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ETT Resistance r⁴ — FRCA Primary MCQ

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HardPhysics & Clinical MeasurementETT Resistance r⁴FRCA Primary

Regarding ETT resistance: halving the internal radius increases resistance to laminar flow by a factor of:

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Correct answer: E16

Resistance ∝ 1/r⁴ (Hagen-Poiseuille). Halving the radius: (1/(0.5))⁴ = 2⁴ = 16-fold increase. This is why small reductions in airway calibre (e.g. from oedema or downsizing ETT) dramatically increase resistance and work of breathing.

Reference: Al-Shaikh Stacey 2019 Essentials of Anaesthetic Equipment