Calculating alveolar capillary conductance and pulmonary capillary blood volume: Comparing the multiple-and single-inspired oxygen tension methods

Maile L. Ceridon, Kenneth C. Beck, Thomas P. Olson, Jordan A. Bilezikian, Bruce D. Johnson

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Key elements for determining alveolar-capillary membrane conductance (Dm) and pulmonary capillary blood volume (Vc) from the lung diffusing capacity (DL) for carbon monoxide (DLCO) or for nitric oxide (DLno) are the reaction rate of carbon monoxide with hemoglobin (θCO) and the DmCO/DL NO relationship (α-ratio). Although a range of values have been reported, currently there is no consensus regarding these parameters. The study purpose was to define optimal parameters (θCO, α-ratio) that would experimentally substantiate calculations of Dm and Vc from the single-inspired O2 tension [inspired fraction of O2 (FiO2)] method relative to the multiple-Fi O2 method. Eight healthy men were studied at rest and during moderate exercise (80-W cycle). Dm and Vc were determined by the multiple-FiO2 and single-FiO2 methods (rebreathe technique) and were tabulated by applying previously reported θCO equations (both methods) and by varying the a-ratio (single-FiO2 method) from 1.90 to 2.50. Values were then compared between methods throughout the examined α-ratios. Dm and Vc were critically dependent on the applied θCO equation. For the multiple-FiO2 method, Dm was highly variable between θCO equations (rest and exercise); the range of Vc was less widespread. For the single-FiO2 method, the θCO equation by Reeves and Park (1992) combined with an α-ratio between 2.08 and 2.26 gave values for Dm and Vc that most closely matched those from the multiple-FiO2 method and were also physiologically plausible compared with predicted values. We conclude that the parameters used to calculate Dm and Vc values from the single-Fi O2 method (using DLCO and D LNO) can significantly influence results and should be evaluated within individual laboratories to obtain optimal values.

Original languageEnglish (US)
Pages (from-to)643-653
Number of pages11
JournalJournal of applied physiology
Volume109
Issue number3
DOIs
StatePublished - Sep 2010

Keywords

  • Carbon monoxide
  • Exercise
  • Gas exchange
  • Gas transfer
  • Nitric oxide

ASJC Scopus subject areas

  • Physiology
  • Physiology (medical)

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