Effects of lung time constant, gas analyser delay and rise time on measurements of respiratory dead-space.
This study evaluated effects of mechanical time constants (tau(m)) of the respiratory system, delays between flow and CO(2) partial pressure (P(CO)(2)) signals and rise time of the CO(2) analyser on dead-space measurements. A computer model simulated low alveolar dead-space, high alveolar dead-space, 0.2 <or= tau(m) <or= 3.6 s and varying ventilation-perfusion ratios (V/Q). CO(2) expirograms were recorded from the model under each condition and from 22 anaesthetized intubated patients. P(CO)(2) signals were shifted with respect to flow to produce varying time delays and anatomic and physiological dead-spaces were calculated. The CO(2) analyser was simulated as a critically damped second-order system with 10-90% rise times of 25-400 ms. The error in measured dead-space increases approximately 2.5% per 10 ms signal delay for normal lungs (tau(m) = 1 s), but has low sensitivity (0.58% per 10 ms) to the rise time of the CO(2) analyser. Sensitivity of physiological dead-space, but not anatomic dead-space to delay is decreased in high alveolar dead-space and abnormal V/Q distribution. Shorter tau(m) increase the error sensitivity of both physiological and anatomic dead-spaces to both delay and rise time. P(CO)(2) and flow should be well synchronized, particularly when tau(m) are short, to avoid dead-space errors.
Tang
Yongquan
Y
Department of Anaesthetics, University of Sydney, Royal Prince Alfred Hospital, NSW 2050, Sydney, Australia. ytan7763@usyd.edu.au
Turner
Martin J
MJ
Baker
A Barry
AB
D000368:Aged; D003198:Computer Simulation; D005260:Female; D006801:Humans; D007700:Kinetics; D008168:Lung / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D015203:Reproducibility of Results; D012126:Respiratory Dead Space / Q000502:physiology*; D015656:Respiratory Mechanics / Q000502:physiology*; D012680:Sensitivity and Specificity; D013147:Spirometry / Q000379:methods*; D013997:Time Factors; D014692:Ventilation-Perfusion Ratio / Q000502:physiology*