Infrared CO2 analyzer error: an effect of background gas (N2 and O2 ) R. ARIELI, O. ERTRACHT, AND Y. DASKALOVIC Israel Naval Medical Institute, Israel Defense Forces Medical Corps, Haifa 31080, Israel carbon dioxide calibration; hyperoxia; alveolar-arterial difference (CO2 ) is a very important gas in human physiology and is extensively monitored in medical treatment, physiological studies, and various environmental situations. Inspired gas enriched with O2 is used in many fields of human activity. For example, combinations of various levels of O2 and CO2 are common in diving and in medical treatment. At our institute, where we practice hyperbaric O2 therapy and study the physiology of closed-circuit diving, combinations of various levels of O2 and CO2 are common. Infrared CO2 analyzers are the most widely used. In different situations, we came up with conflicting results by using both our mass spectrometer and infrared CO2 analyzer after calibration with certified commercial calibrating mixtures. Discrepancies in the readings of the CO2 concentration in a gas mixture and unacceptable respiratory ratios are two examples. We therefore set out to study this conflict by using the Wösthoff precision pumps (H. Wösthoff, Bochum, Germany) to produce various precise concentrations of CO2 with either N2 or O2 as the background gas. These precision pumps are known for their accuracy, and an analysis of a gas mixture prepared by the precision pumps that we performed by using the Micro-Scholander gas analyzer was proven accurate to within 0.01–0.02%. Infrared CO2 analyzers’ instruction manuals do not indicate any effect of N2 or O2 on CO2 sensing. CARBON DIOXIDE The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked ‘‘advertisement’’ in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. http://www.jap.org METHODS Three infrared CO2 analyzers and a mass spectrometer were used. Ametek CD-3A (Ametek, Thermox Instruments Division, Pittsburgh, PA). The instruction manual for the Ametek CD-3A (1) suggests zero calibration with either air or N2 and span calibration with a CO2-containing mixture (CO2 .4% and up to 15%). There is no reference to interference by O2 or N2. Servomex 1440 (Crowborough, East Sussex, UK). The instruction manual for the Servomex PA 404 CO2 analyzer suggests ‘‘narrow-band interference filters and a solid-state detector provide a measurement which is inherently less affected by cross-sensitivity’’ (10). The manual does suggest some background effect of gases on the O2 sensor, but there is no mention of the CO2 sensor. It is suggested that ‘‘these effects can be compensated by either using the background gas as a zero or by offsetting the N2 zero point by the amount of error induced by the background gas’’ (10). There is no mention of cross sensitivity of N2 or O2 on CO2 sensing. Dräger Multiwarn P CO2 (Lübeck, Germany). The instruction manual for the Dräger Multiwarn P CO2 (6) suggests zero calibration with pure N2 and span calibration with a CO2containing mixture. They suggest calibrating with a ‘‘concentration corresponding to the typical values which are to be measured’’ (6). Nothing is mentioned regarding cross sensitivity of N2 or O2. The mass spectrometer used was the CaSE 9000T/BG (Biggin Hill, UK). We used Wösthoff precision pumps to produce various concentrations of CO2 with either pure O2 or pure N2. The CO2 analyzer was calibrated with a 5% mixture coming from the pumps. The outflow (550 ml/min) from the precision pumps passed through a rubber glove (to smooth out the pressure fluctuations), from which it went on to the analyzer sensor via a hole cut in one of the fingers. The values read for various concentrations were recorded. To rule out asymmetry between the two pumps, one was used for CO2 and the other for the background gas, and after a few readings they were switched. The results of changing the pumps when CO2 was read by using the Ametek CD-3A proved symmetry. In the test, we calibrated the CO2 analyzer with 0 and 5% CO2 produced by the precision pumps by using pure N2 as the background gas. We then produced, in ascending and descending order, various concentrations of CO2 with the precision pumps, reading the CO2 concentration on the analyzer. We then changed the background gas to O2 and read the CO2 concentrations for various combinations of the precision pumps’ input. The background gas was then changed back to N2, and we read a few more concentrations to make sure that no drift had occurred in the interim. After the completion of this series, we changed the background gas. We calibrated the analyzer with O2 as the background gas and proceeded with the previous protocol, interchanging O2 and N2. RESULTS The CO2 readings obtained from the CaSE mass spectrometer (calibrated with a certified commercial 8750-7587/99 $5.00 Copyright r 1999 the American Physiological Society 647 Downloaded from http://jap.physiology.org/ by 10.220.33.1 on June 14, 2017 Arieli, R., O. Ertracht, and Y. Daskalovic. Infrared CO2 analyzer error: an effect of background gas (N2 and O2 ). J. Appl. Physiol. 86(2): 647–650, 1999.—Three infrared CO2 analyzers were tested for the effect of background gases: the Ametek CD-3A (Ametek, Thermox Instruments Division, Pittsburgh, PA), the Dräger Multiwarn P CO2 (Dräger, Lübeck, Germany), and the Servomex 1440 (Servomex, Crowborough, East Sussex, UK). Various CO2 concentrations were prepared with Wösthoff precision pumps (H. Wösthoff, Bochum, Germany). Calibration with a different background gas (O2 or N2 ) caused a similar but systematic error in the CO2 readings of all three analyzers. When the CO2 analyzers were calibrated with N2 as the background gas, the CO2 reading in an O2-enriched atmosphere was 8% lower than the true value. Conversely, calibration with O2 as the background gas resulted in a 10% overestimation of CO2 levels when N2 was the background gas. This error may be important in a few fields of respiratory physiology. 648 INFRARED CO2 ANALYZERS Fig. 1. CaSE mass spectrometer readings of CO2 concentrations. Difference between CO2 concentration readings and precision pumps’ input is shown as a function of CO2 input from H. Wösthoff precision pumps. Both pure O2 and pure N2 were used as background gas for pure CO2 (s and j, respectively). of CO2 concentrations for the other background gas (the gas that had not been used for calibration) was similar to that seen in the Ametek CD-3A readings: underestimation when the background gas was O2 (Fig. 2E) and overestimation when the background gas was N2 (Fig. 2F). The deviations were corrected by subtracting the deviation for the calibration background gas from the deviation of the noncalibration background gas (q in Fig. 2, E and F). The results gave a linear relationship for the corrected deviation as slope 5 20.085, r2 5 0.97, and slope 5 0.09, r2 5 0.78 in Fig. 2, E and F, respectively. The nonlinear concentration readings of the Dräger analyzer may be inferred from their instruction manual, which mentions a possible error of 65% for the values 0 to the calibration value and 610% from the calibration value to 1.5 times this value (6). In all the analyzers, the zero setting was not sufficient on recalibration with another background gas; sensitivity had to be calibrated as well. DISCUSSION A CO2 infrared analyzer responds differently, depending on whether the background is N2 or O2. Because most common commercial calibrating tanks contain a high percentage of N2, CO2 readings in an O2-enriched atmosphere are underestimated. For the three analyzers we tested (Ametek, Servomex, Dräger), this underestimation was 20.075, 20.085, and 20.080, respectively, for each 1% CO2. Therefore, calibrating an infrared CO2 analyzer with N2 as the background gas would result in an 8% underestimation of CO2 levels in O2 as background. For example, when the analyzer reading is 4.6% CO2, the true concentration is 5%. Conversely, calibrating the three analyzers with O2 as the background gas gave an overestimation of 0.11, 0.09, and 0.10, respectively for each 1% CO2 in N2. Thus calibrating the infrared CO2 analyzer with O2 as the background gas will result in a 10% overestimation of CO2 levels in a N2-rich atmosphere. There are a few fields in respiratory physiology where an error in the CO2 reading could seriously affect the outcome. In hyperbaric physiology, a small change in CO2 concentration can make a large difference, because PCO2 is the product of the fraction of CO2 and pressure. CO2 is an important factor in O2 toxicity (3), which will be enhanced by an inspired PCO2 as small as 1 kPa (2). CO2 is an important respiratory drive in hyperbaric conditions, and professional divers tend to hypoventilate and retain CO2 in their tissues (7). Diving with breathing mixtures containing various concentrations of O2 (Nitrox or closed-circuit diving) would affect the CO2 monitored with infrared analyzers. The alveolar-arterial CO2 difference is negligibly small in the healthy lung and is therefore used to calculate alveolar PCO2 from arterial PCO2 (5). An 8–10% error would represent a serious flaw in the computation of alveolar-arterial gas exchange. Various tests use the switch from an air- to an O2-filled spirometer (4), and the CO2 reading would be affected if an infrared analyzer were used. In clinical medicine, if the Downloaded from http://jap.physiology.org/ by 10.220.33.1 on June 14, 2017 mixture, Scott Specialty Gases, Plumsteadville, PA), with either N2 or O2 as the background gas, are shown in Fig. 1. In Figs. 1 and 2, we present the difference between the analyzer readings of CO2 and the precision pumps’ input, on the y-axis, as a function of the percentage of CO2 in the precision pumps’ input. It can be seen that the CO2 readings deviate only slightly from the input of the precision pumps and are similar for both background gases. When the Ametek CD-3A was calibrated by using N2 as the background gas, other CO2 readings showed small deviations from the expected concentrations (Fig. 2A). However, CO2 readings deviated to a greater degree as a function of input CO2 concentration when the background gas was O2. The slope of the decrease was 20.075 (%error/%CO2, r2 5 0.99). There was no difference between new CO2 readings and those from the initial set, when the background gas was changed back to N2. Calibration of the Ametek CD-3A with O2 as the background gas gave the opposite results (Fig. 2B). The different CO2 readings with O2 as the background gas yielded small deviations from the expected values, but replacing the O2 with N2 produced positive deviations that are linearly related to the input CO2 concentration (slope 5 0.11, r2 5 0.98). Results similar to those obtained with the Ametek CD-3A were derived by using the Servomex 1440 (Fig. 2, C and D). The slope for the deviation of CO2 concentrations in O2 from the input when the calibration background gas was N2 was 20.080 (r2 5 0.99), and, in N2 when the calibration background gas was O2, was 0.10 (r2 5 0.99). Similar results were obtained with the Dräger Multiwarn P analyzer (Fig. 2, E and F). When the background gas was the same as had been used for calibration, the CO2 readings yielded a reclining s-shaped response that crossed the zero at the calibration concentration. However, the deviation INFRARED CO2 ANALYZERS 649 analyzer is calibrated with N2 as the background gas, alveolar PCO2 may be underestimated in patients breathing an enriched O2 mixture. In artificial respiration, for example, when the ventilator is set to give 5% CO2 in the alveolar gas, the true value may be close to 4.6%. Lauber et al. (8) tested the accuracy of various infrared CO2 analyzers as affected by an array of background gases and conditions. They concluded that ‘‘all tested analyzers were found to be safe for clinical use,’’ allowing for a 12% error. However, the error established by the present study, which is probably related to the collision-broadening effect of O2 (9), should be considered in scientific research. Presently, only a gas mixture with the same O2/N2 ratio as that used in the planned experiment can be used as a calibrating mixture in infrared CO2 analyzers. The authors thank R. Lincoln for skillful editing. The opinions and assertions contained herein are the private ones of the authors and are not to be construed as official or as reflecting the views of the Israel Naval Medical Institute. Address for reprint requests: R. Arieli, Israel Naval Medical Institute, PO Box 8040, Haifa 31080, Israel. Received 13 March 1998; accepted in final form 4 September 1998. REFERENCES 1. Ametek/Thermox. Ametek CD-3A. Pittsburg, PA: Ametek/ Thermox, 1986. 2. Arieli, R. Hazards of CNS oxygen toxicity and the effects of metabolic rate and CO2 production (Abstract). Annu. Meet. Israel Physiol. Soc. Maale Hahamisha, Israel, November 1997. Downloaded from http://jap.physiology.org/ by 10.220.33.1 on June 14, 2017 Fig. 2. Ametek CD-3A (A and B), Servomex 1440 (C and D), and Dräger Multiwarn P (E and F) readings of CO2 concentrations. Difference between CO2 concentration readings and precision pumps’ input is shown as a function of CO2 input from H. Wösthoff precision pumps. Right: results from calibration with O2 as background gas; left: results from calibration with N2 as background gas. j, CO2 readings when N2 was background gas; s, readings when background gas was O2; q, differences between errors for N2 and O2 with Dräger Multiwarn P. 650 INFRARED CO2 ANALYZERS 3. Clark, J. M. Oxygen toxicity. In: The Physiology and Medicine of Diving (4th ed.), edited by P. B. Bennett and D. H. 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J. Clin. Monit. 7: 195–208, 1991. 10. Servomex. Servomex 1440. Crowborough, UK: Servomex, 1986. Downloaded from http://jap.physiology.org/ by 10.220.33.1 on June 14, 2017
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