Table 2– Five causes of hypoxaemia
Cause of hypoxaemiaPAO2PA–aO2PaO2 response to increased FIO2
Diffusion limitationNormalIncreasedImproved
HypoventilationReducedNormalImproved
Decreased PIO2ReducedNormalImproved
Low VA/QReduced locallyIncreasedImproved
ShuntReduced locallyIncreasedMinimal improvement
  • PAO2: alveolar partial pressure of O2; PA–aO2: alveolar–arterial O2 tension difference; PaO2: arterial partial pressure of O2; FIO2: inspiratory O2 fraction; PIO2: partial pressure of O2 in inspired gas; VA/Q′: ratio of alveolar ventilation to perfusion.