AIRWAY RESISTANCE
AIRWAY RESISTANCE
- Airway resistance not seen with small airways – Due to its very large total cross-sectional area.
- Large-sized blood vessels too wider to offer airway resistance.
- Airway resistance seen mainly in medium-sized (2-4-mm diameter) – Major site of airway resistance.
Determinants of airway resistance:
- Major physical determinants:
1. Radius of airway:
- Radius has very marked effect on resistance.
- If radius is halved, resistance increases sixteen-fold.
- This is according to Poiseuille’s equation.
2. Nature & velocity of flow:
- Two types:
- Turbulence flow.
- Laminar flow.
Factors determining laminar or turbulent flow is:
- Reynolds number – Quantifies ratio of inertial to viscous forces.
- Defined by,
- Radius (r)
- Density (d)
- Viscosity (η)
- Gas velocity (V).
Interpretation:
- Reynolds number >2000 – Turbulence occurs.
- Reynolds number < 2000 – Laminar flow occurs.
- For laminar flow, airway resistance is directly proportional pressure gradient & flow.
- For turbulence flow, airway resistance is approximately proportional to pressure gradient & flow & requires larger pressure gradient.
- Laminar airflow in small airways – Due to low velocity & smaller radius.
- During resting breathing, flow is turbulent in trachea & laminar in smaller peripheral airways.
2. Density of air:
- Increased airway resistance, if inspired air is denser.
3. During respiratory mechanisms:
- Airway resistance is lower during inspiration.
- Airway resistance is higher during expiration (forced expiration) – Due to dynamic compression of airway.
- In forced expiration, expiration stops in later stages due to complete collapse of smaller airways.
4. Lung volume:
- Higher lung volumes – Lower airway resistance.
- Lower lung volumes – Higher airway resistance.
Exam Important
- Airway resistance not seen with small airways – Due to its very large total cross-sectional area.
- Airway resistance seen mainly in medium-sized (2-4-mm diameter) – Major site of airway resistance.
- According to Poiseuille’s equation, if radius is halved, resistance increases sixteen-fold.
- Reynolds number >2000 – Turbulence occurs.
- Reynolds number less than 2000, laminar flow occurs.
- For laminar flow, airway resistance is directly proportional pressure gradient & flow.
- Laminar airflow in small airways – Due to low velocity & smaller radius.
- If inspired air is denser, there is increased airway resistance,
- Airway resistance is lower during inspiration.
- Airway resistance is higher during expiration (forced expiration) – Due to dynamic compression of airway.
- In forced expiration, expiration stops in later stages due to complete collapse of smaller airways.
- Higher lung volumes – Lower airway resistance.
- Lower lung volumes – Higher airway resistance.
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