Ventilation and Compliance 2 Flashcards
What is surfactant?
Detergent-like fluid produced by Type II Pneumocytes
What is the function of surfactant?
Reduces surface tension on alveolar surface membrane and reduces its tendency to collapse
What is surface tension?
Surface tension occurs at air-water interfaces and refers to the attraction between water molecules
What the is the overall effect of surfactant on the compliance of the lung?
Increases its distensibility
What is the Law of LaPlace?
Shows the relationship between pressure and a equation of surface tension and radius of the alveoli
What is the equation of the Law of LaPlace?
P=2T/r
How does the Law of LaPlace marry the different pressures in differently sized alveoli and what role does surfactant play?
The Law of LaPlace shows that smaller alveoli have higher pressures, surfactant reduces surface tension and the pressure is equalised
What are the gestational milestones for surfactant production?
approx. 25 weeks - Surfactant production begins
Complete by 36 weeks
What hormones stimulate surfactant production in foetuses?
Thyroid hormones and cortisol
When babies are born prematurely what pathology can arise to do with incomplete surfactant development?
Infant Respiratory Distress Syndrome (IRDS)
What is compliance?
Change in volume relative to change in pressure; represents stretchability of the lungs
What is meant by a high compliance?
Large increase in volume for a small decrease in pressure
What is meant by a low compliance?
Small increase in lung volume for large decrease pressure
Describe the pressure-volume relationship
It requires a greater change in pressure (from FRC) to reach a particular volume because the work done during inspiration is recovered in elastic recoil for expiration (why its described as passive at rest)
Describe the pressure-volume relationship associated with Emphysema
Loss of elastic tissue means expiration requires effort