title: Modelling inert gas exchange in tissue and mixed-venous blood return to the lungs.
abstract: Inert gas exchange in tissue has been almost exclusively modelled by using an ordinary differential equation. The mathematical model that is used to derive this ordinary differential equation assumes that the partial pressure of an inert gas (which is proportional to the content of that gas) is a function only of time. This mathematical model does not allow for spatial variations in inert gas partial pressure. This model is also dependent only on the ratio of blood flow to tissue volume, and so does not take account of the shape of the body compartment or of the density of the capillaries that supply blood to this tissue. The partial pressure of a given inert gas in mixed-venous blood flowing back to the lungs is calculated from this ordinary differential equation. In this study, we write down the partial differential equations that allow for spatial as well as temporal variations in inert gas partial pressure in tissue. We then solve these partial differential equations and compare them to the solution of the ordinary differential equations described above. It is found that the solution of the ordinary differential equation is very different from the solution of the partial differential equation, and so the ordinary differential equation should not be used if an accurate calculation of inert gas transport to tissue is required. Further, the solution of the PDE is dependent on the shape of the body compartment and on the density of the capillaries that supply blood to this tissue. As a result, techniques that are based on the ordinary differential equation to calculate the mixed-venous blood partial pressure may be in error.
authors.affiliation: Nuffield Department of Anaesthetics, University of Oxford, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, UK.
authors.forename: J P
authors.initials: JP
authors.lastname: Whiteley
authors.forename: D J
authors.initials: DJ
authors.lastname: Gavaghan
authors.forename: C E
authors.initials: CE
authors.lastname: Hahn
mesh_terms: D000758:Anesthesia; D001692:Biological Transport; D002196:Capillaries / Q000033:anatomy & histology; D006801:Humans; D008168:Lung / Q000378:metabolism*; D008433:Mathematics; D008954:Models, Biological; D005741:Noble Gases / Q000493:pharmacokinetics*; D010313:Partial Pressure; D011652:Pulmonary Circulation / Q000502:physiology*
chemical_list: D005741:Noble Gases