Definition

  • Failure of oxygenation and/or failure of ventilation, resulting in a failure to maintain normal levels of oxygen and carbon dioxide in the blood

Classification

  • Type 1: inability to meet patient’s oxygen demands resulting in hypoxia
  • Type 2: inability of CO2 clearance, typically resulting in hypercapnia. Severe hypercapnia may lead to hypoxia.
  • V/Q (ventilation-perfusion) relationship is approximately 0.8 normally.
  • A-a gradient = alveolar PO2 – arterial PO2.