Information about Breath

Breathing transports oxygen into the body and carbon dioxide out of the body. Aerobic organisms require oxygen to create energy via respiration, in the form of energy-rich molecules such as glucose. The medical term for normal relaxed breathing is eupnoea. Organisms breathe to avoid death from asphyxiation.

Mechanics

Breathing in, or inhaling, is usually an active movement, with the contraction of the diaphragm muscles needed. At rest, breathing out, or exhaling, is normally a passive process powered by the elastic recoil of the chest, similar to a deflating balloon. The following organs are used in respiration: mouth, nose, gullet, windpipe, lungs, diaphragm.

Gas exchange

Breathing is only part of the process of delivering oxygen to where it is needed in the body. The process of gas exchange occurs in the alveoli by passive diffusion of gasses between the alveolar gas and the blood passing by in the lung capillaries. Once in the blood the heart powers the flow of dissolved gasses around the body in the circulation.

As well as carbon dioxide, breathing also results in loss of water from the body. Exhaled air has a relative humidity of 100% because of water diffusing across the moist surface of breathing passages and alveoli.

Control of breathing

Breathing is one of the few bodily functions which, within limits, can be controlled both consciously and unconsciously. Conscious attention to breathing is common in many forms of meditation, specifically anapana and other forms of yoga. In swimming, cardio fitness, speech or vocal training, one learns to discipline one's breathing, initially consciously but later sub-consciously, for other purposes than life support.

Unconsciously, breathing is controlled by specialized centers in the brainstem, which automatically regulate the rate and depth of breathing depending on the body’s needs at any time. When carbon dioxide levels increase in the blood, it reacts with the water in blood, producing carbonic acid. The drop in the blood's pH will then cause the medulla oblongata signalling center in the brain to send nerve impulses to the diaphragm and the intercostal muscles, increasing the rate of breathing. While exercising, the level of carbon dioxide in the blood increases due to increased cellular respiration by the muscles. This stimulates chemoreceptors in the carotid and aortic bodies in the blood system to send nerve impulses to the inspiration centre. The inspiration centre sends impulses to the diaphragm and intercostal muscles through the phrenic and thoracic nerves. The diaphragm and intercostal muscles contract at a higher rate.

During rest, the level of carbon dioxide is lower, so breathing rate is lower. This ensures an appropriate amount of oxygen is delivered to the muscles and other organs. It is important to reiterate that it is the buildup of carbon dioxide making the blood acidic that elicits the desperation for a breath much more than lack of oxygen. This automatic control of respiration can be impaired in premature babies, or by drugs or disease.

It is not possible for a healthy person to voluntarily stop breathing indefinitely. If we do not inhale, the level of carbon dioxide builds up in our blood, and we experience overwhelming air hunger. This irrepressible reflex is not surprising given that without breathing, the body's internal oxygen levels drop dangerously low within minutes, leading to permanent brain damage followed eventually by death. However, there have been instances where people have survived for as long as two hours without air; this is only possible when submerged in cold water, as this triggers the mammalian diving reflex.^[1]

If a healthy person were to voluntarily stop breathing (i.e. hold his or her breath) for a long enough amount of time, he or she would lose consciousness, and the body would resume breathing on its own. This results that one cannot suffocate themself with this method, unless one's breathing was also restricted by something else (e.g. water, see drowning)

Hyperventilating causes a drop in CO₂ below normal levels, lowering blood acidity to trick the brain into thinking it has more oxygen than is actually present. Hyperventilating can cause your blood oxygen levels to go to dangerous levels.

Relationship to death

Breath is sometimes used as a metaphor for life itself, and often "last breath" is the most obvious sign that death has occurred. The association between the end of life and breathing is not absolute, however. As modern treatment can now take over the process of breathing by mechanical ventilation, or cardiopulmonary resuscitation (CPR), breathing can be restarted if it stops. Because of this, modern deaths are now better defined in terms of brain disfunction.

Composition of air

The air we inhale is roughly 78% nitrogen, 21% oxygen, 0.96% argon and 0.04% carbon dioxide, helium, water, and other gases. (% by volume)

The permanent gases in air we exhale are roughly 78% nitrogen, 15% to 18% oxygen, 4% to 5% carbon dioxide and 0.96% argon (% by volume). Additionaly vapours and trace gases are present: 5% water vapour, several parts per million (ppm) of hydrogen and carbon monoxide, 1 part per million (ppm) of ammonia and less than 1 ppm of acetone, methanol, ethanol and other volatile organic compounds.

Not all of the oxygen breathed in is replaced by carbon dioxide; around 16% of what we breathe out is still oxygen. The exact amount of exhaled oxygen and carbon dioxide varies according to the fitness, energy expenditure and diet of that particular person. Also our reliance on this relatively small amount of oxygen can cause overactivity or euphoria in pure or oxygen rich environments.

Cultural significance

In Tai Chi Chuan, aerobic training is combined with breathing to exercise the diaphram muscles, and to train effective posture, which both make better use of the body's energy. In music, breath is used to play wind instrument wind instruments and many aerophones. Laughter, physically, is simply repeated sharp breaths. Hiccups and yawns are other breath-related phenomena.

Ancients commonly linked the breath to a life force. The Hebrew Bible refers to God breathing the breath of life into clay to make Adam a living soul (nephesh, roughly "breather"). It also refers to the breath as returning to God when a mortal dies. The terms "spirit," "qi," and "psyche"^[2] are related to the concept of breath.

References

• Parkes M (2006). "Breath-holding and its breakpoint.". Exp Physiol 91 (1): 1-15. PMID 16272264.  Full text

See also

• Agonal breathing
• Cheyne-Stokes respiration
• Biot's respiration
• Mouth breathing
• Nose breathing
• Pneuma
• Prana
• Qi
• Respiratory rate
• Spirit
• Halitosis
• Liquid breathing

•  • [ e] Respiratory system, physiology: respiratory physiology
Volumes	lung volumes - vital capacity - functional residual capacity - respiratory minute volume - dead space - spirometry - body plethysmography - peak flow meter
Airways	ventilation (V) (positive pressure) - breath (inhalation, exhalation) -respiratory rate - respirometer - pulmonary surfactant - compliance - hysteresivity - airway resistance
Blood	pulmonary circulation - perfusion (Q) - hypoxic pulmonary vasoconstriction - pulmonary shunt
Interactions	ventilation/perfusion ratio (V/Q) and scan - zones of the lung - gas exchange - pulmonary gas pressures - alveolar gas equation - hemoglobin - oxygen-haemoglobin dissociation curve (2,3-DPG, Bohr effect, Haldane effect) - carbonic anhydrase (chloride shift) - oxyhemoglobin - respiratory quotient - arterial blood gas - diffusion capacity - Dlco
Control of respiration	pons (pneumotaxic center, apneustic center) - medulla (dorsal respiratory group, ventral respiratory group) - chemoreceptors (central, peripheral) - pulmonary stretch receptors - Hering-Breuer reflex
Insufficiency	high altitude - oxygen toxicity - hypoxia