Abstract
Various chemical species having different physicochemical properties (e.g., solubility) can be used to characterize many aspects of the pulmonary system. These include (a) gas distribution (or ventilation) inhomogeneity, (b) effective alveolar-capillary transport, (c) pulmonary blood flow, (d) pulmonary tissue (and capillary) volume, and (e) ventilation-perfusion inhomogeneity. Experimentally, the quickest methods to obtain these characteristics are based on the dynamic response to composition changes of pulmonary system inputs. For each method, the underlying mathematical model must be appropriately developed from dynamic mass-balance equations. The problems associated with making inferences about the pulmonary system in the presence of significant ventilation inhomogeneity are addressed. Many alternative approaches are considered with a critical examination of their advantages and limitations.
Similar content being viewed by others
References
Adaro, F., M. Meyer, and R.S. Sikand. Rebreathing and single breath pulmonary diffusing capacity in man at rest and exercise studied by C18 O isotope.Bull. Eur. Physiopathol. Respir. 12:747–756, 1976.
Baker, L., R. Rhoades, and J. Ultman. Simultaneous gas flow and diffusion in a symmetric airway system: A mathematical model.Respir. Physiol. 21:110–138, 1974.
Buist, A.S. and B.B. Ross. Quantitative analysis of the alveolar plateau in the diagnosis of early airway obstruction.Am. Rev. Respir. Dis. 108:1078–1087, 1973.
Burma, G.M. and G.M. Saidel. Re-evaluation of methods for non-invasive estimation of pulmonary blood flow and pulmonary tissue volume. (Abstract).Am. Rev. Respir. Dis. 117(4):318, 1978.
Cander, L. and R.E. Forster. Determination of pulmonary parenchymal tissue volume and pulmonary capillary blood flow in man.J. Appl. Physiol. 14:541–551, 1959.
Cotton, D.J., C.J.L. Newth, P.M. Portner, and J.A. Nadel. Measurement of single-breath CO diffusing capacity by continuous rapid CO analysis in man.J. Appl. Physiol. 46:1149–1156, 1979.
Engel, L.A. and P.T. Macklem. Gas-mixing and distribution in the lung. In:Respiratory Physiology II, Vol. 14, edited by J.G. Widdicombe. Baltimore: University Park Press, 1977, pp. 37–81.
Felton, C., G.L. Rose, S.S. Cassidy, and R.L. Johnson, Jr. Comparison of lung diffusing capacity during rebreathing and during slow exhalation.Respir. Physiol. 43:13–22, 1981.
Fleming, G.M., E.H. Chester, J. Saniie, and G.M. Saidel. Ventilation inhomogeneity using multibreath nitrogen washout: Comparison of moment ratios and other indices.Am. Rev. Respir. Dis. 121:789–795, 1980.
Hlastala, M.P. and H.T. Robertson. Inert gas elimination characteristics of the normal and abnormal lung.J. Appl. Physiol. 44:258–266, 1978.
Lutchen, K., F.P. Primiano, Jr., and G.M. Saidel. A nonlinear model combining pulmonary mechanics and gas concentration dynamics.IEEE Trans. Biomed. Eng. (in press).
Make, B. and N.L. Lapp. Factors influencing the measurement of closing volume.Am. Rev. Respir. Dis. 111:749–754, 1975.
Petrini, M.F., B.T. Peterson, and R.W. Hyde. Lung tissue volume and blood flow by rebreathing: Theory.J. Appl. Physiol. 44:795–802, 1978.
Reinhart, M.E., J.R. Hughes, M. Kung, W.M. Abraham, T. Ahmed, P. Eyre, and A. Wanner. Determination of pulmonary blood flow by the rebreathing technique in airflow obstruction.Am. Rev. Respir. Dis. 120:533–540, 1979.
Sackner, M.A., G. Markwell, N. Atkins, S.J. Birch, and R.J. Fernandez. Rebreathing techniques for pulmonary capillary blood flow and tissue volume.J. Appl. Physiol. 49:910–915, 1980.
Saidel, G.M. Alveolar-capilary diffusion and ventilatory-perfusion inhomogeneity: a mathematical model.Med. Biol. Eng. Comput. (in press).
Saidel, G.M. and G.M. Burma. Multibreath tracer species dynamics in the lung.Bull. Math. Biol. 43:1–19, 1981.
Saidel, G.M., J. Saniie, and E.H. Chester. Modeling and moments of multibreath lung washout.Ann. Biomed. Eng. 6:126–137, 1978.
Saidel, G.M., J. Saniie, and E.H. Chester. Pulmonary estimation with a time-varying model: Ventilation inhomogeneity by multibreath washout.Comput. Biomed. Res. 13:456–457, 1980.
Saniie, J., G.M. Saidel, and E.H. Chester. Real-time moment analysis of pulmonary nitrogen washout.J. Appl. Physiol. 46:1184–1190, 1979.
Stanescu, D., C. Veriter, and L. Brasseur. Difference between the He bolus and N2 technique for measuring closing volume.J. Appl. Physiol. 42:859–864, 1977.
Wagner, P.D. and J.B. West. Ventilation-perfusion relationships. In:Pulmonary Gas Exchange, Vol. I, edited by J.B. West. New York: Academic Press, 1980.
Author information
Authors and Affiliations
Additional information
Supported in part by the Medical Research Service of the Veterans Administration.
Rights and permissions
About this article
Cite this article
Saidel, G.M. Species transport dynamics for clinical pulmonary evaluation. Ann Biomed Eng 9, 529–541 (1981). https://doi.org/10.1007/BF02364769
Issue Date:
DOI: https://doi.org/10.1007/BF02364769