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Transpulmonary pressure is the difference between the alveolar pressure and the intrapleural pressure in the pleural cavity. During human ventilation, air flows because of pressure gradients . P tp = P alv – P ip
At rest, there is a negative intrapleural pressure. This provides a transpulmonary pressure, causing the lungs to expand. If humans didn't maintain a slightly negative pressure even when exhaling, their lungs would collapse on themselves because all the air would rush towards the area of lower pressure. Intra-pleural pressure is sub-atmospheric.
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]
Dynamic airway compression occurs 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. [6] It occurs during forced expiration when ...
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.
Transmural pressure is the difference in pressure between two sides of a wall or equivalent separator. According to myogenic theory smooth muscle contract in response to increased transmural pressure and relax to decreased transmural pressure For body vasculature or other hollow organs, see Smooth muscle#External substances
West's Respiratory Physiology states that transpulmonary pressure is "the difference in pressure between the inside and the out- side of the lung (alveoli)" or "is numerically equal to the pressure around the lung when the alveolar pressure is atmospheric" whereas transmural pressure (as relates to the lung) is "The pressure difference between ...