Mechanisms of Depressed Ventilation in Sleep
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Questions and Answers

What contributes to the inhibition of the wakefulness drive during sleep?

  • Increased muscle tension in the upper airways
  • The increased activity of the medullary centre
  • Decreased tonic discharge from the ascending reticular formation (correct)
  • Enhanced excitatory signals from the midbrain
  • How do CO2 response coefficients change during sleep?

  • They increase significantly
  • They fluctuate based on ambient conditions
  • They decrease leading to a right shift in the CO2 response curve (correct)
  • They remain constant
  • What happens to upper airway muscles during sleep that contributes to sleep apnea?

  • Their activity levels are heightened, increasing resistance
  • They maintain high tension preventing any collapse
  • Their tonic activity decreases, leading to relaxation and potential collapse (correct)
  • Their activity becomes erratic and unpredictable
  • What is primarily responsible for maintaining control of breathing when awake?

    <p>The tonic discharge generated by the ascending reticular formation</p> Signup and view all the answers

    What impact does active inhibition during sleep have on ventilation?

    <p>It decreases ventilation causing potential breathing issues</p> Signup and view all the answers

    Study Notes

    Mechanisms of Depressed Ventilation in Sleep

    • Inhibition of Wakefulness Drive: Wakefulness maintains breathing control through a connection between brain stem neurons and the ascending reticular formation (midbrain). This pathway generates constant signals (action potentials) to the medullary breathing center. In sleep, this pathway is actively inhibited, resulting in reduced ventilation.

    • Reduced Oxygen and Carbon Dioxide Responses: The body's response to changes in oxygen and carbon dioxide levels during sleep are reduced. The sensitivity to these changes, measured by response coefficients, decreases. The carbon dioxide response curve also shifts to the right, indicating a reduced sensitivity to carbon dioxide buildup.

    • Weakened Upper Airway Muscle Activity: Normally, accessory muscles of the upper airway (tongue, nasopharyngeal wall, soft palate) maintain open airways, this keeps airway resistance low. Brain activity to these muscles decreases during sleep, causing muscle relaxation and potential airway collapse. This relaxation can lead to partial airway blockage, contributing to sleep apnea.

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    Description

    Explore the mechanisms behind reduced ventilation during sleep, focusing on the inhibition of wakefulness drive, decreased sensitivity to oxygen and carbon dioxide, and weakened upper airway muscle activity. Understand how these factors contribute to airflow resistance and respiratory efficiency during sleep.

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