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Lung compliance Physiology | Hysteresis in lung pressure volume curve | Respiratory physiology 

Physiology Open
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Compliance means stretchability. Both lungs and thoracic cage are elastic structures and can expand. Compliance is expressed as change in their volume per unit change in pressure across their walls.
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To determine how much compliant the lung is we need to know the pressure difference across its wall and lung volume change with that much pressure difference. For lung compliance we take difference between alveolar and pleural pressure. This difference is also known as transpulmonary pressure.
The pressure volume relationship of lung during inspiration and expiration is expressed using pressure volume curves. The relationship between pressure and volume change is not linear, rather slope is less or its kind of flat at the base and the top that is lung is less compliant at bery high and very low lung volumes. Second thing..the relationship is different during inspiration and expiration.
The phenomenon of lung behaving differently during inflation and deflation is known as hysteresis. But why is this occurring ? Why more pressures are required for inflating the lungs than deflating. This is due to two factors: elasticity and suraface tension. That means due to inherent make up of the lung tissue, this elastic tissue is resisting expansion but is promoting recoil. That means during inspiration there is an opposing force and during expiration there is a promoting force… so obviously pressure change required will be different during inspiration and expiration.
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Chapters:
00:00 Introduction
00:24 Compliance concept
01:26 Calculation of compliance
03:40 Lung compliance
06:20 Lung pressure-volume curve
08:08 Hysteresis
08:48 Reason for hysteresis
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24 июл 2024

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Комментарии : 151   
@AkashS007
@AkashS007 3 года назад
The best one out there.
@PhysiologyOpen
@PhysiologyOpen 3 года назад
Thank you 😊
@fahmincv5545
@fahmincv5545 2 года назад
Yep 😂
@AkashS007
@AkashS007 2 года назад
@@fahmincv5545 hello there😁
@patriciac.i.o.6362
@patriciac.i.o.6362 2 месяца назад
I absolutely loved how you explained this super important concept! You went all the way to physics to make it super comprehensible! Thank you so much for sharing your knowledge!
@PhysiologyOpen
@PhysiologyOpen 2 месяца назад
Thank you so much…I feel if we skip the physics part people find physiology confusing…I am glad my efforts worked
@julianalacerda4220
@julianalacerda4220 16 дней назад
This video just made my day! I finally understood these concepts. Thank you so much!
@PhysiologyOpen
@PhysiologyOpen 16 дней назад
Glad you liked it…most welcome
@gongallakamalakar7525
@gongallakamalakar7525 2 года назад
Thanks medam for clearing the concept in a simple way , glad to have teacher like u ♥️♥️
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Thanks and welcome 😊
@jaydentjmuso
@jaydentjmuso 7 месяцев назад
You explained this so well, such a life saver! Thank you heaps:)
@PhysiologyOpen
@PhysiologyOpen 7 месяцев назад
You're very welcome!
@matysteven
@matysteven Год назад
Por fin, después de 19 años de mi vida, he aprendido a interpretar un gráfico de este tipo. Te agradezco muchísimo, de verdad, greetings from Spain, new subscriber :D
@PhysiologyOpen
@PhysiologyOpen Год назад
Language of love❤️
@saniasultana7141
@saniasultana7141 2 года назад
Thank you soooooooo much for giving us such type of quality explanation❤❤❤❤👍👍👍
@PhysiologyOpen
@PhysiologyOpen 2 года назад
So so glad
@kaniskal8900
@kaniskal8900 3 года назад
Thank you so much .your explanation really helpful ..
@PhysiologyOpen
@PhysiologyOpen 3 года назад
So glad
@livingmyself2232
@livingmyself2232 2 года назад
Its really awesome mam. The concepts are very clear. So helpful
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Glad you liked it. Keep learning 😊
@abhishekjangra21
@abhishekjangra21 20 дней назад
Thankyou ma'am Jaise aap concept explain krte ho toh topics samaj me aata hai 🙏🏻🙏🏻🙌🏻🙌🏻
@PhysiologyOpen
@PhysiologyOpen 20 дней назад
I am so glad !!
@ananyagupta9730
@ananyagupta9730 2 года назад
Wow my mind is blown. Thank you
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Awww...so happy😊
@MilkMocha-jh6pp
@MilkMocha-jh6pp 2 года назад
Mam you have explained a difficlt concept in a simlpe way and beautifully.thanx
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Thanks and welcome 😊
@shaimamerghani8300
@shaimamerghani8300 2 года назад
Thank you very informative 👍 👏
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Glad it was helpful!
@farahshaikh6327
@farahshaikh6327 Год назад
Thankssssss mam for suchhhh a crystal clear explanation,thnks a lott👍
@PhysiologyOpen
@PhysiologyOpen Год назад
My pleasure
@kca7695
@kca7695 3 года назад
Mam I have struggled very much to understand why compliance is more in expiration than inspiration U have explained it beautifully at 6:15 THANK YOU MA'AM
@PhysiologyOpen
@PhysiologyOpen 3 года назад
😊...always happy when a student understands the concept..Physiologyopen task fulfilled
@samayaagarwal3475
@samayaagarwal3475 3 года назад
Ma'am your videos are really helpful. Plz make videos on all the imp and difficult topics of physiology which are left as soon as possible .🙏
@PhysiologyOpen
@PhysiologyOpen 3 года назад
Let me know all the topics you want videos on
@samayaagarwal3475
@samayaagarwal3475 3 года назад
@@PhysiologyOpen ma'am plz make a video on smooth muscle action potential (including spike wave and slow wave etc topics also) and also plz explain the difference between action potential of nerve,smooth muscle,skeletal muscle,cardiac muscle in detail🙏
@PhysiologyOpen
@PhysiologyOpen 3 года назад
@@samayaagarwal3475 sure...already made videos on neuron, and cardiac action potential..mentioned about skeletal muscle action potential in the video on phases of neuron action potential Will do one on smooth muscle soon
@samayaagarwal3475
@samayaagarwal3475 3 года назад
@@PhysiologyOpen Thank you so much ma'am🙏
@arshithgowda8728
@arshithgowda8728 Год назад
@@PhysiologyOpen mam do a video on (cerebral blood flow regulation)
@shaharpitkirankumar2557
@shaharpitkirankumar2557 2 года назад
Very beautiful lecture 😊
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Thanks a lot 😊
@AK-yu4tf
@AK-yu4tf 3 года назад
Mam thanks u very much for your lecture
@PhysiologyOpen
@PhysiologyOpen 3 года назад
It's my pleasure
@shivangirambalibaghel
@shivangirambalibaghel 5 месяцев назад
Best lecture 🎉🎉🎉🎉
@PhysiologyOpen
@PhysiologyOpen 5 месяцев назад
Thank you 😊
@faizmudassir5011
@faizmudassir5011 3 года назад
awesome
@PhysiologyOpen
@PhysiologyOpen 3 года назад
Thanks
@studybite10M
@studybite10M 2 месяца назад
best explanation 😍😍😍😍 thank you mam
@PhysiologyOpen
@PhysiologyOpen 2 месяца назад
My pleasure
@mhassan5933
@mhassan5933 2 года назад
Nice 👍
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Thanks ✌
@ganeshvel4798
@ganeshvel4798 2 года назад
Awesome mam
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Thank you! Cheers!
@medicalbiochemistry_
@medicalbiochemistry_ 3 года назад
Nice
@sanasabir1925
@sanasabir1925 9 месяцев назад
Well explained ❤
@PhysiologyOpen
@PhysiologyOpen 9 месяцев назад
Thank you 😊
@Destinyschild777
@Destinyschild777 9 месяцев назад
Wow Mam thank you so much
@PhysiologyOpen
@PhysiologyOpen 9 месяцев назад
Pleasure ❤️
@sagarsrivasatava3004
@sagarsrivasatava3004 3 года назад
So good😍😍😍😍
@PhysiologyOpen
@PhysiologyOpen 3 года назад
Thanks 🙏
@DRBHUPATHI
@DRBHUPATHI 3 года назад
mam would be really helpful if you could make a vedio on static ,dynamic compliance
@PhysiologyOpen
@PhysiologyOpen 3 года назад
Yeah that was on cards...but then got shifted to acid base balance...will try to do it in near future
@meyercaamanoamaliateresa4595
buenísimo muchas gracias!
@PhysiologyOpen
@PhysiologyOpen Год назад
Thanks
@subhanishaik-fb5qj
@subhanishaik-fb5qj 11 месяцев назад
Mam 🙏🙏🙏you saved my exam tomorrow ❤❤❤
@PhysiologyOpen
@PhysiologyOpen 11 месяцев назад
Awesome 😊
@rubanu7066
@rubanu7066 6 месяцев назад
Thankyou mam❤🙏
@PhysiologyOpen
@PhysiologyOpen 6 месяцев назад
Most welcome
@nithinkrishna9861
@nithinkrishna9861 3 года назад
Ma'am one doubt.. If the intra plural pressure changes from -5 to -8cm H20 during inspiration approximately 500ml of volume will enter the lungs(tidal volume). So if the person has open chest cavity ,so that the pleural pressure is equal to atmospheric pressure ,then howmuch change in pleural pressure will be there to achieve some tidal volume during inspiration
@habeebolalekan8373
@habeebolalekan8373 5 месяцев назад
With open chest cavity, every inspiration leads to seeping of air into the pleura cavity through the wound and since the tissue at the sight of injury act as a flap, the air doesn't come out during expiration. This increase the intrapleural pressure thus preventing the lungs from expanding ( collapse). To achieve tidal volume, I feel one need to perform thoracostomy.
@shailkumarjain
@shailkumarjain Год назад
In Graph at 6.21, in expiration limb, initially for a greater transpulomonary pressure change volume expired is very less but since elastic recoil of lung is big here, more volume should change relatively than to later part of expiration. Why is it not happening ? Kindly advice some reason. Thank you.
@PhysiologyOpen
@PhysiologyOpen Год назад
You need to see change in transpulmonary pressure (not at a point but change) vs change in volume
@shailkumarjain
@shailkumarjain Год назад
@@PhysiologyOpen thank you for reply. yes i am asking about initial change in volume over pressure change of expiration limb. The curve is less steep at initial phase of expiration. Why ? 🙏
@PhysiologyOpen
@PhysiologyOpen Год назад
Not sure, may be the properties of the tissue are like that..or may be inertia
@moumitabiswas883
@moumitabiswas883 5 месяцев назад
Mam could not understand hysteresis
@moumitabiswas883
@moumitabiswas883 5 месяцев назад
In the graph,during inspiration and expiration, trans pulmonary pressure change is not very distinct. It will be beneficial if you put some value
@govindsharma9517
@govindsharma9517 5 месяцев назад
Ma’am 🙏🙏
@PhysiologyOpen
@PhysiologyOpen 5 месяцев назад
😊❤️
@shaziafarooq7804
@shaziafarooq7804 2 года назад
Mam, both compliance and elastic recoil depends on elastic fibres, then why they are inversely related to each other
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Compliance leads to stretch...elasticity to recoil...
@ankanbiswas1527
@ankanbiswas1527 4 месяца назад
Mam during expiration surfactant concentration increase and decreases surface tension , so can i say during expiration lung compliance is more than lung compliance in inspiration!!? Is during expirationcan we use the term compliance???
@PhysiologyOpen
@PhysiologyOpen 4 месяца назад
It’s experimental…when we take out air from lungs , how much pressure change occurs (delta V/ delta P)…in clinical scenario - decreased compliance means decreased filling and also increased recoil thus decreasing TLC, VC and also FRC
@why.............
@why............. 3 года назад
3.Condition in which FRV decreases
@seema9875
@seema9875 2 года назад
During inspiration intrapleural pressure is less negative not same as inspiration than transpulmonary will be different
@PhysiologyOpen
@PhysiologyOpen Год назад
Can you quote the time in video please
@shaziafarooq7804
@shaziafarooq7804 2 года назад
Mam, when there is no inspiration Or expiration -5 pleural pressure keeps alveoli at 0 atm pressure, then how during expiration the same pleural pressure allows alveoli to reach +1
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Air is more in lungs due to inspiration With the relaxation of muscles, the same air occupies lesser volume in lungs, increasing the pressure
@shaziafarooq7804
@shaziafarooq7804 2 года назад
@@PhysiologyOpen thank you so much... Mam ur videos are really based on concepts
@PhysiologyOpen
@PhysiologyOpen 2 года назад
@@shaziafarooq7804 Thanks
@077insiyanoorbhai4
@077insiyanoorbhai4 3 года назад
Ma’am why is the compliance of the lung alone is more than total respiratory compliance, when the lung has a recoil tendency to collapse .
@PhysiologyOpen
@PhysiologyOpen 3 года назад
Lung compliance and thoracic compliance are almost same...however the compliance of both together is calculated as 1/Ctotal = 1/C lungs + 1/C thorax...hence total comes lesser
@077insiyanoorbhai4
@077insiyanoorbhai4 3 года назад
@@PhysiologyOpen thankyou ma'am , understood
@shaziafarooq7804
@shaziafarooq7804 2 года назад
Mam,please have a video on flow volume curves
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Sure will do
@shaziafarooq7804
@shaziafarooq7804 2 года назад
@@PhysiologyOpen thank you so much.. Mam
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Flow volume loop - Full concept: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-EHhqXLgAfb4.html
@shaziafarooq7804
@shaziafarooq7804 2 года назад
@@PhysiologyOpen thank you so much mam
@PhysiologyOpen
@PhysiologyOpen 2 года назад
You are welcome 😊
@babybear4
@babybear4 Год назад
I love you maam
@PhysiologyOpen
@PhysiologyOpen Год назад
Ha 😊
@ofabhay
@ofabhay 23 дня назад
Mam fromwhere can we get ur notes🙏
@PhysiologyOpen
@PhysiologyOpen 22 дня назад
Download Physiologyopen app
@vineetkumarpandey3003
@vineetkumarpandey3003 2 года назад
I read that Elastic recoil is not the reason for hysteresis as you have explained. Isn't it the surfactant which is responsible for varying pressure-volume curves during inspiration and expiration ?
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Yes experiments have shown when surfactant is removed, hysteresis almost disappears..yes but almost
@vineetkumarpandey3003
@vineetkumarpandey3003 2 года назад
@@PhysiologyOpen okay ma'am
@deepanshuvats2211
@deepanshuvats2211 2 года назад
Ma'am what is the relation between surfactant and hystersis?
@PhysiologyOpen
@PhysiologyOpen 2 года назад
Absence of surfactant causes almost disappearance of hysteresis, as per experimental evidence
@deepanshuvats2211
@deepanshuvats2211 2 года назад
@@PhysiologyOpen Thank you ma'am
@PhysiologyOpen
@PhysiologyOpen 2 года назад
My pleasure
@AdityaSathya
@AdityaSathya 3 месяца назад
What exactly is specific compliance ma'am?
@PhysiologyOpen
@PhysiologyOpen 3 месяца назад
Compliance normalised for lung size - for comparison of compliance in different lung sizes . Let me say just like cardiac index is cardiac output divided by body surface area
@sathishkalivela926
@sathishkalivela926 Год назад
Nice explaination but little fast
@PhysiologyOpen
@PhysiologyOpen Год назад
Ok. Thanks for feedback.
@lekhareddy2110
@lekhareddy2110 3 года назад
What is the answer for 3rd question
@PhysiologyOpen
@PhysiologyOpen 3 года назад
In cases where lung volumes themselves are lower e.g. in case of children..stretchability is normal but lung compliances are low..so for comparison we need to actually calculate specific lung compliance
@lekhareddy2110
@lekhareddy2110 3 года назад
@@PhysiologyOpen tq mam
@PhysiologyOpen
@PhysiologyOpen 3 года назад
Keep learning
@sagargupta8015
@sagargupta8015 9 месяцев назад
@PhysiologyOpen
@PhysiologyOpen 9 месяцев назад
😊
@ASHISHCR7VK18
@ASHISHCR7VK18 2 месяца назад
How low and high lung volumes make lung stiff(less compliant)
@PhysiologyOpen
@PhysiologyOpen 2 месяца назад
When it reaches high lung volume, the tissue is at its limit of stretching…at low lung volumes, it’s just the property of the tissue that’s it’s difficult to stretch
@logeshram5244
@logeshram5244 4 месяца назад
Mam how (1/thoracic wall compliance)= total compliance - ( 1/ lung compliance) is derived???
@PhysiologyOpen
@PhysiologyOpen 4 месяца назад
I think it’s not incorrect 1/total compliance = (1/lung compliance ) + (1/thoracic cage compliance) So by rearranging the equation we will get correct derivation Compliance of lung and thoracic cage are not simply added because mostly their compliances oppose each other
@logeshram5244
@logeshram5244 4 месяца назад
@@PhysiologyOpen Mam then, how this inverse relations came???
@PhysiologyOpen
@PhysiologyOpen 4 месяца назад
It’s like if you have read about series and parallel circuits in physics…when resistors are in series they are added up but when in parallel , they are added up with this inverse relationship. When capacitors are in series they have inverse relationship (something like that,I need to check)…similarly after experiments on lung separately , thoracic age separately , and both combined…they found certain values and this equation best describes those values
@logeshram5244
@logeshram5244 4 месяца назад
Ok thankyou mam
@PhysiologyOpen
@PhysiologyOpen 3 года назад
Questions on lung compliance: 1. Why is the first breath of a newborn so difficult ? 2. What will happen to lung compliance if some alveoli collapse (atelectasis) 3. Can you think of a condition in which lung stretchability is normal but when calculated- lung compliance will be low. (Hint: we use specific compliance in these cases)
@tusharsaini4177
@tusharsaini4177 3 года назад
1. because during birth the lungs are not proper functional so bay uses his all muscles for breathing that is result in first cry 2.may be complinace will decrease as due to increase in collapsing pressure 3.i don't know waiting for your response mam whether my answers are correct or not THANK YOU for all your videos..!!
@PhysiologyOpen
@PhysiologyOpen 3 года назад
@@tusharsaini4177 1. Lungs are not proper means: it has to be related with lung compliance...Think about what is the lung volume at the beginning and how is compliance related to initial state of lung volume..For 2nd option also, we have to think with respect to lung volume and how does it affect lung compliance... 3. Hint: what will happen to compliance if a person has only one lung... ? will stretchability be normal ?
@tusharsaini4177
@tusharsaini4177 3 года назад
@@PhysiologyOpen so 1.initially compliance will be less as there is less volume 2. 3.may be in diff pathological conditions mam for the 2nd i am not getting the point..that what we hv to ans
@PhysiologyOpen
@PhysiologyOpen 3 года назад
for second... if alveolai collapse, lung volume will decrease, decreasing the lung compliance. That's one reason how residual volume is helpful since if with every breath, we have to inflate the lungs with initial zero lung volume, it will take lot of effort since compliance of lungs is very less at low lung volumes...
@davidvincentr8725
@davidvincentr8725 3 года назад
Q3 . Unilateral pneumothorax
@hesham-wu9ql
@hesham-wu9ql 27 дней назад
Compliance is not about expansion, it's about deformation (STRAIN)produced per certain amount of STRESS. In case of lung physiology the deformation (STRAIN) is measured in change in volume/original volume. STRESS is that which causes that STRAIN (change in volume) and is measure of Trans pulmonary pressure [intra alveolar pressure(IAP)-intra pleural pressure(IPP) ] The actual formula for compliance is strain/stress. Strain= change in volume/original volume Stress= trans pulmonary pressure Now into your question Even after expiration lungs still have functional residual capacity of 2500ml air inside all alveoli. So even before inspiration the volume of air in lungs is 2500 ml which is V1 Now after normal inspiration (tidal volume) of 500ml the total volume of air now in lungs is 3000ml = V2 Change in volume= V2 - V1 That equals to (3000 - 2500)=+ 500ml That positive sign indicates the stress is tensile and is stretching in nature. Now come to strain STRAIN = change in volume/original volume(V1= 2500ml) Calculate it STRAIN = 500/2500 = 1/5 Now STRESS= trans pulmonary pressure at end of inspiration { Tpm} Tpm = IAP - IPP At end of inspiration IAP = 760mmhg IPP = 754 mm hg So Tpm = 760 - 754 Tpm = 6mm hg Now come to compliance C = strain/ stress C = 1/5×6= 1/30 [ml/mmhg] The inference is for a stress(pressure) of 30 MMHG the strain (deformation or volume change) is 1ML. So for inspiration the lung compliance is 1ml per 30 mm hg Now let's calculate for Expiration Before expiration that is at the end of inspiration the volume of air in lungs is 3000ml Now V1= 3000ML And now stress is elastic recoil of alveoli which increase pressure and produce change (deformation) After normal expiration (T.V) of 500 ml the final volume V2 is 2500 ML So change in volume is - (V2 - V1) The negative sign indicates the elastic recoil of alveoli is of compressive stress So change in volume is - (2500 - 3000) U will get 500ML Now for strain = change in volume/ original volume STRAIN= 500/3000 = 1/6 (no units) Now for stress (Tpm) Tpm at end of expiration is IAP- IPP IAP at end of expiration is 760 mm hg IPP at end of expiration is 758 mm hg Tpm = IAP- IPP Tpm = 760 - 758 = 2mm HG Now for compliance C C = strain/stress = 1/6×2 = 1/12 [ml/mmhg] The inference is for a stress of 12 mm hg the strain is 1ml So during inspiration for producing a change in volume of 1ml u need 30 MMHG But in case of expiration for producing a change of 1ml u just need 12 MMHG. Final take = for a very little stress if we produce more change it has more compliance Compliance of lungs is higher in expiration than in inspiration bcoz in expiration a less stress(pressure) produces more change in volume That's it
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