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anatomical dead space

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anatomical dead space
n.
The volume of the conducting airways of the nose, mouth, and trachea down to the level of the alveoli, representing that portion of inspired gas unavailable for exchange of gases with pulmonary capillary blood.

dead space 
1. a space remaining in the tissues as a result of failure of proper closure of surgical or other wounds, permitting the accumulation of blood or serum.
2. the portions of the respiratory tract that are ventilated but not perfused by pulmonary circulation.
alveolar dead space the difference between anatomical dead space and physiologic dead space, representing the space in alveoli occupied by air that does not participate in oxygen–carbon dioxide exchange (alveolar ventilation). It varies in different parts of the lungs and under different conditions.
anatomical dead space the airways of the mouth, nose, pharynx, larynx, trachea, bronchi, and bronchioles.
equipment dead space the volume of equipment that results in rebreathing of gases.
physiologic dead space the sum of the anatomic and alveolar dead spaces; its volume (VD) is determined by measuring the partial pressure of carbon dioxide in a sample of exhaled gas (PECO2) and in the arterial blood (PaCO2) and (with tidal volume of VT) using the formula VD/VT = (PaCO2−PECO2)/PaCO2.


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Marked declines in the PaC02 occur by increased tidal volumes as well as dilution or washout of the C02 in the anatomical dead space.
Usually, these tidal volumes end up being less than the patient's anatomical dead space, which is especially important if the patient being ventilated has non-compliant or stiff lungs, in which case conventional mechanical ventilation is likely to cause barotrauma due to overdistension.
 
 
 
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