The forces for resting expiration come from the elastic recoil of tissues and from surface tension. The lungs contain considerable elastic tissue, which stretches with lung expansion during inspiration. As the diaphragm and external intercostal muscles relax following inspiration, the elastic tissues cause the lungs to recoil and return to their original shapes. This pulls the visceral pleural membrane inward, and the parietal pleura and chest wall follow. Also, during inspiration the diaphragm compresses the abdominal organs beneath it. When the diaphragm relaxes, the abdominal organs spring back into their previous shapes, pushing the diaphragm upward (fig. 16.14a). At the same time, the surface tension that develops on the moist surfaces of the alveolar linings decreases the diameters of the alveoli. Together these factors increase intra-alveolar pressure about 1 mm Hg above atmospheric pressure, so that the air inside the lungs is forced out through respiratory passages with no muscle action. Thus, normal resting expiration is a passive process. If a person needs to exhale more air than normal, the internal (expiratory) intercostal muscles can contract (fig. 16.14b). These muscles pull the ribs and sternum downward and inward, increasing the air pressure in the lungs to force more air out. Also, the abdominal wall muscles, including the external and internal obliques, transversus  abdominis, and rectus abdominis, can squeeze the abdominal organs inward (see fig. 8.20). In this way, the abdominal wall muscles can increase pressure in the abdominal cavity and force the diaphragm still higher against the lungs. These actions force additional air out of the lungs. Clinical Application 16.1 discusses problems in breathing associated with two common diseases, emphysema and lung cancer

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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The forces for resting expiration come from the elastic recoil of tissues and from surface tension. The lungs contain considerable elastic tissue, which stretches with lung expansion during inspiration. As the diaphragm and external intercostal muscles relax following inspiration, the elastic tissues cause the lungs to recoil and return to their original shapes. This pulls the visceral pleural membrane inward, and the parietal pleura and chest wall follow. Also, during inspiration the diaphragm compresses the abdominal organs beneath it. When the diaphragm relaxes, the abdominal organs spring back into their previous shapes, pushing the diaphragm upward
(fig. 16.14a). At the same time, the surface tension that develops on the moist surfaces of the alveolar linings decreases the diameters of the alveoli. Together these factors increase intra-alveolar pressure about 1 mm Hg above atmospheric pressure, so that the air inside the lungs is forced out through respiratory passages with no muscle action. Thus, normal
resting expiration is a passive process. If a person needs to exhale more air than normal, the internal (expiratory) intercostal muscles can contract
(fig. 16.14b). These muscles pull the ribs and sternum downward and inward, increasing the air pressure in the lungs to force more air out. Also, the abdominal wall muscles, including the external and internal obliques, transversus  abdominis, and rectus abdominis, can squeeze the abdominal organs inward (see fig. 8.20). In this way, the abdominal wall muscles can increase pressure in the abdominal cavity and force the diaphragm still higher against the lungs. These actions force additional air out of the lungs. Clinical Application 16.1 discusses problems in breathing associated with
two common diseases, emphysema and lung cancer

Figure 16.14 Expiration. (a) Normal
resting expiration is due to elastic recoil
of the lung tissues and the abdominal
organs. (b) Contraction of the abdominal
wall muscles and the internal intercostal
muscles aids maximal expiration. AP R
Elasticity of lungs
recoils inward
- Diaphragm
Diaphragm (cut)
Internal intercostal
-Lung (cut)
muscles pull ribs down
and inward (External
intercostals have
Abdominal organs
recoil and press
ward
been removed to
reveal underlying
internal intercostals)
dia
ragm
Abdominal wall
muscles contract
and compress
abdominal organs,
forcing the
diaphragm higher
(a)
(b)
Transcribed Image Text:Figure 16.14 Expiration. (a) Normal resting expiration is due to elastic recoil of the lung tissues and the abdominal organs. (b) Contraction of the abdominal wall muscles and the internal intercostal muscles aids maximal expiration. AP R Elasticity of lungs recoils inward - Diaphragm Diaphragm (cut) Internal intercostal -Lung (cut) muscles pull ribs down and inward (External intercostals have Abdominal organs recoil and press ward been removed to reveal underlying internal intercostals) dia ragm Abdominal wall muscles contract and compress abdominal organs, forcing the diaphragm higher (a) (b)
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