Mnemonic

Oxygen Cascade

A memory aid for the fall in oxygen tension from air to mitochondria.

Expansion

Oxygen tension falls stepwise from atmospheric to about 1 kPa in the mitochondrion

Expansion

Approximate oxygen tensions breathing air at sea level:

Stage Tension
Dry atmospheric air 21.2 kPa (159 mmHg)
Humidified tracheal gas 19.9 kPa (149 mmHg)
Alveolar gas 13.3 kPa (100 mmHg)
Arterial blood 12.7 kPa (95 mmHg)
Capillary and tissue 5.3 kPa (40 mmHg)
Mitochondrion 0.5 to 3 kPa

Each step has a cause:

  • Humidification adds water vapour at 6.3 kPa, diluting oxygen
  • Alveolar gas loses further tension to carbon dioxide, per the alveolar gas equation
  • The small alveolar to arterial step reflects venous admixture and V/Q scatter
  • The large tissue step is the diffusion gradient driving oxygen into cells

The mitochondrion functions at a remarkably low tension, the Pasteur point of about 0.13 kPa being the critical level below which oxidative phosphorylation fails. The whole cascade exists to maintain that small final gradient.