Nitrogen washout

Nitrogen washout (or Fowler's method) is a test for measuring anatomic dead space in the lung during a respiratory cycle, as well as some parameters related to the closure of airways.

Both tests use similar tools, both can estimate functional residual capacity and the degree of nonuniformity of gas distribution in the lungs, but the multiple-breath test more accurately measures absolute lung volumes.

The nitrogen concentration is initially zero because the subject is exhaling the dead space oxygen they just breathed in (does not participate in alveolar exchange), and climbs as alveolar air mixes with the dead space air.

Most people with a normal distribution of airways resistances will reduce their expired end-tidal nitrogen concentrations to less than 2.5% within seven minutes.

Individuals with high resistance in their airways can take longer than seven minutes to remove all the nitrogen.