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Image illustrating transpulmonary, intrapleural and intra-alveolar pressure. In physiology, intrapleural pressure refers to the pressure within the pleural cavity.Normally, the pressure within the pleural cavity is slightly less than the atmospheric pressure, which is known as negative pressure. [1]
The alveolar pressure is estimated by measuring the pressure in the airways while holding one's breath. [2] The intrapleural pressure is estimated by measuring the pressure inside a balloon placed in the esophagus. [2] Measurement of transpulmonary pressure assists in spirometry in availing for calculation of static lung compliance.
Image illustrating transpulmonary, intrapleural and intra-alveolar pressure. Alveolar pressure (P alv) is the pressure of air inside the lung alveoli.When the glottis is opened and no air is flowing into or out of the lungs, alveolar pressure is equal to the atmospheric pressure, that is, zero cmH 2 O.
The pleural cavity, or pleural space (or sometimes intrapleural space), is the potential space between the pleurae of the pleural sac that surrounds each lung. A small amount of serous pleural fluid is maintained in the pleural cavity to enable lubrication between the membranes, and also to create a pressure gradient. [1]
Alveolar pressure (PA) at end expiration is equal to atmospheric pressure (0 cm H 2 O differential pressure, at zero flow), plus or minus 2 cm H 2 O (1.5 mmHg) throughout the lung. On the other hand, gravity causes a gradient in blood pressure between the top and bottom of the lung of 20 mmHg in the erect position (roughly half of that in the ...
As water molecules pull together, they also pull on the alveolar walls causing the alveoli to recoil and become smaller. But two factors prevent the lungs from collapsing: surfactant and the intrapleural pressure. Surfactant is a surface-active lipoprotein complex formed by type II alveolar cells.
Dynamic compression of the airways results when intrapleural pressure equals or exceeds alveolar pressure, which causes dynamic collapsing of the lung airways. It is termed dynamic given the transpulmonary pressure (alveolar pressure − intrapleural pressure) varies based on factors including lung volume, compliance, resistance, existing pathologies, etc. [1]
Once air enters the pleural cavity, the intrapleural pressure increases, resulting in the difference between the intrapulmonary pressure and the intrapleural pressure (defined as the transpulmonary pressure) to equal zero, which cause the lungs to deflate in contrast to a normal transpulmonary pressure of ~4 mm Hg. [28]