Physiology · Respiratory System

Ventilation-perfusion relationships

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Definition

  • The ventilation-perfusion (V/Q) ratio is the ratio of alveolar ventilation to pulmonary blood flow; the normal value is 0.8.

Ventilation

  • In the erect posture, resting ventilation per unit lung volume is greater at the lung bases than at the apices.
  • Uniformity of distribution of inspired air is tested by the nitrogen washout method.
  • After 7 minutes of breathing oxygen, a normal alveolar gas sample contains less than 2.5% nitrogen; a higher alveolar nitrogen percentage indicates greater non-uniformity of distribution of inspired gas.

Perfusion

  • Pulmonary perfusion is also non-uniform in the erect posture, due to the effect of gravity.