Exchanging Oxygen and Carbon Dioxide - Lung and Airway Disorders - MSD Manual Consumer Version (2024)

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Overview of the Respiratory System Chest Cavity Exchanging Oxygen and Carbon Dioxide Control of Breathing Defense Mechanisms of the Respiratory System Effects of Aging on the Respiratory System

By

Rebecca Dezube

, MD, MHS, Johns Hopkins University

Reviewed/Revised Jan 2023 | Modified May 2023

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The primary function of the respiratory system Overview of the Respiratory System To sustain life, the body must produce sufficient energy. Energy is produced by burning molecules in food, which is done by the process of oxidation (whereby food molecules are combined with... read more is to take in oxygen and eliminate carbon dioxide. Inhaled oxygen enters the lungs and reaches the alveoli. The layers of cells lining the alveoli and the surrounding capillaries are each only one cell thick and are in very close contact with each other. This barrier between air and blood averages about 1 micron (1/10,000 of a centimeter, or 0.000039 inch) in thickness. Oxygen passes quickly through this air-blood barrier into the blood in the capillaries. Similarly, carbon dioxide passes from the blood into the alveoli and is then exhaled.

Oxygenated blood travels from the lungs through the pulmonary veins and into the left side of the heart, which pumps the blood to the rest of the body (see Function of the Heart Function of the Heart The heart and blood vessels constitute the cardiovascular (circulatory) system. The heart pumps the blood to the lungs so it can pick up oxygen and then pumps oxygen-rich blood to the body.... read more ). Oxygen-deficient, carbon dioxide-rich blood returns to the right side of the heart through two large veins, the superior vena cava and the inferior vena cava. Then the blood is pumped through the pulmonary artery to the lungs, where it picks up oxygen and releases carbon dioxide.

Gas Exchange Between Alveoli and Capillaries

Exchanging Oxygen and Carbon Dioxide - Lung and Airway Disorders - MSD Manual Consumer Version (4)

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To support the absorption of oxygen and release of carbon dioxide, about 5 to 8 liters (about 1.3 to 2.1 gallons) of air per minute are brought in and out of the lungs, and about three tenths of a liter (about three tenths of a quart) of oxygen is transferred from the alveoli to the blood each minute, even when the person is at rest. At the same time, a similar volume of carbon dioxide moves from the blood to the alveoli and is exhaled. During exercise, it is possible to breathe in and out more than 100 liters (about 26 gallons) of air per minute and extract 3 liters (a little less than 1 gallon) of oxygen from this air per minute. The rate at which oxygen is used by the body is one measure of the rate of energy expended by the body. Breathing in and out is accomplished by respiratory muscles Control of Breathing Breathing is usually automatic, controlled subconsciously by the respiratory center at the base of the brain. Breathing continues during sleep and usually even when a person is unconscious.... read more .

Gas Exchange Between Alveolar Spaces and Capillaries

The function of the respiratory system is to move two gases: oxygen and carbon dioxide. Gas exchange takes place in the millions of alveoli in the lungs and the capillaries that envelop them. As shown below, inhaled oxygen moves from the alveoli to the blood in the capillaries, and carbon dioxide moves from the blood in the capillaries to the air in the alveoli.

Exchanging Oxygen and Carbon Dioxide - Lung and Airway Disorders - MSD Manual Consumer Version (5)

Three processes are essential for the transfer of oxygen from the outside air to the blood flowing through the lungs: ventilation, diffusion, and perfusion.

  • Ventilation is the process by which air moves in and out of the lungs.

  • Diffusion is the spontaneous movement of gases, without the use of any energy or effort by the body, between the alveoli and the capillaries in the lungs.

  • Perfusion is the process by which the cardiovascular system pumps blood throughout the lungs.

The body's circulation is an essential link between the atmosphere, which contains oxygen, and the cells of the body, which consume oxygen. For example, the delivery of oxygen to the muscle cells throughout the body depends not only on the lungs but also on the ability of the blood to carry oxygen and on the ability of the circulation to transport blood to muscle. In addition, a small fraction of the blood pumped from the heart Function of the Heart The heart and blood vessels constitute the cardiovascular (circulatory) system. The heart pumps the blood to the lungs so it can pick up oxygen and then pumps oxygen-rich blood to the body.... read more enters the bronchial arteries and nourishes the airways.

Heart–Lung Connections

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