Sequential Gas Delivery Provides Precise Control of Alveolar Gas Exchange
Fisher JA, Iscoe S, Duffin J. Respiratory Physiology & Neurobiology, 31 Jan 2016, 225:60-69 doi: 10.1016/j.resp.2016.01.004
Of the factors determining blood gases, only alveolar ventilation (VA) is amenable to manipulation. However, current physiology text books neither describe how breath-by-breath VA can be measured, nor how it can be precisely controlled in spontaneously breathing subjects. And such control must be effected independent of minute ventilation (VE) and the pattern of breathing. Control of VA requires the deliberate partition of inhaled gas between the alveoli and the anatomical deadspace.