MRCEM Notes

Pulmonary gas exchange

Perfusion-limited exchange
  • gas equilibrates early along the length of the pulmonary capillary, therefore the partial pressure of the gas in the arterial blood equals that in the alveolar air
  • the only way to increase diffusion of a gas is therefore to increase blood flow

Diffusion-limited exchange
  • gas does not equilibrate by the time the blood has reached the end of the pulmonary capillary
  • a partial pressure gradient is therefore maintained between the arterial blood and the alveolar air

Examples of perfusion-limited exchangeExamples of diffusion-limited exchange
Oxygen (normal conditions)
Nitrous oxide
Carbon dioxide
Oxygen (during strenuous exercise)
Oxygen (lung fibrosis)
Oxygen (emphysema)
Carbon monoxide
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