V/Q in self-ventilating adult

    Cards (1)

    • 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