Ventilation Index (VI)

Ventilation index (VI = respiratory rate × peak inspiratory pressure × PaCO₂ / 1000): a bedside marker of ventilatory burden; higher values track mortality and extubation-failure risk.

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

Example

Respiratory rate
30 breaths/min
Peak inspiratory pressure
30 cmH₂O
PaCO₂
50 mmHg

Result: Ventilation index 45 — markedly elevated: higher mortality / extubation-failure risk.

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

What the result means

Meaning
Higher = worse; tracks mortality / extubation-failure risk in pediatric respiratory failure. A PEEP-corrected variant uses (PIP − PEEP).

What you enter

  • Respiratory rate
  • Peak inspiratory pressure
  • PaCO₂
How this is calculated
Formula
VI = (respiratory rate × peak inspiratory pressure × PaCO₂) / 1000.

Paret G, Ziv T, Barzilai A, et al. Ventilation index and outcome in children with acute respiratory distress syndrome. Pediatr Pulmonol. 1998;26(2):125-128. Read the source ↗

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

Browse all tools

Built by Clay Good. Source on GitHub.