Respiratory | Mechanics of Breathing: Inspiration | Part 2

Ninja Nerd
7 Jul 201723:58

Summary

TLDRThis educational video script delves into the mechanics of breathing, focusing on the inspiratory process. It outlines the role of the central nervous system, the diaphragm, and external intercostal muscles in expanding the thoracic cavity. The script explains how these actions decrease intrapleural and intrapulmonary pressures, creating a pressure gradient that facilitates air flow into the lungs. The video uses analogies and models to illustrate these concepts, aiming to provide a clear understanding of the respiratory process.

Takeaways

  • 🧠 The process of breathing is controlled by the central nervous system, including the midbrain, pons, medulla, and spinal cord.
  • 💪 Key muscles involved in the inspiratory process are the external intercostals and the diaphragm, which are innervated by the phrenic nerve and intercostal nerves, respectively.
  • 📉 During inhalation, the contraction of the external intercostals and diaphragm increases the thoracic cavity volume, leading to a decrease in intrapleural and intrapulmonary pressures.
  • 🔁 The ventral respiratory group in the medulla also plays a role in stimulating the nerves that control the external intercostals and diaphragm.
  • 📌 The external intercostals pull the ribs outward and upward like a bucket handle, while the diaphragm contracts and moves downward, collectively increasing the thoracic cavity volume.
  • 🌀 According to Boyle's Law, as the volume of the thoracic cavity increases, the intrapleural pressure decreases, creating a pressure gradient that allows air to flow into the lungs.
  • 🌐 The atmospheric pressure remains constant during the breathing process, unaffected by the changes in thoracic cavity volume.
  • 🔄 The transpulmonary pressure, which is the difference between intrapulmonary and intrapleural pressures, increases slightly during inhalation.
  • 🛑 At the peak of inspiration, the intrapulmonary pressure equals the atmospheric pressure, stopping the flow of air into the lungs until the pressure gradient changes during exhalation.
  • 🔮 The entire process of inhalation is a coordinated effort of the nervous system and respiratory muscles to create pressure gradients that facilitate the flow of air into the lungs.

Q & A

  • What is the role of the external intercostal muscles in the breathing process?

    -The external intercostal muscles play a crucial role in the inspiratory process by contracting and pulling the ribs outward, which increases the thoracic cavity volume. This action is often referred to as the 'bucket handle' movement.

  • What is the primary muscle responsible for the inspiratory process?

    -The diaphragm is the primary muscle responsible for the inspiratory process. When it contracts, it moves downward, increasing the volume of the thoracic cavity and facilitating the inhalation of air.

  • How does the contraction of the diaphragm affect the thoracic cavity volume?

    -When the diaphragm contracts, it domes downward, which increases the volume of the thoracic cavity. This movement is essential for drawing air into the lungs during inhalation.

  • What is the function of the phrenic nerve in the breathing process?

    -The phrenic nerve originates from the C3, C4, and C5 nerve roots and innervates the diaphragm. Its stimulation causes the diaphragm to contract, contributing to the increase in thoracic cavity volume during inhalation.

  • What is the significance of the intercostal nerves in the breathing process?

    -The intercostal nerves, which run from T1 to T11, innervate the external intercostal muscles. Their stimulation leads to the contraction of these muscles, further increasing the thoracic cavity volume and aiding in inhalation.

  • How does the ventral respiratory group in the medulla contribute to the breathing process?

    -The ventral respiratory group in the medulla contains nuclei that send axons to stimulate the neurons controlling the external intercostal muscles and the diaphragm, thereby contributing to the automatic regulation of breathing.

  • What is the relationship between the thoracic cavity volume and the intrapleural pressure during inhalation?

    -During inhalation, as the thoracic cavity volume increases due to the contraction of the external intercostal muscles and the diaphragm, the intrapleural pressure decreases according to Boyle's law.

  • What is the initial intrapleural pressure at rest, and how does it change during inhalation?

    -The initial intrapleural pressure at rest is approximately 4 mm Hg. During inhalation, it decreases to about -6 mm Hg due to the expansion of the thoracic cavity.

  • What is the initial intrapulmonary pressure at rest, and how does it change during inhalation?

    -The initial intrapulmonary pressure at rest is approximately 0 mm Hg. During inhalation, it decreases to about -1 mm Hg as the volume inside the lungs increases.

  • How does the transpulmonary pressure change during inhalation?

    -The transpulmonary pressure, which is the difference between the intrapulmonary and intrapleural pressures, increases slightly during inhalation due to the decrease in intrapulmonary pressure relative to the intrapleural pressure.

  • What is the trans respiratory pressure, and how does it indicate the direction of air flow during inhalation?

    -The trans respiratory pressure is the difference between the intrapulmonary pressure and the atmospheric pressure. During inhalation, it is negative (-1 mm Hg), indicating that air flows from the atmosphere into the alveoli.

Outlines

00:00

🧠 Central Nervous System and Breathing Mechanisms

The paragraph introduces the second part of a video series on the mechanics of breathing, focusing on how the inspiratory process affects pressure changes. It begins with an overview of the central nervous system, highlighting the midbrain, pons, medulla, and spinal cord. The discussion then shifts to the muscles involved in breathing, particularly the external intercostals and the diaphragm. These muscles are controlled by signals from the cerebral cortex through the spinal cord, specifically the phrenic nerve from C3, C4, C5, and intercostal nerves from T1 to T11. The video aims to explain how these nerves and muscles work together to initiate the process of inhalation.

05:01

💪 The Role of Intercostal Muscles in Breathing

This section delves into the function of the intercostal nerves and how they interact with the external intercostal muscles during inhalation. When these nerves stimulate the muscles, they cause the ribs to move outward, creating a bucket handle effect, and the sternum to push outward and upward, increasing the thoracic cavity volume. The video uses an anatomical model to visually demonstrate these actions and explains how these movements lead to an increase in the volume of the thoracic cavity, which is crucial for the breathing process.

10:03

📉 Pressure Changes During Inspiration

The paragraph explains the impact of the increased thoracic cavity volume on pressures within the respiratory system. As the volume increases due to the contraction of the external intercostals and the diaphragm, the intrapleural pressure decreases according to Boyle's law. The video details how the pressure changes from approximately 4 mm Hg at rest to about -6 mm Hg during inspiration. It also discusses the corresponding decrease in intra-pulmonary pressure from 0 mm Hg at rest to approximately -1 or -2 mm Hg, indicating that air will flow into the lungs due to these pressure gradients.

15:06

🔄 Transpulmonary and Transthoracic Pressures in Breathing

This section further explores the effects of increased thoracic cavity volume on transpulmonary and transthoracic pressures. The transpulmonary pressure, which is the difference between intra-alveolar and intrapleural pressures, becomes more positive during inhalation. Meanwhile, the transthoracic pressure, which is the difference between intrapleural and atmospheric pressures, becomes more negative, indicating that the chest wall is expanding outward. The video concludes by emphasizing that these pressure changes are essential for drawing air into the lungs during inspiration.

20:06

🔁 From Inspiration toExpiration: Pressure Equilibrium

The final paragraph summarizes the pressure changes that occur during the inspiratory process and sets the stage for the next video, which will cover expiration. It reiterates that the pressure gradients cause air to flow from the atmosphere into the alveoli until the intra-alveolar pressure equals the atmospheric pressure. The video stresses the importance of understanding these mechanics for a complete grasp of the breathing process and hints at the reversal of these events during exhalation.

Mindmap

Keywords

💡Inspiratory Process

The inspiratory process refers to the series of physiological actions that occur to draw air into the lungs. In the video, this process is described as starting with the contraction of muscles such as the diaphragm and external intercostals, which increase the thoracic cavity volume. This is a fundamental concept in the video, as it sets the stage for explaining how breathing mechanics lead to changes in pressures within the respiratory system.

💡Central Nervous System

The central nervous system (CNS) is composed of the brain and spinal cord and plays a crucial role in the control of breathing. The script mentions the midbrain, pons, medulla, and spinal cord as parts of the CNS involved in the regulation of breathing. The CNS sends signals to initiate the inspiratory process, illustrating the video's theme of how the nervous system controls respiratory mechanics.

💡External Intercostals

The external intercostals are muscles located between the ribs that play a significant role in the inspiratory process. As explained in the video, when these muscles contract, they pull the ribs outward, increasing the thoracic cavity volume. This action is essential for understanding how the mechanics of breathing lead to the necessary changes in pressure to facilitate inhalation.

💡Diaphragm

The diaphragm is a large, dome-shaped muscle that separates the thoracic cavity from the abdominal cavity. The video script describes the diaphragm as a 'big beast' that contracts during inhalation, moving downward and increasing the volume of the thoracic cavity. This action is critical for the understanding of the video's main theme, as it directly impacts the pressure changes necessary for breathing.

💡Cervical Plexus (C3, C4, C5)

The cervical plexus, particularly the nerves from C3, C4, and C5, is mentioned in the script as being responsible for innervating the diaphragm. These nerves are part of the phrenic nerve, which, when stimulated, causes the diaphragm to contract. This is a key concept in the video, as it links the nervous system's control to the actual muscle movements involved in breathing.

💡Intercostal Nerves

Intercostal nerves, running from T1 to T11 as described in the video, are responsible for innervating the external intercostal muscles. These nerves play a crucial role in the inspiratory process by sending signals that lead to the contraction of the external intercostals, thereby increasing the thoracic cavity volume. The intercostal nerves are a vital component of the video's discussion on the mechanics of breathing.

💡Ventral Respiratory Group

The ventral respiratory group is a set of nuclei located in the medulla oblongata, which is part of the brainstem. As explained in the video, these nuclei have connections that can stimulate the neurons supplying the external intercostals and the diaphragm. This concept is important for understanding the automatic, involuntary control of breathing, which is a key theme in the video.

💡Thoracic Cavity Volume

The thoracic cavity volume is a critical concept in the video, as it directly relates to the mechanics of breathing. The script describes how the contraction of the external intercostals and the diaphragm increases this volume, which in turn affects the pressure within the respiratory system. Understanding the changes in thoracic cavity volume is essential for grasping the video's explanation of how inhalation occurs.

💡Intrapleural Pressure

Intrapleural pressure, also known as intraplural pressure, refers to the pressure between the two layers of the pleura surrounding the lungs. The video explains how the increase in thoracic cavity volume leads to a decrease in intrapleural pressure, which is a key concept in understanding the pressure gradients that facilitate inhalation.

💡Transpulmonary Pressure

Transpulmonary pressure is the difference in pressure between the inside of the lungs (intrapulmonary pressure) and the outside (intrapleural pressure). The video script uses this concept to explain how the pressure changes during inhalation, which is crucial for understanding the video's overall message about the mechanics of breathing.

Highlights

Explanation of the inspiratory process and its effect on pressures within the respiratory system.

Role of the central nervous system, particularly the midbrain, pons, medulla, and spinal cord, in initiating the breathing process.

Importance of the external intercostal muscles in the inspiratory process.

The diaphragm's crucial role as a muscle in the breathing process, separating the thoracic cavity from the abdominal cavity.

Voluntary control over skeletal muscles like the diaphragm and external intercostals via signals from the cerebral cortex.

Description of the phrenic nerve, which arises from C3, C4, and C5 nerve roots and innervates the diaphragm.

Functioning of the intercostal nerves from T1 to T11, which stimulate the external intercostal muscles.

The ventral respiratory group in the medulla and its connection to the nerves supplying the external intercostals and diaphragm.

Mechanism by which the external intercostal muscles contract to increase the thoracic cavity volume.

Visual demonstration of the bucket handle movement of the ribs and the pump handle action of the sternum during inspiration.

The diaphragm's action of doming down and its contribution to increasing the thoracic cavity volume.

Decrease in intrapleural pressure during inspiration due to the expansion of the thoracic cavity.

Correlation between increased thoracic cavity volume and decreased intra-alveolar pressure.

Explanation of how the atmospheric pressure remains constant during the breathing process.

Changes in transpulmonary, transthoracic, and transrespiratory pressures during inspiration.

Final equilibrium of intrapulmonary pressure with atmospheric pressure at the peak of inspiration.

Anticipation of the next video, which will cover the mechanics of expiration.

Transcripts

play00:07

all right ners so if you guys here for

play00:09

Part Two for the mechanics of breathing

play00:11

appreciate it what we're going to do now

play00:12

is we're going to go over exactly how

play00:14

this actual inspiratory process can

play00:17

produce these changes in these pressures

play00:18

okay so let's go ahead and get started

play00:20

so where does this all start okay let's

play00:24

say that we have here our actual central

play00:25

nervous system all right so we have

play00:27

again the midbrain the ponds the medulla

play00:29

right so we we'll quickly outline that

play00:32

again we're going to have the midbrain

play00:35

here all right

play00:38

midbrain you'll have the

play00:40

pawns you'll have the medulla right here

play00:43

and then you'll even have right here

play00:44

which is our spinal

play00:47

cord so we're taking a um an actual

play00:51

sagittal section here so I'm taking A

play00:52

sagittal section we're looking at like

play00:54

that so in other words I'm taking here

play00:55

and I'm cutting right down all right now

play00:59

whenever we want to breathe since this

play01:01

muscle here you see how we have the ribs

play01:02

we took a cross-section of the ribs here

play01:05

connecting between the ribs you see

play01:06

these muscles right here these red

play01:08

muscles right there these ones right

play01:10

here are specifically

play01:12

called the

play01:15

external intercostals so they're called

play01:18

the external

play01:21

intercostals now the external

play01:22

intercostals are kind of really

play01:23

important muscles for this entire

play01:26

inspiratory process okay they're one of

play01:28

the big ones but an even really really

play01:30

more important one is this big beast

play01:32

right here you see this big guy right

play01:34

here all the way from one end to the

play01:36

other this big muscle right here is a

play01:38

very important muscle this big old Beast

play01:40

right here is called the diaphragm okay

play01:42

so this is called the

play01:46

diaphragm so you have two really

play01:48

important muscles here external

play01:50

intercrosses which are in between the

play01:51

ribs and the diaphragm right which is

play01:53

going to be right here right underneath

play01:55

it's actually what separates the nice

play01:56

thoracic cavity from the abdominal

play01:57

cavity okay now

play02:00

whenever we want to be able to contract

play02:02

these since these are skeletal muscles

play02:04

we have voluntary control over our

play02:05

skeletal muscles so let's say from the

play02:08

cerebral cortex right from the cerebral

play02:10

cortex we'll have it coming down from

play02:12

here you can't see it but it's coming

play02:13

down from here right you could have

play02:15

signals coming down here you could have

play02:17

signals coming down here and actually

play02:20

stimulating some specific uh nerves

play02:23

within the spinal cord right so let's

play02:25

say for example if this is uh going to

play02:27

be

play02:28

C3 C4 and C5 this would come out

play02:32

activate these sematic motor neurons and

play02:35

come and

play02:37

inate the diaphragm okay so this would

play02:41

be C3 C4 C5 nerve rout this is going to

play02:43

be specifically called the frenic nerve

play02:46

they actually call this the frenic

play02:48

nerve

play02:51

okay whereas you have another structure

play02:54

let me get Skelly out of the way here

play02:57

you have another structure here let's do

play02:59

this one one

play03:00

in let's actually do this one in this

play03:02

nice color here let's say that we keep

play03:05

coming down here though and we come down

play03:08

to

play03:09

about you know we're not going to draw

play03:11

all of them but there's a couple other

play03:13

ones down in the thoracic region we'll

play03:15

just do a couple of them and we'll say

play03:17

for right here we have from T1 all the

play03:20

way down to about t11 so all the way

play03:22

down we're not drawing all of them but

play03:24

for the sake of it I drew a couple here

play03:26

from T1 all the way down to about t11

play03:29

you have these intercostal nerves here

play03:32

and These Guys these intercostal nerves

play03:35

are actually going to come and innervate

play03:38

we actually have them coming through

play03:39

here they're going to be inating the

play03:42

external

play03:43

intercostals and when they inate the

play03:45

external intercostals they're going to

play03:47

provide a stimulus to the external

play03:48

intercostals so so far what do we have

play03:50

here I'll put it like here so it looks

play03:51

good let's do this like that yeah all

play03:54

right so we got the frenic nerve coming

play03:56

here from the C3 C4 C5 nerve rootes

play04:00

interva in the diaphragm then we have

play04:01

from T1 all the way down to t11 we're

play04:04

going to have this intercostal nerves

play04:06

right so you're going to have your

play04:08

inter

play04:10

costal nerves and this could be

play04:13

activated by cortical control right so

play04:15

we have cortical control there but you

play04:16

know what else can actually stimulate

play04:17

these also we're going to talk about it

play04:19

in more detail but you have a specific

play04:21

set of nuclei located here within the

play04:23

medulla a spe a special set of nuclei

play04:26

these nuclei are actually called the

play04:27

ventral respiratory group and the

play04:30

ventral respiratory group actually has

play04:32

connections okay that can actually run

play04:34

here and

play04:36

provide these axons that can stimulate

play04:39

these actual neurons that are going out

play04:41

to supply the external intercostals as

play04:44

well as the diaphragm so you have input

play04:47

coming from the cerebral cortex as well

play04:49

as even from What's called the vental

play04:50

respiratory group within the medulla

play04:53

anyway when these guys are coming out

play04:55

from the frenic nerve and the internal

play04:58

inter internal intercostal nerves what's

play05:00

happening let's first look at how the

play05:03

actual intercostal nerves are working so

play05:04

we're work from top to bottom so the

play05:06

intercostal nerves come over here to the

play05:07

external intercostal and they cause them

play05:09

to contract now when the actual external

play05:13

intercostal muscles contract something

play05:14

really really cool happens I'm going to

play05:16

show you personally but then I'm going

play05:18

to bring in an actual Anatomy model so

play05:19

we can see it in a better way so what

play05:22

the external intercostals do is when

play05:23

they contract they pull the ribs outward

play05:27

so they pull the ribs like they're

play05:29

coming out so you know whenever you have

play05:30

like a a bucket with the two handles so

play05:33

if you have like a bucket with the two

play05:34

handles and you pull the handles

play05:36

actually like this that's exactly what's

play05:38

happening to the ribs so one thing

play05:40

that's happening is you're taking the

play05:41

ribs and pulling them outward which is

play05:43

increasing the thoracic cavity volume so

play05:46

as you pull the ribs outward that

play05:47

increases the thoracic cavity volume

play05:49

another thing whenever the actual

play05:51

external neosales contract they pull the

play05:54

sternum they push the sternum out like

play05:57

this okay so when they push the sternum

play05:59

out out and upward like this that

play06:01

increases the thoracic cavity volume

play06:03

anteriorly a little bit anterior

play06:04

posterior whereas whenever the uh ribs

play06:07

go outward that increases it in a

play06:08

horizontal volume right either way

play06:11

nonetheless when the extr cost is

play06:13

contract they pull up they call it like

play06:14

a bucket handle movement and then

play06:17

whenever the actual external Coss is

play06:18

contract they pull the sternum outward

play06:20

which is kind of like if you guys ever

play06:22

seen like the water F like the the old

play06:23

school ones that you do like the pump

play06:24

action there that's what they call they

play06:26

call it like the little water pump

play06:28

action which is actually pull the

play06:29

sternum out either way the whole result

play06:31

is increasing the thoracic cavity volume

play06:34

okay so I want to give you guys a better

play06:35

example now so what I'm going to do is

play06:36

I'm going to bring in the an actual

play06:37

skeleton model here so we can get a

play06:39

better idea of what this looks like here

play06:42

because I want to I want to make sure

play06:42

that this is really really

play06:44

understandable here so again here we're

play06:46

going to have all of these structures

play06:48

these are our ribs okay so all of these

play06:49

are the ribs okay the external Cal is

play06:52

actually attach between the ribs so

play06:54

let's pretend this is actually a rib

play06:55

here a rib here the external inter Cal

play06:57

would attach here now what they do is

play07:00

the lower part of the rib where the

play07:02

external intercostal is attaches to it

play07:04

pulls that rib up so when it pulls the

play07:07

ribs up what look what it actually would

play07:08

do it would pull the ribs out like this

play07:10

so you're actually going to pull them

play07:11

outward like this okay so whenever

play07:13

they're Contracting when the external

play07:15

inter cost is contract they pull the

play07:16

ribs outward like this now and also what

play07:19

they do is whenever they're Contracting

play07:20

they kind of push the sternum outward so

play07:23

two things are happening the ribs are

play07:25

going outward and the volume in here is

play07:27

actually increasing also the sternum is

play07:29

is coming out farther and the volume in

play07:31

here is increasing so that should make

play07:34

sense now okay now let me grab another

play07:36

model real quickly so we can even see a

play07:38

little bit better about these actual

play07:40

muscles here so let me bring this back

play07:42

in here so if we see here we got the

play07:45

Skelly now what I'm going to do is I'm

play07:47

going to take this actual chest plate

play07:49

here put in front of it okay so if you

play07:51

guys look here for a second you're going

play07:52

to notice again here's our ribs but you

play07:56

see these muscles right here on the edge

play07:58

these muscles right there are your

play08:00

external intercostals when they contract

play08:03

so let's imagine we look at this

play08:04

external intercostal this point here is

play08:07

actually going to pull that actual rib

play08:09

up so this is the insertion this point

play08:11

here is actually fixed that's the origin

play08:13

so when it contracts it pulls the

play08:15

insertion up towards the origin when it

play08:17

does that again sternum goes out which

play08:20

increases the thoracic cavity volume and

play08:22

the ribs come out like a bucket handle

play08:25

which is increasing thoracic cavity

play08:26

volume okay so now I'll put these guys

play08:28

back and we'll get back to our actual

play08:30

tutorial

play08:33

here okay so now that we've done that we

play08:36

should have a good idea what's happening

play08:38

now so let's actually show that now in a

play08:40

better way here in this diagram now okay

play08:43

so that's the first thing that happened

play08:45

so the thoracic cavity volume is going

play08:47

to increase so let's say that that

play08:48

happened the thoracic cavity volume over

play08:50

here let's say that it actually

play08:51

increased so it went out wider okay so

play08:54

if that's the case we would expect the

play08:57

volume in the thoracic cavity to start

play09:00

increasing before we do this actually

play09:02

before I do this let me do one more

play09:03

muscle so we can get one more muscle in

play09:06

here last one is the diaphragm okay what

play09:09

does the diaphragm do we really need to

play09:11

think about him too right before we go

play09:12

over there and show that so the

play09:14

diaphragm when he

play09:16

contracts what actually happens is he

play09:19

actually domes down so he actually

play09:22

depresses if he depresses think about

play09:24

this for a second let me actually show

play09:26

you what would look like over here if

play09:28

this muscle contracts let's say that

play09:30

it's actual muscle

play09:31

contracted look at what happened to all

play09:34

of this volume here look at this let's

play09:37

say that it actually went down a little

play09:40

bit oh wow that's a lot of volume there

play09:43

so if that sucker went down what's going

play09:46

to happen to this area now what happens

play09:48

to this volume so now the volume is

play09:50

increasing by three ways one is the diap

play09:53

frame is actually depressing increasing

play09:55

thoracic cavity volume the second one is

play09:57

the external NE costal are pulling the

play09:59

ribs upward right and outward which is

play10:02

pulling them like a bucket handle and

play10:04

pulling the sternum outward all of those

play10:06

things are doing what what's the overall

play10:09

result increasing thoracic cavity volume

play10:12

let's write that down so what's the

play10:14

first thing that

play10:15

happened external

play10:19

intercostals and diaphragm

play10:23

contract and whenever these suckers

play10:27

contract what

play10:31

happens by the mechanisms that we

play10:33

mentioned many times already it

play10:35

increases the

play10:38

thoracic cavity

play10:41

volume okay cool well now let's see how

play10:46

this affects these many

play10:48

pressures if I can increase the thoracic

play10:50

cavity volume let's think for a second

play10:53

what can happen because technically this

play10:55

is all connected to the chest wall right

play10:56

as the chest wall is expanding and as

play10:57

this is going down what we would expect

play10:59

to happen here with this whole parietal

play11:01

plural wouldn't we expect it to actually

play11:03

expand a little bit also and to actually

play11:05

go with the actual chest wall so let's

play11:07

just PR pretend for a second that I

play11:09

bring this one down I'm over

play11:12

exaggerating it but it's going to be you

play11:15

know for the purpose of making sense

play11:17

here so again what's happening to this

play11:19

parietal plural it's getting pulled

play11:22

away and it would also get pulled away

play11:24

with the chest wall as the chest wall is

play11:26

expanding as all of this is expanding

play11:29

what is happening to this actual volume

play11:31

here well the thoracic cavity volume is

play11:35

increasing so if the volume is

play11:38

increasing what will happen to the

play11:40

pressure according to Bo's law the

play11:42

pressure will

play11:44

decrease what is the pressure in this

play11:46

area the int what is intra plural

play11:49

pressure so the intra plural pressure

play11:51

was originally what was it originally it

play11:53

was approximately

play11:55

about4 mm of mercury that that's what it

play11:58

was at rest so we'll put put here on the

play11:59

next to it

play12:01

rest but then during the inspiratory

play12:04

process the volume actually went even

play12:05

greater than normal because now the

play12:07

actual chest wall is trying to expand

play12:08

it's pulling that parietal plural away

play12:09

from the actual visceral plural and this

play12:11

whole volume here is increasing

play12:13

potentially right it will actually get

play12:16

even more negative so the pressure will

play12:18

drop even more to about what

play12:20

point the pressure will drop so let's

play12:22

say that here we show over here what the

play12:24

pressure changes to the pressure will go

play12:27

from4 millim of mercury to about six

play12:30

okay so it'll drop down during the

play12:32

inspiratory process to about

play12:36

negative 6 millimeters of mercury and

play12:38

this is

play12:39

during

play12:42

inspiration okay sweet

play12:45

deal okay next

play12:47

thing as this is expanding look what

play12:50

happens

play12:51

here because the thoracic cavity volume

play12:54

is increasing not only is that allowing

play12:55

for that to happen but what happens is

play12:57

these lungs want to start expanding too

play13:00

so because the lungs want to start

play13:01

expanding something really cool happens

play13:04

this guy right here what's going to

play13:06

happen to him his his actual lungs are

play13:08

going to start expanding also so the

play13:09

visceral plura is going to start getting

play13:11

closer and closer to the parial plur

play13:13

right because again we have to remember

play13:15

it is a potential space but when this uh

play13:19

parial plur is being pulled away by the

play13:20

chest wall what is it pulling with it

play13:22

it's pulling with it the visceral plural

play13:24

so now what we expect to happen with

play13:26

this lung now and again we're going to

play13:28

drag it out out here but as long as we

play13:31

get the point look at this I'm going to

play13:33

bring this sucker all the way down here

play13:36

what did I just do to the

play13:37

lung I increased the actual volume

play13:40

inside of the actual lung so if I

play13:43

increase the volume inside of the lung

play13:44

what does that mean for the pressure

play13:47

that means that the pressure goes down

play13:49

oh man should make so much sense right

play13:52

so again intra pulmonary pressure what

play13:56

do we say that we denoted that as we not

play13:59

as that as people right we call that the

play14:02

people so the people was originally what

play14:05

did we say it was about NE I'm sorry not

play14:08

negative it should be zero millimeters

play14:10

of mercury at

play14:12

rest but then what happened what did we

play14:14

say the visceral plura was getting

play14:17

pulled with the parietal plura as the

play14:18

long as the thoracic cavity volume was

play14:20

increasing due to the external

play14:21

intercostals and the diaphragm so as the

play14:24

volume of this actual all these alveoli

play14:27

start increasing what happens to their

play14:29

pressure then the pressure starts

play14:31

decreasing so what should it go to then

play14:35

it should drop down to appr

play14:36

approximately

play14:38

about -1 so it only drops about one or

play14:40

two it only drops about one or two

play14:44

millimeters of mercury so we're going to

play14:45

put here um let's just

play14:48

put1 but again it can drop down about

play14:50

negative 1 or -2 so it went down one so

play14:53

we're going to put negative 1

play14:55

millimeters of mercury during

play14:58

inspiration

play15:00

oh it should make so much

play15:02

sense does to me somehow all right

play15:05

now now that we've done that we should

play15:08

understand how those pressures have

play15:09

changed but what happens to the

play15:10

atmospheric pressure does anything

play15:11

happen with the atmospheric pressure No

play15:12

it should stay the same right it should

play15:14

stay the same so the atmospheric

play15:15

pressure should not be affected let's

play15:17

write that down though so the

play15:18

atmospheric pressure it should not be

play15:20

affected okay so it should still be uh

play15:23

0o millimeters of Merc if we're

play15:25

comparing it right but well just for

play15:27

this case we'll keep it we'll keep it

play15:29

here at 760 just for the heck of it so

play15:31

we'll say 760 again millimeters of

play15:35

mercury and specifically this

play15:37

millimeters of mercury we could also say

play15:39

um as a unit we could convert it to an

play15:42

atmosphere right so 760 millimet of

play15:45

mercury which is actually equal to one

play15:47

atmosphere so that's the same okay what

play15:51

about all these other dang pressures now

play15:53

what about those okay let's get to that

play15:56

second let's write down what happened so

play15:58

far

play15:59

thoracic cavity volume increased the

play16:01

third thing that happened what happened

play16:03

as the thoracic cavity volume increased

play16:05

what happened the intra pulmonary

play16:07

pressure what happened to his pressure

play16:10

it decreased what happened to the intra

play16:12

plural pressure the PIP IT decreased

play16:15

okay the last thing to look at is what

play16:18

happens to the trans pulmonary

play16:21

pressure what happens to the actual

play16:23

trans thoracic pressure and if you guys

play16:27

want we could even say what happens with

play16:29

the trans respiratory pressure so let's

play16:32

go ahead and see what happens to all of

play16:34

these pressures

play16:36

here

play16:38

okay well the transpulmonary pressure we

play16:40

said was what let's write down here real

play16:43

quick here was a b c we said that the

play16:49

transpulmonary pressure was the

play16:51

difference from a minus B which is the

play16:53

intrapulmonary pressure minus the int

play16:55

plural okay well now

play16:59

1 and this is -6 let's write that down

play17:03

so it went from NE it's - 1 mm Mercury

play17:07

minus what 6 millimeter of mercury right

play17:10

minus 6 but actually should be -6 should

play17:15

be -6 so

play17:18

-6 millimet of mercury so it's- 1 mm

play17:22

Mercury minus -6 what is that equal to

play17:25

about okay well if we have -6 right so

play17:28

we're taking -1 + 6 so what does that

play17:31

equal to that's equal to + 5 right so it

play17:34

should be + 5 mm of mercury so it went

play17:39

up a little bit but like I said again

play17:41

the whole point here is I said remember

play17:43

it actually went down by negative 1 it

play17:45

can go by down by negative 1G -2 so if

play17:47

it went down byg -2 what would that be

play17:49

plus 4 millim mercy so it doesn't really

play17:50

change significantly but it can change a

play17:53

little bit in this case all right cool

play17:56

let's do the next one the next one we

play17:59

said was the difference between B and C

play18:02

okay well the difference between B and C

play18:04

is the difference from the intra plural

play18:06

pressure in the atmospheric pressure oh

play18:08

we said that this a trans thoracic

play18:09

pressure let's write that puppy down so

play18:13

the trans thoracic pressure is equal to

play18:17

the int plural pressure which we said in

play18:19

this case was

play18:21

-6 millimeters of mercury minus what

play18:26

zero millimeters of mercury and again

play18:29

what do we say that this should be the

play18:30

trans thoracic pressure should be equal

play18:31

to the int plural pressure and the trans

play18:34

thoracic pressure is -6 millimet of

play18:37

mercury what does that imply that's a

play18:40

good thing that means the chests are

play18:42

actually recoiling outward and as the

play18:45

chest is actually the chest wall is

play18:46

recoiling outward what is it doing it's

play18:48

pulling on this actual what it's pulling

play18:51

on the chest wall and as it pulls on the

play18:52

chest wall what happens to the volume in

play18:54

this area it increases so that should

play18:56

make sense because this negative is that

play18:59

the chest wall is actually recoiling

play19:00

outward that's

play19:01

good and again for the heck of it we can

play19:03

do this last one here let's do this one

play19:06

in red which is the difference between a

play19:07

to c and that was the trans respiratory

play19:10

pressure and the trans respiratory

play19:12

pressure is just going to be the what

play19:16

intrapulmonary which in this case was -1

play19:19

millim of Mercury right minus What minus

play19:24

the atmospheric pressure which in this

play19:26

case is 0 millimet Mercury and in this

play19:29

case what does this tell us the trans

play19:31

respiratory pressure is saying that air

play19:32

is actually flowing in what direction

play19:34

well it was negative one here so what's

play19:36

our answer here our answer is -1

play19:38

millimet of mercury that's the answer

play19:40

what that means

play19:42

is is that air must be flowing from the

play19:45

atmosphere into the alveoli that's what

play19:47

the negative 1 millim Mercury is saying

play19:48

it's saying that the air is Flowing from

play19:50

where the air must be flowing from the

play19:53

atmosphere into the alveoli if it was

play19:57

positive it would be the opposite it

play19:58

will be flowing out of the actual alveol

play20:01

line into the

play20:03

atmosphere wow this is so beautiful all

play20:06

right so let's write these things down

play20:08

now everything that we have here again

play20:11

transpulmonary pressure should now be

play20:12

about positive five millim

play20:16

Mercury and then the trans thoracic

play20:19

pressure should be about 6 mm

play20:24

Mercury and then the actual trans

play20:26

respiratory pressure we said last one

play20:28

was negative

play20:29

1 mm of mercury and if we want to

play20:32

reiterate it the int plural pressure

play20:34

actually dropped down to about what it

play20:36

dropped down to actually

play20:39

-6 millimeter mercury and then the

play20:42

intrapulmonary pressure or the intra

play20:43

avolar pressure dropped down to about 1

play20:46

mm

play20:48

Mercury okay these are all the events

play20:51

that are occurring in Inspiration now we

play20:54

have to figure out okay all this is good

play20:57

and well but does our lung stay like

play20:58

like this no this is basically doing

play21:00

what think about this what's the

play21:03

pressure inside of the Alvi what's the

play21:04

pressure inside of there okay was ne1 H

play21:08

negative 1 in comparison to what

play21:10

negative one in comparison to the

play21:12

atmosphere so in other words we could

play21:13

say this is 760 and what is another way

play21:16

that I could write this guys 7 59 right

play21:21

I could technically write this as

play21:23

759 if I wanted to now what is that that

play21:28

law again that actual law boils law or

play21:31

not even I'm sorry not even boils law

play21:33

just the law of diffusion the law of

play21:35

diffusion things like to move from areas

play21:38

of high pressure to areas of low

play21:41

pressure so where would the air want to

play21:43

flow the air would want to flow inwards

play21:47

and so

play21:48

now look what happens here air starts

play21:51

flowing inward as the air starts flowing

play21:55

Inward and more and more and more into

play21:57

the lung it'll continue to flow from the

play22:01

atmosphere into the actual lungs until

play22:05

the intrapulmonary pressure at the peak

play22:07

point of inspiration goes until it

play22:10

actually equals the atmospheric pressure

play22:12

so let me say this one more time here

play22:15

let me actually put it over here and

play22:16

pink afterwards to write this over here

play22:19

to make sure that we're clear let me

play22:20

explain it one more time before I write

play22:21

it

play22:22

down this is negative 1 so it's 759 in

play22:26

here it's a lower pressure out here is

play22:28

high higher pressure things like to move

play22:29

from high pressure into areas of low

play22:33

pressure as this air is Flowing it's

play22:36

flowing from areas of high pressure to

play22:37

low pressure it will continue to flow

play22:40

from the atmosphere into the actual

play22:42

lungs or the alvioli in this case until

play22:45

the pressure in the alvioli equals the

play22:48

pressure in the atmosphere what is the

play22:51

pressure in the atmosphere 760 mm of

play22:54

mercury so it's going to go until it

play22:55

equals 760 mm of mercury and that is

play22:59

going to be at the peak point of

play23:00

inspiration so while that happens when

play23:02

all those events are happening when our

play23:03

muscles are Contracting and all those

play23:04

events the whole point is to suck air in

play23:07

by pressure gradients so this will

play23:09

eventually cause the intrapulmonary

play23:12

pressure to equal if we say it's 760

play23:14

what does that mean so what 760- 760

play23:17

zero but again just so that we're clear

play23:20

again what would that actually be if we

play23:21

put it in the larger numbers it would be

play23:23

760 because it has to reach equilibrium

play23:27

with the atmosphere so this is what will

play23:29

be at the peak of inspiration and then

play23:31

whenever we get ready to go into ins I'm

play23:33

sorry whenever we get ready to go into

play23:34

expiration which we'll do in the next

play23:35

video you'll see how all of these

play23:37

pressures are changing again so amazing

play23:40

okay all right guys so in this video we

play23:42

talked a lot about the inspiratory

play23:43

processes specifically with respect to

play23:45

the whole mechanics of breathing okay in

play23:48

the third video the next video we're

play23:50

going to see exactly how all of these

play23:52

events are happening again but in

play23:53

Reverse specifically in expiration all

play23:55

right ninja ner I'll see you soon

Rate This

5.0 / 5 (0 votes)

الوسوم ذات الصلة
Breathing MechanicsInhalation ProcessPressure ChangesDihaphragm FunctionIntercostal MusclesChest Wall MovementRespiratory SystemMedical EducationAnatomy TutorialHealth Science
هل تحتاج إلى تلخيص باللغة الإنجليزية؟