MRCEM Notes

Respiratory physiology: Pulmonary surfactant

Surfactant is a mixture of phospholipids, carbohydrates and proteins released by type 2 pneumocytes. The main functioning component is dipalmitoyl phosphatidylcholine (DPPC) which reduces alveolar surface tension.

Basics

  • first detectable around 28 weeks
  • as alveoli decrease in size, surfactant concentration is increased, helping prevent the alveoli from collapsing
  • reduces the muscular force needed to expand the lungs (i.e. decreases the work of breathing)
  • lowers the elastic recoil at low lung volumes and thus helps to prevent the alveoli from collapsing at the end of each expiration
Full-size image