1. Ms.Anu Sebastian: B.Pharm; M.Pharm
Assistant Professor,
Dept. Of Pharmacology
Nirmala College Of Pharmacy
Muvattupuzha,Ernakulam,Keral
2. RESPIRATION
The process of gaseous exchange in the body is called respiration.
The process involves 3 steps:
1. Pulmonary ventillation/Breathing: It is the inhalation (inflow)
& exhalation(outflow) of air & involves the exchange of air
between the atmosphere & the alveoli of the lungs.
2. External/Pulmonary respiration: It is the exchange of gases
between the alveoli of the lungs & blood in pulmonary
capillaries across the respiratory membrane. In this process
,Pulmonary capillary blood gains O2 & loses CO2
3. 3. Internal /Tissue respiration: It is the exchange of gases
between blood in systemic capillaries & tissue cells. In this
step, blood loses O2 & gains CO2.
Pressure Changes During Pulmonary Ventillation
Air moves into the lungs when the air pressure inside the
lungs is less than the air pressure in the atmosphere.
Air moves out of the lungs when the air pressure inside the
lungs is greater than the air pressure in the atmosphere.
4. MECHANISM/PHYSIOLOGY OF RESPIRATION
INHALATION
Breathing in is called inhalation.
Boyle’s law states that the pressure in a closed container is
inversily proportional to the volume of the container.
Just before inhalation the pressure inside each lungs is equal to the
atmospheric pressure 760 mmHg.
For air to enter into the lungs, the pressure in the lungs should be
less than the atmospheric pressure.
In order to decrease the lung pressure as per Boyle’s law, the
volume should be increased.
The volume of lungs is increased by the contraction of diaphragm
& external intercostal muscles.
5. Diaphragm is a dome shaped skeletal muscle that forms the
floor of the thoracic cavity.
During inhalation,
Contraction of diaphragm( 75%)
Under normal conditions, diaphragm descends by 1 cm
creating a pressure difference of about 1-3 mmHg due to
which about 500ml of air enters into the lungs.
Under stressful conditions, the diaphragm descends by
about 10cm which produces a greater pressure difference of
about 100 mmHg & thus inhalation of about 2-3 L of air
occurs.
6. Contraction of External intercostal muscles(25%)
When the external intercostal muscles contract, the ribs are pulled
upwards, thereby decreasing the intrathoracic pressure ,which
increases the volume of thoracic cavity.
Contraction of the external intercostals is responsible for about
25% of the air that enters the lungs during normal quiet breathing.
Intrapleural/ Intrathoracic pressure
It is the pressure difference between the 2 pleural layers.
Just before inhalation it is 756mmHg—Expansion of thoracic
cavity—Decreases the pressure to 754mmHg—the parietal pleura
is pulled outwards—along with that visceral pleura & lungs also
pulled out—increases the thoracic volume.
7. So by all the above 3 ways the intrapulmonary pressure drops
from 760mmHg to 758mmHg.
Due to this pressure difference between atmosphere & lungs, the
air diffuse into the alveoli until the pressure difference exists.
EXHALATION
Breathing out is called exhalation /Expiration.
It is a passive process(No muscle contraction)
During exhalation the elastic recoiling of chest wall & lungs takes
place.
Relaxation of diaphragm makes it acquire its characteristic dome
shaped structure while relaxation of the external intercostals
depresses the ribs.
8. As a result , the volume of thoracic cavity decreases followed by a
decrease in the volume of lungs.
This results in an increased pressure within the alveoli of the lungs
than the atmospheric pressure.
As a result, air flows from the alveoli to the atmosphere
During quiet breathing exhalation lasts for about 3 seconds.
During forceful breathing exhalation becomes active due to the
contraction of abdominal & internal intercostal muscles.
Factors Affecting Pulmonary Ventillation
Surface tension of the alveolar fluid
Surface of the alveoli consists of a layer of fluid known as
alveolar fluid.
9. The force exerted by alveolar fluid on the luminal surface of
alveoli is referred as surface tension.
This surface tension should be overcome for expanding the lungs
during inhalation & exhalation.
Compliance of the lungs
The force or effort required to expand the lungs & chestwall is
known as compliance.
In the lungs, compliance is related to two principal factors:
Elasticity & Surface tension.
The lungs normally have high compliance & expand easily
because elastic fibres in lung tissue are easily stretched &
surfactants in alveolar fluid reduces surface tension.
10. Airway Resistance
The rate of airflow through the airways depends on both the
pressure difference & the resistance.
The walls of the airways, especially the bronchioles offer
some resistance to the normal flow of air into & out of the
lungs.
As the lungs expand during inhalation, the bronchioles
enlarge because their walls are pulled outward in all
directions.
Larger diameter airways have decreased resistance.
Airway resistance then increases during exhalation as the
diameter of bronchioles decreases.