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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.
where is the pulmonary vein, is the pulmonary artery, is the systemic arterial, and is the mixed-venous The Qp:Qs ratio is based upon the Fick principle and it is reduced to the above equation and eliminates the need to know cardiac output and hemoglobin concentration.
A right-to-left shunt occurs when: there is an opening or passage between the atria, ventricles, and/or great vessels; and,; right heart pressure is higher than left heart pressure and/or the shunt has a one-way valvular opening.
Utilizing the Fick principle, the ratio of blood flow in the lungs (Qp) and system circulations (Qs) can calculate the Qp:Qs ratio. Elevation of the Qp:Qs ratio above 1.5 to 2.0 suggests that there is a hemodynamically significant left-to-right shunt (such that the blood flow through the lungs is 1.5 to 2.0 times more than the systemic ...
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Surgical correction should be considered in the presence of significant left to right shunting (Qp:Qs ≥ 2:1) and pulmonary hypertension. This involves creation of an inter-atrial baffle to redirect the pulmonary venous return into the left atrium. Alternatively, the anomalous vein can be re-implanted directly into the left atrium. [citation ...
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Abbreviation Meaning q: each, every (from Latin quaque) : q15: every 15 minutes q6h q6° once every 6 hours q2wk: once every 2 weeks qAc Before every meal (from Latin quaque ante cibum)