Physiologic Dead-Space Fraction (Bohr-Enghoff Vd/Vt)

Physiologic dead-space fraction (Vd/Vt) by the Bohr-Enghoff equation; above 0.6 carried independent mortality risk in ARDS (Nuckton 2002).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Arterial PaCO2
60 mmHg
Expired CO2 source
Mixed-expired PĒCO2 (volumetric capnography)
Expired CO2 value
20 mmHg

Result: Vd/Vt 0.67 (67%), over 0.6: elevated dead-space fraction.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Vd/Vt 0.6 or below
At or below the cited threshold.
Vd/Vt over 0.6
Carried independent mortality risk in ARDS (Nuckton 2002).
End-tidal surrogate
Using EtCO2 in place of mixed-expired PĒCO2 underestimates true dead space.

What you enter

  • Arterial PaCO2
  • Expired CO2 source
  • Expired CO2 value
How this is calculated

Enghoff modification of the Bohr equation. Prognostic value in ARDS: Nuckton TJ, Alonso JA, Kallet RH, et al. Pulmonary dead-space fraction as a risk factor for death in the acute respiratory distress syndrome. N Engl J Med. 2002;346(17):1281-1287. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.