In pertaining to
PO2 dependency of the pulmonary CO diffusing capacity during rebreathing, the O
2 uptake (
VO2) and cardiac output (
Q) were measured at three different
PO2 levels between 100 and 500 Torr. Since the
VO2 measured by an O
2 injection method is strongly influenced in hyperoxia by a gas exchange ratio (
R), a simulation method using a
R-
PCO2 relation during rebreathing was developed. Gas volume in the lung-bag-system needed in the computation was measured from the difference in O
2 concentration between before and after injecting a known amount of O
2 into the rebreathing circuit. The accuracy of the volume was checked by comparing it with the volume measured successively with a body box. The
VO2 was determined by comparing the simulated O
2 and CO
2 concentrations in rebreathing gas with the measured ones. The
VO2 significantly increased by rebreathing in hyperoxia. To analyze the
VO2 increase, the
Q was computed by dividing the
VO2 by the arteriovenous O
2 content difference, which in turn was obtained by dividing the slope of the CO
2 dissociation curve by that of the
R-PCO2 line. The
Q was almost linearly related to the
VO2. Since there was no difference in
VO2 in steady state breathing between normoxia and hyperoxia, the increase in
VO2 and
Q seemed to occur transiently. This finding is very important in evaluating the
PO2 dependency of the pulmonary diffusing capacity for CO.
View full abstract