The binding and buffering of O 2 and CO 2 in the blood influence their exchange in lung and tissues and their transport through the circulation. To investigate the binding and buffering effects, a model of blood-tissue gas exchange is used. The model accounts for hemoglobin saturation, the simultaneous binding of o 2 CO 2 . H + , 2,3-DPG to hemoglobin, and temperature effects [1,2]. Invertible Hill-type saturation equations facilitate rapid calculation of respiratory gas redistribution among the plasma, red blood cell and issue that occur along the concentration gradients in the lung and in the capillary-tissue exchange regions. These equations are well-suited to analysis of transients in tissue metabolism and partial pressures of inhaled gas. The modeling illustrates that because red blood cell velocities in the flowing blood are higher than plasma velocities after a transient there can be prolonged differences between RBC and plasma oxygen partial pressures. The blood-tissue gas exchange model has been incorporated into a higher level model of the circulatory system plus pulmonary mechanics and gas exchange using the RBC and plasma equations to account for pH and CO 2 buffering in the blood.
IntroductionThe exchange of O 2 and CO 2 between the tissue and vasculature depends on adequate delivery and removal of these gases. Oxygen delivery begins with inhalation of ambient air into the airspaces of the lung, transport to the blood from the alveoli, transport through the arterial system, and then exchange between the blood and the peripheral tissue. In a closed circulatory system, venous blood returns to the lungs where CO 2 is expired. Quantifying O 2 and CO 2 transport requires accounting for their solubility in plasma, RBCs and tissue as well as their binding and release from the hemoglobin (Hb) in the RBCs and, in addition, for O 2 only, its binding to myoglobin in tissue. Hemoglobin dissociation curves were developed that described the fraction of O 2 and CO 2 bound to Hb in the steady state as a function of P O2 , P CO2 . pH, 2,3-DPG and temperature [1], These expressions were used to describe the steady state transport of O 2 and CO 2 as well as H + and HCO 3 â in a blood-tissue exchange model with convective transport and axial diffusion in the capillary along with exchange and metabolism in the surrounding tissue region [2].The model presented in this study accounts for ventilatory exchange between outside air and lung alveoli, exchange with alveolar capillary blood, convective transport in arteries, the exchange in tissue capillaries and arterioles, and return of venous blood to the lungs. The model describes transport of O 2 and CO 2 to tissue as influenced by respiration rate, composition of inspired gas, H + and CO 2 production and O 2 consumption in tissue and buffering in the blood. A feature of biophysical interest but modest physiological importance is the persistence of disequilibria between plasma and RBC P O2 due to the higher velocities of RBC than plasma. This difference in velocity ...