Department of Internal Medicine, E-Da Hospital/I-Shou University, Kaohsiung 82445, Taiwan; School of Medicine, College of Medicine, I-Shou University, Kaohsiung 82445, Taiwan; International Intercollegiate Ph.D. Program, National Tsing Hua University, Hsinchu 30013, Taiwan.
Department of Mechanical and Electro-Mechanical Engineering, National Sun Yat-Sen University, Kaohsiung 80424, Taiwan.
Comput Methods Programs Biomed. 2021 Sep;208:106241. doi: 10.1016/j.cmpb.2021.106241. Epub 2021 Jun 18.
While previous in vitro studies showed divergent results concerning the influence of pulsatile blood flow on oxygen advection in oxygenators, no study was done to investigate the uncertainty affected by blood flow dynamics. The aim of this study is to utilize a computational fluid dynamics model to clarify the debate concerning the influence of pulsatile blood flow on the oxygen transport. The computer model is based on a validated 2D finite volume approach that predicts oxygen transfer in pulsatile blood flow passing through a 300-micron hollow-fiber membrane bundle with a length of 254 mm, a building block for an artificial lung device. In this study, the flow parameters include the steady Reynolds number (Re = 2, 5, 10 and 20), Womersley parameter (Wo = 0.29, 0.38 and 0.53) and sinusoidal amplitude (A = 0.25, 0.5 and 0.75). Specifically, the computer model is extended to verify, for the first time, the previously measured O transport that was observed to be hindered by pulsating flow in the Biolung, developed by Michigan Critical Care Consultants. A comprehensive analysis is carried out on computed profiles and fields of oxygen partial pressure (P) and oxygen saturation (S) as a function of Re, Wo and A. Based on the present results, we observe the positive and negative effects of pulsatile flow on P at different blood flow rates. Besides, the S variation is not much influenced by the pulsatile flow conditions investigated. While being consistent with a recent experimental study, the computed O volume flow rate is found to be increased at high blood flow rates operated with low frequency and high amplitude. Furthermore, the present study qualitatively explains that divergent outcomes reported in previous in vitro experimental studies could be owing to the different blood flow rates adopted. Finally, the contour analysis reveals how the spatial distributions of P and S vary over time.
虽然之前的体外研究对于脉动血流对氧合器中氧对流的影响得出了不同的结果,但没有研究旨在调查血流动力学不确定性的影响。本研究旨在利用计算流体动力学模型来阐明关于脉动血流对氧传递影响的争论。该计算机模型基于经过验证的二维有限体积方法,预测脉动血流通过 254 毫米长的 300 微米中空纤维膜束的氧传递,这是人工肺设备的一个构建块。在这项研究中,流动参数包括稳态雷诺数(Re=2、5、10 和 20)、沃默斯利参数(Wo=0.29、0.38 和 0.53)和正弦波幅度(A=0.25、0.5 和 0.75)。具体来说,该计算机模型首次扩展到验证以前在密歇根州重症监护顾问开发的 Biolung 中观察到的脉动流动阻碍氧传输的测量结果。对作为 Re、Wo 和 A 函数的氧分压(P)和氧饱和度(S)的计算剖面和场进行了全面分析。根据目前的结果,我们观察到脉动流对不同血流速率下的 P 的正、负影响。此外,脉动流条件对 S 的变化影响不大。虽然与最近的实验研究一致,但计算得出的 O 体积流量在低频率和高振幅下高血流速率操作时增加。此外,本研究定性地解释了之前在体外实验研究中报告的不同结果可能是由于采用了不同的血流速率。最后,轮廓分析揭示了 P 和 S 的空间分布随时间如何变化。