Model-based measurement of gas exchange in healthy subjects using ALPE essential - influence of age, posture and gender

The ALPE Essential device for model-based measurement of pulmonary gas exchange status may be a useful alternative to current methods for diagnosing, monitoring and evaluating treatment related to pulmonary gas exchange. In this study, shunt and ventilation/perfusion mismatch were measured with ALPE Essential in 106 healthy subjects with the aim of investigating the influence of age, posture and gender on gas exchange parameters and evaluating the test-retest reliability of the measurements. Age and gender did not have statistically significant influence on gas exchange parameters, although there was a tendency for poorer matching of ventilation and perfusion with age. Posture was shown to be important when measuring gas exchange parameters. Absolute measurement reliability was acceptable with future studies in patients being necessary for accurate evaluation of relative reliability.

[1]  V. Seagroatt An introduction to medical statistics (2nd ed.) , 1996 .

[2]  J Milic-Emili,et al.  Effects of age and body position on "airway closure" in man. , 1970, Journal of applied physiology.

[3]  S Andreassen,et al.  Reproduction of MIGET retention and excretion data using a simple mathematical model of gas exchange in lung damage caused by oleic acid infusion. , 2006, Journal of applied physiology.

[4]  Egon Toft,et al.  Oxygenation within the first 120 h following coronary artery bypass grafting. Influence of systemic hypothermia (32 °C) or normothermia (36 °C) during the cardiopulmonary bypass: a randomized clinical trial , 2006 .

[5]  E Toft,et al.  Oxygenation within the first 120 h following coronary artery bypass grafting. Influence of systemic hypothermia (32 degrees C) or normothermia (36 degrees C) during the cardiopulmonary bypass: a randomized clinical trial. , 2006, Acta anaesthesiologica Scandinavica.

[6]  Steen Andreassen,et al.  Clinical refinement of the automatic lung parameter estimator (ALPE) , 2013, Journal of Clinical Monitoring and Computing.

[7]  J B West,et al.  Continuous distributions of ventilation-perfusion ratios in normal subjects breathing air and 100 per cent O2. , 1974, The Journal of clinical investigation.

[8]  A. Agresti,et al.  Approximate is Better than “Exact” for Interval Estimation of Binomial Proportions , 1998 .

[9]  John F. Nunn,et al.  Nunn's Applied Respiratory Physiology , 1993 .

[10]  Axel Kleinsasser,et al.  Does gender affect human pulmonary gas exchange during exercise? , 2004, The Journal of physiology.

[11]  J B West,et al.  Measurement of continuous distributions of ventilation-perfusion ratios: theory. , 1974, Journal of applied physiology.

[12]  Steen Andreassen,et al.  Non-invasive estimation of shunt and ventilation-perfusion mismatch , 2003, Intensive Care Medicine.

[13]  S Andreassen,et al.  Can new pulmonary gas exchange parameters contribute to evaluation of pulmonary congestion in left-sided heart failure? , 2009, The Canadian journal of cardiology.

[14]  J. Barberà,et al.  Increase in pulmonary ventilation-perfusion inequality with age in healthy individuals. , 1997, American journal of respiratory and critical care medicine.

[15]  B.W. Smith,et al.  Quantitative Assessment of Pulmonary Shunt and Ventilation-Perfusion Mismatch without a Blood Sample , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[16]  Steen Andreassen,et al.  Variation in the PaO2/FiO2 ratio with FiO2: mathematical and experimental description, and clinical relevance , 2007, Critical care.

[17]  R. Crapo,et al.  Arterial blood gas reference values for sea level and an altitude of 1,400 meters. , 1999, American journal of respiratory and critical care medicine.

[18]  Stephen E. Rees,et al.  Reproduction of inert gas and oxygenation data: a comparison of the MIGET and a simple model of pulmonary gas exchange , 2010, Intensive Care Medicine.

[19]  Steen Andreassen,et al.  The Automatic Lung Parameter Estimator (ALPE) System: Non-Invasive Estimation of Pulmonary Gas Exchange Parameters in 10-15 Minutes , 2004, Journal of Clinical Monitoring and Computing.