This step defines a seventh chord, names the 7th chord qualities and identifies the notes that vary between them. The staff diagrams and audio files contain each note individually, ascending from the root, followed by the chord containing all 3 notes. The figured bass symbols for this chord in root position are 7/5/3. On the bass clef, Middle C is shown with an orange ledger line above the main 5 staff lines. These note names are shown below on the treble clef followed by the bass clef. Middle C (midi note 60) is shown with an orange line under the 2nd note on the piano diagram. The 4th note of the D-flat major 7th chord is C The 3rd note of the D-flat major 7th chord is Ab The 2nd note of the D-flat major 7th chord is F The 1st note of the D-flat major 7th chord is Db D-flat major 7th chord note names Note no. The chord spelling / formula relative to the Db major scale is: 1 3 5 7. The D-flat major 7th chord contains 4 notes: Db, F, Ab, C. This step shows the D-flat major 7th chord in root position on the piano, treble clef and bass clef.
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This review revisits the physiological concepts and methods of measuring deadspace. Thus making it more accessible and easy to monitor and study in large groups of patients, factors which have perhaps resulted in its under-utilisation in critical care. Several indices have been described that either predict deadspace or track ventilatory efficiency at the bedside. Recently though there has been a resurgence of interest in ventilatory efficiency. Deadspace and with it ventilatory efficiency has been largely forgotten. Yet indices of oxygenation seem to be the mainstay when instigating or fine-tuning ventilatory strategies. Since its first description by Bohr in the late 19th century to the current use of single-breath test for volumetric CO 2, our understanding of the physiological deadspace has vastly improved. Measuring deadspace ventilation should be the most reliable method of monitoring ventilatory efficiency in mechanically ventilated patients. 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