The influence of gas exchange on lung gas concentrations during air breathing

A model study is made of the contribution that continuing respiratory gas exchange makes to the alveolar plateau slope for O₂ during air breathing. Calculations in the model of the O₂ concentration appearing at the mouth during expiration, are performed for single breaths of air at constant flow rates 18 litres/min and 120 litres/min. At 18 litres/min the breathing period is 5 sec, the initial lung volume is 2300 ml, and the O₂ uptake rate is 300 ml STPD/min; whereas at 120 litres/min these parameters are 4 sec, 1200 ml, and 1800 ml STPD/min respectively. In each case the initial lung O₂ tension is taken to be 98 mm Hg. It is found that at 18 litres/min, the O₂ concentration difference on the alveolar plateau over the last second of expiration is 0.4 mm Hg when gas exchange is omitted and 1.2 mm Hg when gas exchange is included in the model. At 120 litres/min, this difference is zero and 5.0 mm Hg respectively. The gas exchange component predicted from a corresponding well-mixed compartment model is the same at 18 litres/min (0.8 mm Hg) but is 6.0 mm Hg at 120 litres/min.