Epistemis

Alveolar-arterial oxygen gradient (A-a)

Helps discern whether the origin of postoperative hypoxemia is intrapulmonary (e.g. atelectasis, pneumonia, PE, shunt) or extrapulmonary (e.g. central hypoventilation due to opioid overdose).

Required inputs

The inputs this calculator asks for inside the app.
VariableExample value
Presión de Oxígeno en Aire Inspirado (FiO2, %)21
Presión Parcial de CO2 Arterial (PaCO2, mmHg)40
Presión Parcial de Oxígeno Arterial (PaO2, mmHg)95
Presión Barométrica (Patm, mmHg)760

Run the calculation in the app

This page explains the score but does not run it. In Epistemis, the calculator validates units, flags values outside physiological ranges, and provides the interpretation that a number alone cannot convey.

Epistemis is educational review material. It is not a medical device, does not diagnose or prescribe treatment, and does not replace formal medical training, current clinical guidelines, or professional clinical judgment.

Specialty
Surgery and Trauma
Area
Specialties
Variables
4
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