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Multiple Choice

Which expression correctly represents alveolar ventilation per minute?

Alveolar ventilation per minute is the amount of air that reaches the alveoli for gas exchange each minute. Air inhaled contains dead space air in the conducting airways that doesn’t participate in gas exchange. Only the portion of tidal volume that reaches the alveoli, which is VT minus VD, contributes to alveolar ventilation. Multiply that per-breath alveolar air by the number of breaths per minute (RR) to get the per-minute value: VȦ = (VT − VD) × RR. This is why the correct expression uses the difference between tidal volume and dead space, then scales by respiratory rate. The other forms miscount or mix quantities (adding dead space to tidal volume, or multiplying minute ventilation by RR again, or combining volumes that aren’t directly exchanged air per minute), so they don’t correctly describe alveolar ventilation.

Alveolar ventilation per minute is the amount of air that reaches the alveoli for gas exchange each minute. Air inhaled contains dead space air in the conducting airways that doesn’t participate in gas exchange. Only the portion of tidal volume that reaches the alveoli, which is VT minus VD, contributes to alveolar ventilation. Multiply that per-breath alveolar air by the number of breaths per minute (RR) to get the per-minute value: VȦ = (VT − VD) × RR. This is why the correct expression uses the difference between tidal volume and dead space, then scales by respiratory rate. The other forms miscount or mix quantities (adding dead space to tidal volume, or multiplying minute ventilation by RR again, or combining volumes that aren’t directly exchanged air per minute), so they don’t correctly describe alveolar ventilation.