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Breathing mechanics Abstract Breathing mechanics are the physical processes


that occur during inhalation and exhalation . In the inspiration , the use of


leads respiratory muscles to an increase in intrathoracic volume, whereby in


the lung creating a negative pressure and air in the lungs is drawn. Due to the


elastic fibers of the lung parenchyma, the lungs passively contract when the


respiratory muscles relax, thus expelling the exhaled air ( expiration ).






To check the function of the lungs , the lung volumes can be determined.


Clinically, vital capacity is particularly important. It is defined as the


volume difference between maximum inhalation and exhalation . In the case of

so-


called restrictive lung diseases, the vital capacity is reduced. In contrast,


obstructive pulmonary diseases can be uncovered using the dynamic Tiffeneau


test: After maximum inspiration , the subject should exhale as much as possible


as quickly as possible.






The terms compliance and resistance describe how the lungs react to


deformations caused by breathing: A high level of compliance speaks for easy


mechanical deformability of the lungs . A high resistance, on the other hand,


means that the air we breathe has to pass through a high flow resistance and


breathing is thus impeded.






•• Breathing process Breathing goal : Exchange of air in the lungs Phases of


breathing Breathing rest : Between two breaths, the inspiratory and expiratory


forces are in balance, theintrapulmonary pressurecorresponds to the air


pressure. inspiration Inspiratory respiratory muscles increase the volume of


the chest The lung skin ( pleura visceralis ) adheres to the inside of the


thorax ( pleura parietalis or pleura) via the liquid film in the pleural


space → lung volume is also increased As the volume of the lungs increases, the


intrapulmonary pressure drops → negative pressure in the lungs Air follows the


pressure drop into the lungs → inspiration Expiration Reduction of the chest


volume through passive restoring forces of the lungs This reduces the volume of


the lungs → excess pressure in the lungs Air follows the pressure drop out of


the lungs → expiration Inspiration from : Expiration through: Inspiratory


respiratory muscles Diaphragm → breathing in the abdomen Mm intercostales


externi → breathing in the thorax Elastic restoring forces of the lungs (


passive) Expiratory respiratory muscles : Mm. intercostales interni Inspiratory


respiratory muscles Mm sternocleidomastoid Mm serrati Mm pectorales Mm scaleni


Respiratory auxiliary muscles : abdominal muscles Children mainly breathe in


the abdomenadults in the thorax !










We need the following information to calculate your BMI (body mass index): Your


weight (kg) Your size (cm) Your BMI is


Theoretical basics of the BMI: The BMI is calculated from the body weight [kg]


divided by the square of the body size [m 2 ]. The formula is: BMI = body


weightin m2 . The unit of the BMI is therefore kg / m 2 .


This means that a person with a height of 160 cm and a body weight of 60 kg has


a BMI of 23.4 [60: (1.6 m) 2 = 23.4].


The "desirable" BMI depends on age. The following table shows BMI values ​​for


different age groups:


Age BMI 19-24 years 19-24 25-34 years 20-25 35-44 years 21-26 45-54 years 22-27


55-64 years 23-28 > 64 years 24-29 BMI classification (according to DGE,


nutritional report 1992):


classification m w Underweight <20 <19 Normal weight 20-25 19-24 Overweight 25-


30 24-30 Obesity 30-40 30-40 massive obesity > 40 > 40


.of the. ,of the,

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