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Respiratory
T15 - Hypoxic Patient
V/Q in self-ventilating adult
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Hiri P
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V/Q in self-ventilating adult:
Preferentially
ventilate
dependent
lung
Maximally
perfuse
dependent
lung
In disease,
V/Q
matching
can be
optimised
by specific
positioning
of patient
Unilateral
lung
disease
– greatest
benefit
when pts
unaffected lung
is in
dependent
position
if you put
affected lung
in
dependent
position - there will be
ventilation
, but
no
perfusion
, causing
V/Q
mismatch
, causing
hypoxemia
Bilateral
lung disease greatest benefit:
right lung
in
dependent
position as the
right lung
is
bigger
high sitting
-
bases
will be much
bigger
, making them
dependent
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