Diffusing capacity and anatomic dead space for carbon-18 monoxide.

Carbon monoxide (CO) is difficult to measure with a respiratory mass spectrometer because of the similar mass numbers of CO and nitrogen, but this is possible using carbon-18 monoxide. The mass resolution, signal-to-noise ratio, linearity, and background were all found to be adequate. The measurement of the single-breath diffusing capacity was examined. Unless the mean alveolar volume during breath holding is used in the calculation, the value for Dco obtained depends on which portion of the alveolar sample is analyzed. The anatomic dead space for CO was found to be almost the same as that for argon suggesting that the diffusion rate at the dead space-alveolar gas interface was not greatly affected by the alveolar concentration of the gas.