This document discusses the mechanism of respiration. It describes the anatomy of the respiratory system and the mechanics of breathing, including inspiration and expiration. It explains external and internal respiration processes and the role of muscles like the diaphragm in breathing. Pressure changes in the lungs during ventilation are analyzed. Muscle involvement in inspiration and expiration is outlined.
6. MECHANICS OF BREATHING....
Mohamed M.Elsaied
2015/2016
2 PROCESSES
1-) Inspiration-
Inflow of atmospheric air
into lungs.
2-) Expiration-
Outflow of air from lungs
into atmosphere.
7. EXTERNAL AND INTERNAL RESPIRATION...
Mohamed M.Elsaied
2015/2016
8. EXTERNAL RESPIRATION
Mohamed M.Elsaied
2015/2016
1) External respiration-Ventilation or breathing: air moved
in and out of lungs
2) Exchange of gases -Oxygen and Carbon Dioxide
exchange in the lungs
3) Transport of gases- Oxygen and Carbon Dioxide
transported by blood to and from tissues
4) Internal respiration- Exchange of Oxygen and Carbon
Dioxide between tissue and blood
10. MECHANICS OF BREATHING....
Mohamed M.Elsaied
2015/2016
1) Eupnoea.-
2) Inspiration.- active
process.
3) Expiration.- passive
process.
11. THE TRANSMURAL PRESSURE GRADIENT INFLATES THE LUNGS
Mohamed M.Elsaied
2015/2016
1) Thoracic cavity larger than lungs
2) Tran mural (Across Lung Wall) pressure
gradient holds thoracic wall and lungs in
close apposition
3) This pressure gradient is balanced by the
elastic forces in the alveoli producing
equilibrium
12. RESPIRATORY PRESSURES
Mohamed M.Elsaied
2015/2016
TWO TYPES
1-) Intraalveolar pressure or Intra
pulmonary pressure
(760 mm Hg)
2-) Intrapleural pressure or Intrathoracic
pressure
(758 mm Hg)
Atmospheric pressure.
760 mm Hg.
13. MUSCLE OF INSPIRATION....
Muscle of normal tidal inspiration-
Diaphragm
External intercostal
Accessory Muscle of inspiration-
i. Sternocleidomastoid
ii. Scalene
iii. Serratus Anterior
iv. Pectoralis major and minor
Laryngeal muscle
Mohamed M.Elsaied
2015/2016
19. ACCESSORY MUSCLES OF INSPIRATION…..
Mohamed M.Elsaied
2015/2016
Scalene & sternocleidomastoid
Intrinsic muscles of larynx
1) Abductors of vocal cords – post cricoarytenoids –
supplied by recurrent laryngeal nerve, branch of
vagus.
2) Paralysis – Inspiratory Stridor.
20. EXPIRATION…
Mohamed M.Elsaied
2015/2016
1) Return of ribs to rest position causes
diminishing of lung volume
2) Return of diaphragm to rest position also
causes diminishing of lung volume
3) Diminishing of lung volume causes pressure
in lung to raise to a higher value than
atmospheric pressure
4) Air flows out of the lungs
21. PRESSURE AND VOLUME CHANGES DURING VENTILATION
Mohamed M.Elsaied
2015/2016
22. PRESSURE CHANGES DURING VENTILATION
Mohamed M.Elsaied
2015/2016
INTRAPULMONARY PRESSURE,( INTRA-ALVEOLAR
PRESSURE)
1) In quite breathing = 0 atmospheric pressure i.e.
760 mm Hg.
2) During inspiration -- 759 mm Hg.
3) During expiration -- 761 mm Hg.
Factors affecting intrapulmonary pressure.
1) Valsalva manoeuvre (+100 mm Hg)
2) Muller’s manoeuvre (-80 mm Hg)
23. PRESSURE CHANGES DURING VENTILATION
Mohamed M.Elsaied
2015/2016
INTRAPLEURAL PRESSURE,(INTRA-
THORACIC PRESSURE)
In quite breathing (-2 mm Hg.)
Reason – balance between
1) Lung – Tendency to collapse due to Intraalveolar
negative pressure..
2) Thoracic cage – Tendency to expand due to ribs
and elastic tissue.
24. INTRAPLEURAL PRESSURE,(INTRA-THORACIC PRESSURE)
Mohamed M.Elsaied
2015/2016
Factors affecting intra pleural pressure.
Physiological
Deep inspiration (-30 mm Hg.)
Valsalva manoeuvre (+60-70 mm Hg.)
Effect of gravity. (-7 apex, -2 Base)
○ Clinical significance – during first part of inspiration
more of inspired gas goes to apices than to bases.