Quantitative description of whole blood CO2 dissociation curve and Haldane effect

Autor: Jack A. Loeppky, E.R. Fletcher, Ulrich C. Luft
Rok vydání: 1983
Předmět:
Zdroj: Respiration Physiology. 51:167-181
ISSN: 0034-5687
DOI: 10.1016/0034-5687(83)90038-5
Popis: A simple procedure is presented to describe accurately the whole blood CO 2 dissociation curve on linear content (C CO 2 ) and pressure (P CO 2 ) coordinates with an exponential equation (C CO 2 = K·P CO 2 b ). A single coordinated and the hemoglobin concentration, Hb, are required. Whole blood C CO 2 can be calculated from values for pH, P CO 2 , Hb and O 2 saturation by empirically accurate equations. The mathematical description of the CO 2 curve was employed to quantitate the in vivo Haldane factor (f H ) from simultaneous arterial and mixed venous blood samples in 20 healthy exercising subjects. The mean ± SE was 0.28 ± 0.03 (vol. % ΔC CO 2 /vol. % δHbO 2 ). In 20 patients with severe obstructive lung disease f H was 0.29 ± 0.08 when calculated from arterial samples while breathing air and 100% O 2 . Values for f H were not related significantly to acid-base status or Hb as suggested by previous workers. By assuming these or other values for f H , the in vivo change in blood P CO 2 resulting from a given change in oxygenation can be predicted.
Databáze: OpenAIRE