Respiratory System 2: Anatomy of breathing Flashcards
What regulates respiration?
Movements of the thoracic wall and the diaphragm.
What happens during resting inspiration (quiet breathing)?
The diaphragm contracts, causing it to flatten.
What occurs during forced inspiration?
The diaphragm contracts, and the thoracic wall expands.
What happens to intrathoracic volume during inspiration?
It increases in the vertical, transverse, and anteroposterior dimensions.
What happens to intrathoracic pressure during inspiration?
It decreases, drawing air into the lungs.
What happens to the diaphragm during expiration?
It relaxes and moves superiorly.
What happens to the lungs during expiration?
What happens to the lungs during expiration?
How does intrathoracic volume and pressure change during expiration?
Intrathoracic volume decreases, and pressure increases, expelling air.
difference between bucket handle and pump handle
It describes the lateral movement of the ribs, increasing the transverse diameter of the thoracic cavity during inspiration.
It describes the anterior movement of the sternum, increasing the anteroposterior diameter of the thoracic cavity during inspiration.
What is the usual diaphragm excursion during quiet breathing?
1.5 cm.
How far can the diaphragm move during deep ventilation?
6 to 10 cm.
What factors affect the level of the diaphragm?
Depth and phase of ventilation, as well as posture.
When does the diaphragm perform the greatest ventilatory excursions?
When the body is in a supine position.
What happens to the diaphragm’s position when the body is in an erect posture?
It becomes lower, decreasing the movement required for breathing.
Which dome of the diaphragm is higher, and why?
The right dome is higher because of the liver’s position beneath it.
How does posture affect the diaphragm during normal breathing?
In a supine position, the diaphragm performs greater excursions; in an erect posture, movement decreases.
Which nerves supply the right and left domes of the diaphragm?
The right and left phrenic nerves.
What happens if there is an injury to one phrenic nerve?
Only the ipsilateral (same side) dome of the diaphragm is affected.
What are the symptoms of unilateral diaphragm paralysis?
It is often asymptomatic.
What are the consequences of bilateral diaphragm paralysis?
It usually leads to respiratory distress, and the role of accessory respiratory muscles becomes significant.
How does paralyzed inspiration appear compared to normal inspiration?
The affected dome does not contract and remains elevated during inspiration.
Why does the paralyzed dome remain elevated during inspiration?
The paralyzed dome cannot contract due to nerve injury.
What compensates for diaphragm dysfunction in cases of bilateral paralysis?
Accessory respiratory muscles.
What allows the downward movement of the diaphragm during respiration?
The extensibility of the abdominal wall, which allows the abdominal viscera to be compressed and displaced.
Which muscles are important for forced expiration (e.g., during coughing)?
The anterior wall abdominal muscles, including the external oblique, internal oblique, rectus abdominis, and transversus abdominis
What is the role of the external oblique (EO) and rectus abdominis (RA) during forced expiration?
They pull the ribcage inferiorly by contracting and attaching to the hip bone.
What is the function of the transversus abdominis (TA) in respiration?
It compresses the abdominal cavity and assists with the elevation of the diaphragm.
What structure is shown connecting the abdominal muscles to enhance their function?
The aponeurosis.
What is the role of neck muscles in respiration?
Neck muscles attaching to the thoracic inlet hold up the ribcage, acting against gravity to prevent the chest wall from being depressed.
What are the main neck muscles involved in respiration?
Scalene muscles
Sternocleidomastoid muscle
Why do runners bend over to grab their knees after intense exercise?
To use accessory muscles of respiration, such as the pectoral muscles, to maximize breathing by stabilizing the upper limbs.
What is the primary action of the pectoral muscles during accessory respiration?
They elevate the ribcage to assist in breathing.
What happens when the upper limbs are stabilized by holding the knees?
The pectoral muscles can function as accessory respiratory muscles instead of performing their primary actions related to limb movement.
How does bending over reduce the effect of gravity on the chest wall?
It minimizes the gravitational pull that tends to depress the chest wall, aiding respiration.
What are the two pectoral muscles involved in accessory respiration?
Pectoralis major
Pectoralis minor
What is the primary role of external intercostal muscles?
They are active during inspiration and help elevate the ribs.
What function do all intercostal muscles share?
They keep intercostal spaces rigid, preventing them from collapsing or bulging during respiration.