Determination of D-CO by the single breath method in inhomogeneous lungs: theory.
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Biomedical subjects
Publications and source records attributed to J Piiper.
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The incomplete O2 extraction in stimulated muscle preparations as well as in exercising muscles has been attributed to diffusion limitation. In particular, the constancy of the ratio maximum O2 uptake-venous PO2 with varied O2 supply conditions is in agreement with predictions on the basis of simple perfusion-diffusion models. But several methods (inert gas washout, local xenon clearance, microsphere embolization) have revealed presence of a considerable degree of inhomogeneity of muscle blood flow and shunting both in supramaximally stimulated and in naturally exercising muscle. This inhomogeneity must be taken into account when estimating diffusion limitation in O2 supply.
To study pulmonary gas transport in panting, expirograms of several inert and respiratory gases were simultaneously measured in panting dogs. The experiments were performed on 5 conscious dogs (mean body weight 34.4 kg) provided with a chronic tracheostomy. Panting at a mean frequency of 312/min (5.2 Hz) was induced by elevated room temperature (mean 28.1 degrees C). Isotonic saline equilibrated with 50% acetylene and 50% Freon-22 was infused intravenously at a constant rate (4 ml/min). Fractional concentrations in the tracheostomy tube were measured by a respiratory mass spectrometer, using a special sampling system designed for quasi-continuous analysis of rapidly changing gas concentrations. Air flow was monitored by an ultrasonic transit-time flowmeter. A tracing of expired gas concentrations versus expired volume showed no alveolar plateau, displaying a steep increase of Freon-22, acetylene and CO2 (decrease of O2) up to the onset of inspiration. The small but statistically highly significant differences between the expirograms of CO2 and O2, and of Freon-22 and acetylene, could be qualitatively explained by ventilation-perfusion inequalities with sequential emptying, by Taylor dispersion and by reversible solution in airway mucosa in the course of the respiratory cycle.
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