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The Bohr equation, named after Danish physician Christian Bohr (1855–1911), describes the amount of physiological dead space in a person's lungs. This is given as a ratio of dead space to tidal volume. It differs from anatomical dead space as measured by Fowler's method as it includes alveolar dead space.
Total dead space (also known as physiological dead space) is the sum of the anatomical dead space and the alveolar dead space. Benefits do accrue to a seemingly wasteful design for ventilation that includes dead space. [1] Carbon dioxide is retained, making a bicarbonate-buffered blood and interstitium possible.
An area with ventilation but no perfusion (and thus a V/Q undefined though approaching infinity) is termed "dead space". [6] Of note, few conditions constitute "pure" shunt or dead space as they would be incompatible with life, and thus the term V/Q mismatch is more appropriate for conditions in between these two extremes.
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.
In medicine, the ratio of physiologic dead space over tidal volume (V D /V T) is a routine measurement, expressing the ratio of dead-space ventilation (V D) to tidal ventilation (V T), as in physiologic research or the care of patients with respiratory disease. [1]
The healthy human body will alter minute volume in an attempt to maintain physiologic homeostasis. A normal minute volume while resting is about 5–8 liters per minute in humans. [1] Minute volume generally decreases when at rest, and increases with exercise. For example, during light activities minute volume may be around 12 litres.
Hemoglobin's oxygen binding affinity (see oxygen–haemoglobin dissociation curve) is inversely related both to acidity and to the concentration of carbon dioxide. [1] That is, the Bohr effect refers to the shift in the oxygen dissociation curve caused by changes in the concentration of carbon dioxide or the pH of the environment.
Dead space refers to the volume not taking part in gas exchange. [11] Alveolar dead space and insufficient perfusion result in a V/Q ratio above 0.8 with decreased fresh oxygen in the alveoli. [ 1 ] This might have been caused by blood clotting , heart failure , pulmonary emphysema , or damage in alveolar capillaries .