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System
• The respiratory system plays a vital role in facilitating the exchange of
oxygen and carbon dioxide, ensuring the body receives the oxygen
necessary for cellular respiration and removing waste gases. It
encompasses a complex network of organs and structures working
together to maintain proper respiratory function and support overall
health.
• Air inspiration is the process of drawing air into the lungs by expanding
the chest cavity through the contraction of the diaphragm and other
respiratory muscles. It is an essential part of respiration and ensures
that oxygen is brought into the body to support various bodily
functions.
• The respiratory system consists of several organs and structures that
work together to facilitate respiration.
I. Anatomy of the Respiratory
System
• There are seven structures that make up the respiratory system. They
include the following:
1. External nose encloses the chamber for air inspiration. Although air
can be inspired through the mouth, the mouth is part of the digestive
system rather than the respiratory system.
2. Nasal cavity is a cleaning, warming, and humidifying chamber for
inspired air.
3. Pharynx is commonly called the throat. It serves as a common
passageway for food and air.
4. Larynx is frequently called the voice box. Its rigid structure helps keep
the airway constantly open, or patent.
5. Trachea is commonly known as the windpipe. It serves as an air-
cleaning tube to funnel inspired air to each lung.
6. Bronchi are tubes that direct air into the lungs.
7. Lungs
Each lung is a labyrinth of air tubes and a complex network of
air sacs, called alveoli, and capillaries. The air sacs are separated by
walls of connective tissue containing both collagenous and elastic
fibers. Each air sac is the site of gas exchange between the air and
the blood.
FIGURE 23.1 Respiratory
System
For the respiratory system to accomplish gas exchange between the air and
the blood, there are four simultaneous processes:
1. Ventilation – refers to the process of breathing or the movement of air in
and out of the lungs.
2. Pulmonary respiration – refers to the process of gas exchange that
occurs in the lungs.
3. Gas transport – refers to the movement of oxygen and carbon
dioxide between the lungs and the body’s tissues through the
bloodstream.
4. Systemic respiration – refers to the process of gas exchange that
occurs in the body’s tissues outside of the lungs.
a. Nasopharynx
The nasopharynx is the most superior portion of pharynx. The
nasopharynx is superior to the soft palate – which prevents
swallowed materials from entering the nasopharynx and nasal
cavity wherein it pushes food and other materials toward the back
of the pharynx. The posterior wall of the nasopharynx houses the
pharyngeal tonsil, or adenoids, which helps defend the body against
infection (see chapter 22).
b. Oropharynx
The oropharynx is the middle portion of the pharynx. A region
called the fauces joins the mouth’s oral cavity and the oropharynx.
Two groups of tonsils, called the palatine tonsils and the lingual
tonsil, are located near the fauces.
c. Laryngopharynx
The laryngopharynx is a continuation of the oropharynx. The
laryngopharynx spans the posterior length of the larynx: from the
most superior larynx structure, the epiglottis, to the esophagus.
4. Larynx
The larynx is commonly known as the voice box. It is located in the
anterior part of the laryngopharynx and extends from the base of
the tongue to the trachea. The larynx is held in place by membranes
and muscles superior to the hyoid bone (figure 23.2a).
The larynx is called the voice box because it houses the ligaments
used for speech as well as for swallowing and other functions
(figure 23.4).
These ligaments include the vestibular folds and the vocal folds.
The vocal folds, or true vocal cords, are the inferior ligaments. At the
junction of the vocal folds is an opening; this opening, in
combination with the vocal folds, is called the glottis. If the vocal
folds become inflamed, laryngitis occurs and the person “loses” his
or her voice.
The larynx, with its cartilages and the vestibular and vocal folds,
perform four main functions:
1. Maintains an open passageway for air movements.
2. Prevents swallowed materials from entering the larynx and lower
respiratory tract.
3. Produces sound for speech.
4. Protects the lower respiratory tract from foreign materials.
FIGURE 23.2 Nasal
Cavity and Pharynx
Alveolar Structure
Approximately 300 million alveoli are in the two lungs. The average
diameter of an alveolus is approximately 250 μm, and its wall is
extremely thin. Two types of cells form the alveolar wall (figure
23.8a)
FIGURE 23.7 Bronchioles and
Alveoli
©Carolina Biological/Phototake
Type I pneumocytes are thin squamous epithelial cells that form 90% of
the alveolar surface. Most of the gas exchange between alveolar air and
the blood takes place through these cells.
Type II pneumocytes are round or cube-shaped secretory cells that
produce surfactant, which makes it easier for the alveoli to expand during
inspiration.
b. Muscles of Expiration
During expiration, the thoracic cavity volume decreases.
• Gender
• Age
• Body Size
• Physical Fitness
The vital capacity reaches its maximum amount in young adults
and gradually decreases in the elderly. Taller people usually have a
greater vital capacity than people with a shorter stature, and
slender people have a greater vital capacity than obese individuals.
Well-trained athletes can have a vital capacity 30–40% above that of
people with a sedentary lifestyle.
C. Behavior of Gases and Respiration
1. Partial Pressure
The term pressure is used to express the amount of each gas in a
mixture. The individual pressure of each gas is called the partial
pressure.
2. Diffusion of Gases into and out of Liquids
The amount of the gas is also dependent on how readily a gas
dissolves in the liquid, which is called the solubility coefficient.
Diffusion Coefficient
To determine the rate at which a gas diffuses into and out of a liquid or
tissue, two factors must be considered: (1) the solubility coefficient of the
gas and (2) the molecular weight of the gas. This rate is called the
diffusion coefficient.
V. Physiology of the Respiratory
System
A. Mechanisms of Alveolar Ventilation
Changes in thoracic volume cause changes in pleural pressure, resulting
in changes in alveolar volume, intra-alveolar pressure, and airflow.
As we step through one respiratory cycle, or one breath, we will track the
relative pressure difference between the atmosphere and the alveoli
(figure 23.14).
Atmospheric air pressure outside the body is referred to as barometric
air pressure (PB).
Respiratory physiologists assign PB a value of zero for simplicity. Air
pressure in the alveoli is called intra-alveolar pressure (Palv).
PROCESS FIGURE
23.14 Intra-
alveolar Pressure
Changes During
Inspiration and
Expiration
B. Factors Affecting Alveolar Ventilation
1. Lung recoil
Is the tendency for the lungs to decrease in size after they are
stretched.
2. Pleural pressure
Is the pressure within the pleural cavity between the parietal
pleura and the visceral pleura.
A negative pleural pressure can cause the alveoli to expand.
Pneumothorax is an increase of pleural pressure. Tension
pneumothorax occur the pressure within the pleural cavity is
always higher than barometric air pressure.
3. Summary of Pressure Changes During a Normal
Breathing Cycle