Respiratory Mechanics

  • Bring in oxygen: fuels cell metabolic activity.
  • Release carbon dioxide: rids body of metabolic waste.
  • Regulate blood pH: via regulation of blood oxygen and carbon dioxide concentrations.

Three major components:

  1. Muscular and skeletal components of the chest wall (“the pump”).
  2. Alveoli = interfaces for gas exchange (“gas exchanger”).
  3. Areas of the brain that stimulate respiratory function (“the controller”).

Boyle’s Law and The Respiratory System:

Boyle’s law describes the relationship between the pressure and volume of a gas → dictates the mechanics of respiration.

  • Boyle’s Law Equation: (P1)(V1) = (P2)(V2)
    • Pressure and volume of a gas are inversely related (assume temperature is constant).

Key anatomical/mechanical structures

  • Pair of lungs connected by a trachea
  • Lungs sit within a double-walled pleural sac, which separates lungs from thoracic wall.
  • Pleural space, which is the potential space within sac.
  • Sternum and ribs around pleural sac
  • The internal and external intercostal muscles lie between the ribs
  • Diaphragm comprises a sheet of skeletal muscle and forms bottom border of thoracic cavity.
    – Contraction/relaxation changes the volume of the thoracic cavity, which alters the intrapulmonary and intrapleural pressures in accordance with Boyle’s law.

Air pressures

Dictate movement of air during inspiration and expiration

  • Atmospheric pressure = 760 mm Hg, external to the thoracic cavity.
  • Intrapulmonary pressure (intra-alveolar pressure) = atmospheric pressure at rest, refers to the pressure within the lungs
  • Intrapleural pressure = 756 mmHg, pressure in the pleural space.

Inspiration: actively increases thoracic volume.

Movements during Inspiration:

  • Diaphragmatic Contraction:
    • Diaphragm flattens and moves inferiorly as it contracts.
  • External Intercostal Muscle Contraction:
    • External intercostal muscles contract
    • Forces sternum to move in an anterior and superior direction

Effects:

  • As thoracic volume increase:
    – Intrapulmonary pressure decreases to below atmospheric pressure; creates pressure gradient that facilitates inhalation.
    – Air moves down this pressure gradient: Moves from atmosphere (high P) through trachea into lungs (low P)
  • Gas exchange occurs in lungs → need to exhale carbon dioxide

Expiration passively decreases thoracic volume.

Movements during Expiration:
– Diaphragm relaxes
– Ribs back to resting position (move medially)
– External intercostal muscles relax
– Sternum back to resting position (moves inferiorly)

Effects:

  • As thoracic muscles relax:
    – Lungs elastically recoil to their pre-inspiratory volume; Lung volume decreases.
    – Intrapulmonary pressure increases above atmospheric pressure; creates pressure gradient that facilitates expiration.
    – Air moves down pressure gradient: Moves from lungs → out trachea → into atmosphere, CO2 exhaled.

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