Table 2.
Peripheral chemoreceptors | Pulmonary stretch receptors | Irritant receptors | Pulmonary juxtapulmonary capillary receptors | Baroreceptors | Proprioceptors | Other receptors | Central chemoreceptors | |
---|---|---|---|---|---|---|---|---|
Location | Aortic arch Carotid bodies |
Airway smooth muscle | Epithelium of nose, pharynx, larynx, trachea, bronchi | Pulmonary capillary walls | Aortic arch | Muscles and joints (tendon organs) | Nociceptors in skin, organs Mechanoreceptors in skin |
Ventrolateral surface of each side of medulla |
Sense | Hypoxemia Acidosis Hypercapnia |
Lung inflation Increased pulmonary pressures |
Inhaled irritants Mechanical factors: Anaphylaxis Pulmonary congestion |
Pulmonary congestion Increased interstitial fluid Chemical irritants Microemboli |
Change in blood pressure | Body movement | Pain Touch |
Hydrogen ion concentration in cerebrospinal fluid Carbon dioxide crosses blood-brain barrier and yields carbonic acid |
Sent to medulla by | Vagus and glossopharyngeal nerves | Vagus nerve | Vagus nerve | Vagus nerve | Vagus nerve | Ascending spinal nerves | Ascending spinal nerves | Bathing cerebrospinal fluid |
Effect on respiratory drive |
If acidotic or hypoxemic: Increased rate and tidal volume If alkalotic: Decreased rate and tidal volume |
Increased inspiratory time Increased rate |
Hyperpnea Cough Laryngospasm |
Rapid, shallow breathing Hypoventilation |
If low blood pressure: Hyperventilation If high blood pressure: Hypoventilation |
Increased rate and tidal volume |
Visceral pain: Decreased drive Somatic pain: Increased drive |
Acidosis: Increased drive Alkalosis: Decreased drive |
Based on data from Kacmarek et al.21