Cappello, Matteo, and André De Troyer. On the respiratory function of the ribs. J Appl Physiol 92: 1642-1646, 2002;; 10.1152/japplphysiol.01053.2001.-To assess the respiratory function of the ribs, we measured the changes in airway opening pressure (Pao) induced by stimulation of the parasternal and external intercostal muscles in anesthetized dogs, first before and then after the bony ribs were removed from both sides of the chest. Stimulating either set of muscles with the rib cage intact elicited a fall in Pao in all animals. After removal of the ribs, however, the fall in Pao produced by the parasternal intercostals was reduced by 60% and the fall produced by the external intercostals was eliminated. The normal outward curvature of the rib cage was also abolished in this condition, and when the curvature was restored by a small inflation, external intercostal stimulation consistently elicited a rise rather than a fall in Pao. These findings thus confirm that the ribs play a critical role in the act of breathing by converting intercostal muscle shortening into lung volume expansion. In addition, they carry the compression that is required to balance the pressure difference across the chest wall. mechanics of breathing; rib cage mechanics; intercostal muscles RIBS ARE A PROMINENT FEATURE of the trunk in vertebrates and are often regarded as a shield protecting the vital organs of the thoracic cavity, in particular the heart and the lungs. In mammals, however, many ribs are exposed to pleural pressure, which is below atmospheric pressure. Moreover, ribs move cranially during the inspiratory phase of the breathing cycle. This cranial movement is primarily related to the contraction of two sets of intercostal muscles, namely the internal intercostals of the parasternal area (the so-called parasternal intercostals) (2,3,7,9) and the external intercostals of the rostral interspaces (1, 7, 11), and contributes significantly to the expansion of the lung. Thus, in addition to protecting the intrathoracic organs, the ribs would appear to provide two essential respiratory functions. First, they would constitute the structural elements that carry the compressive stresses that balance the pressure difference across the chest wall. Second, the ribs would transform intercostal muscle shortening into lung volume expansion. Two series of experiments were designed to test these hypotheses, and they form the basis of the present report.
METHODSThe studies were carried out on 14 adult mongrel dogs (body wt ϭ 13-28 kg) and were approved by the Animal Ethics and Welfare Committee of the Brussels School of Medicine. Animals were anesthetized with pentobarbital sodium (initial dose ϭ 30 mg/kg iv), placed in the supine posture, and intubated with a cuffed endotracheal tube. They were then connected to a mechanical ventilator (Harvard pump, Chicago, IL), and a venous cannula was inserted in the forelimb to give maintenance doses of anesthetic (3-5 mg/kg); a catheter was also inserted into the left femoral artery to monitor blood pres...