A visual aid for teaching ventilation-perfusion relationships
Autor: | James M. Norton |
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Rok vydání: | 2000 |
Předmět: |
medicine.medical_specialty
Audiovisual Aids Pulmonary Gas Exchange Teaching Materials Physiology business.industry Teaching Respiratory Dead Space General Medicine respiratory system Ventilation/perfusion ratio respiratory tract diseases Education Surgery Perfusion Internal medicine medicine Cardiology Humans Pulmonary Ventilation business circulatory and respiratory physiology |
Zdroj: | Advances in Physiology Education. 24:38-42 |
ISSN: | 1522-1229 1043-4046 |
DOI: | 10.1152/advances.2000.24.1.38 |
Popis: | To help students understand the concept of the ventilation-perfusion ratio (VA/Q) and the effects that VA/Q mismatching has on pulmonary gas exchange, a "sliding rectangles" visual aid was developed to teach VA/Q relationships. Adjacent rectangles representing "ventilation" and "perfusion" are slid past one another so that portions of the ventilation and perfusion rectangles are not touching, illustrating the concepts of dead-space ventilation (VD) and shunt flow (QS). The portion of the ventilation bar representing VD is further subdivided into anatomical and alveolar VD and used to show the effects of alveolar dead space on the PO2 (PAO2) and PCO2 of alveolar air (PACO2); movement away from the "ideal" point). Similarly, the portion of the perfusion bar representing QS is used to define anatomical and physiological shunts and the effect of shunts on the PO2 (PaO2) and PCO2 of arterial blood (PaCO2). The genesis of the PAO2-PaO2 (A-a) PO2 difference as well as the effects of VA/Q mismatching and diffusion abnormalities can all be discussed with this visual aid. This approach has greatly assisted some students in mastering this traditionally difficult area of respiratory physiology. |
Databáze: | OpenAIRE |
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