Document Detail


Estimating steady-state DLO2 with nonlinear dissociation curves and VA/Q inequality.
MedLine Citation:
PMID:  3175358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A DLO2 estimate which accounts for the nonlinearity of the oxygen dissociation curve using the Kelman blood gas routines is presented here. The simultaneous differential equations that describe O2 and CO2 diffusion between alveolar gas and pulmonary capillary blood in lung compartments with different VA/Q ratios were solved numerically with a Runge-Kutta algorithm. These integrated estimates were compared to DLO2 estimates that assume the oxygen dissociation curve is linear. In 140 gas exchange data sets from 18 healthy male subjects previously collected at rest and during exercise it was found that DLO2 estimates based on linear dissociation curves exceeded integrated DLO2 estimates by 14, 31, and 55 percent when the PIO2 was 80, 100, and 148 Torr, respectively. We conclude that the linear approximation is accurate when PIO2 is less than 100 Torr but that comparisons of DLO2 estimates at different levels of inspired oxygen must allow for the difference in curvature of the oxygen dissociation curve as a function of PIO2.
Authors:
S C Hempleman; A T Gray
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Respiration physiology     Volume:  73     ISSN:  0034-5687     ISO Abbreviation:  Respir Physiol     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-11-23     Completed Date:  1988-11-23     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0047142     Medline TA:  Respir Physiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  279-88     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of California, San Diego, La Jolla 92093.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Exercise
Humans
Male
Oxyhemoglobins / analysis
Partial Pressure
Pulmonary Diffusing Capacity*
Pulmonary Gas Exchange*
Grant Support
ID/Acronym/Agency:
GM07198/GM/NIGMS NIH HHS; HL 33379/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Oxyhemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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