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2.5 Exhaled air re-breathing<br />

This section is to analyse the re-breath of the exhaled air based on the fluid dynamics<br />

model from previous section.<br />

When there is no reverse flow, the exhaled air still fills and stays in the mask and will<br />

be inhaled by the next inhalation. When reverse flow occurs, on top of that staying in<br />

the mask, part of the exhaled air pushed-back in the HADT, may re-enter the mask<br />

when next inhalation starts and be inhaled also.<br />

For calculating the exhaled air re-breathing, it is necessary to consider the mixing<br />

procedure of the fresh air and the exhaled air in the mask.<br />

There are two idealized models for mixing. One is displacement while the other is<br />

perfect mixing.<br />

When displacement occurs in the mask, a new species of fluid enters it and pushes the<br />

previous fluid out of it. The gradual decrease of the amount of the previous species in<br />

the mask can be expressed as:<br />

CtVM COVM q Pdt<br />

0 CO<br />

1,<br />

0 Ct<br />

1 (2.39)<br />

Where CO is the concentration of the previous species in the mask at the beginning of<br />

the mixing, t C is its gradually diluted concentration, q P is the patient’s respiratory<br />

volumetric flow rate and VM is capacity of the mask. Thus concentration (or ratio) of the<br />

previous fluid in the mask can be expressed as:<br />

qPdt Ct CO<br />

(1 )<br />

V<br />

32<br />

<br />

M<br />

0 C 1,<br />

0 C 1 (2.40)<br />

As for perfect mixing, the new species of fluid enters the mask and gets fully mixed<br />

with the previous fluid and the mixture flows out with a continuously changing ratio of<br />

these two species. The concentration of the previous fluid in the mask will decrease<br />

based on expression as [46]:<br />

C C e <br />

<br />

t O<br />

q Pdt<br />

VM<br />

O<br />

0 C 1,<br />

0 C 1 (2.41)<br />

O<br />

t<br />

t

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