas exchanging unit are not matched. The actual values in the lung vary depending on the position within the lung.
Ventilation–perfusion coupling is the relationship between ventilation and perfusion in the respiratory and cardiovascular systems. [1] Ventilation is the movement of air in and out of the lungs during breathing. [2] Perfusion is the process of pulmonary blood circulation, which reoxygenates blood, allowing it to transport oxygen to body tissues.
In respiratory physiology, specific ventilation is defined as the ratio of the volume of gas entering a region of the lung (ΔV) following an inspiration, divided by the end-expiratory volume (V 0) of that same lung region:
By redirecting blood flow from poorly-ventilated lung regions to well-ventilated lung regions, HPV is thought to be the primary mechanism underlying ventilation/perfusion matching. [1] [2] The process might initially seem counterintuitive, as low oxygen levels might theoretically stimulate increased blood flow to the lungs to increase gas exchange.
Dead space is the volume of air that is inhaled that does not take part in the gas exchange, because it either remains in the conducting airways or reaches alveoli that are not perfused or poorly perfused. It means that not all the air in each breath is available for the exchange of oxygen and carbon dioxide.