Pressure Associated With the Lungs

Pressure Associated with the Lungs

The pressure inside the lungs increases and decreases with each breath. The pressure drops to below atmospheric pressure (negative gauge pressure) when you inhale, causing air to flow into the lungs. It increases above atmospheric pressure (positive gauge pressure) when you exhale, forcing air out.

Lung pressure is controlled by several mechanisms. Muscle action in the diaphragm and rib cage is necessary for inhalation; this muscle action increases the volume of the lungs thereby reducing the pressure within them (see the figure below). Surface tension in the alveoli creates a positive pressure opposing inhalation. (See Cohesion and Adhesion in Liquids: Surface Tension and Capillary Action.) You can exhale without muscle action by letting surface tension in the alveoli create its own positive pressure. Muscle action can add to this positive pressure to produce forced exhalation, such as when you blow up a balloon, blow out a candle, or cough.

The lungs, in fact, would collapse due to the surface tension in the alveoli, if they were not attached to the inside of the chest wall by liquid adhesion. The gauge pressure in the liquid attaching the lungs to the inside of the chest wall is thus negative, ranging from \(-4\) to \(-8\text{ mm Hg}\) during exhalation and inhalation, respectively. If air is allowed to enter the chest cavity, it breaks the attachment, and one or both lungs may collapse. Suction is applied to the chest cavity of surgery patients and trauma victims to reestablish negative pressure and inflate the lungs.

(a) During inhalation, muscles expand the chest, and the diaphragm moves downward, reducing pressure inside the lungs to less than atmospheric (negative gauge pressure). Pressure between the lungs and chest wall is even lower to overcome the positive pressure created by surface tension in the lungs. (b) During gentle exhalation, the muscles simply relax and surface tension in the alveoli creates a positive pressure inside the lungs, forcing air out. Pressure between the chest wall and lungs remains negative to keep them attached to the chest wall, but it is less negative than during inhalation.