The function of respiration is to supply oxygen to and remove carbon
dioxide from the blood as it passes through the lungs. This interchange
of gases takes place in the alveoli, a myriad of thin-walled air sacs
at the end of the respiratory tract where the air is separated by a
very thin membrane through which the gases readily pass. The volume
and rate, or in other words, the minute-volume, of respiration is
automatically controlled by the nerve centers in such a way that a
sufficient amount of air is supplied to the lungs to maintain by means
of this interchange a uniform percentage of its various constituents
as it leaves the lungs. It will be readily seen therefore, that
anything which causes a change in the composition of the air presented
to the blood in the alveoli will bring about abnormal conditions of
respiration.
Inasmuch as the gaseous interchange between the lungs and the blood
takes place only in the terminal air sacs it follows that, at the end
of each respiration, the rest of the respiratory tract is filled with
air low in oxygen and high in carbon dioxide, which on inspiration
is drawn back into the lungs, diluting the fresh air. The volume of
these passages holding air which must be re-breathed is known as the
anatomical dead air space.
Similarly, when a mask is worn the facepiece chamber and any other
parts of the air passage common to inspiration and expiration become
additional dead air space contributing a further dilution of oxygen
content and contamination by carbon dioxide of the inspired air in
addition to that occasioned by the anatomical dead space, which of
course, is always present and is taken care of by the functions
normally controlling respiration.
Major R. G. Pearce who directed a large amount of the research along
this line, sums up the harmful effects of thus increasing the dead air
space as follows:
1. Interpretation from the physiological standpoint:
(_a_) A larger minute-volume of air is required when breathing through
dead air space. This, interpreted on physiological grounds, means that
the carbon dioxide content of the arterial blood is higher than normal.
The level to which the content of carbon dioxide in the arterial blood
may rise is limited. Anything which wastefully increases the carbon
dioxide level of the blood decreases the reserve so necessary to a
soldier when he is asked to respond to the demand for exercise which is
a part of his daily life.
(_b_) A larger minute-volume of air must be pulled through the
canister, which offers resistance proportional to the volume of air
passing through it. If resistance is a factor of harm, dead air space
increases that harm, since dead air space increases the volume of air
passing through the canister.
Public-domain text, read in full here on John Shaqi.
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