Mechanics of breathing Flashcards
What are the accessory muscles for deep inhalation?
Sternocleidomastoid
Scalenes
Pectoralis minor
What are the muscles used during deep exhalation?
Abdominal muscles
Internal intercostals
What is Boyle’s law?
Pressure exerted by a gas in a closed container is inversely proportional to the volume of the container at a constant temperature
What is the normal range of the intrapleural pressure?
-3 to -5 cm of H20
What is transpulmonary pressure?
The difference between alveolar pressure and intrapleural pressure
Pt = Pa - Pi
What are the pressure changes during no breathing?
Intrapulmonary pressure is equal to atm
Intrapleural pressure is less than atm
What are the pressure changes during normal inhalation?
Intrapulmonary pressure decreases to -1
Intrapleural pressure drops to -6
What are the pressure changes during normal expiration?
Intrapulmonary pressure increases to +1
Intrapleural pressure increases to -4
What is the typical tidal volume?
~ 500 mL
What happens to transmural pressure during inspiration?
Difference increases, becoming more positive
What is positive pressure breathing?
Air can be forced into the lung by raising the pressure at the nose
What are the two methods for air to move into the lung?
Negative pressure breathing
Positive pressure breathing
What are indications for mechanical ventilation?
Poor oxygenation
Raised CO2 level
Increased work of breathing
What is the purpose of PEEP and what does it stand for?
Prevent alveolar collapse at the end of expiration
Positive end-expiratory pressure
What are factors contributing to the mechanics of respiration?
Lung compliance
Surface tension of alveolar fluid - surfactant
Airway resistance
What is the equation for compliance?
C = deltaV/deltaP
What is the normal compliance of both the isolated lungs?
200 mL of air/cm of H2O
What is represented by the slop of a pressure volume curve?
Compliance
What is the reciprocal of compliance?
Elastance
What are the two components of lung recoil?
Collagen and elastic fibers of the tissue
Surface tension forces