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What is the Hering-Breuer Reflex?

Mary McMahon
Mary McMahon
Mary McMahon
Mary McMahon

The Hering-Breuer reflex is a reflex which regulates respiration rate. It is also linked with heart rate, because the signals sent through the nervous system in association with this reflex are sent along the same pathways which regulate the heart rate. The Hering-Breuer reflex works in slightly different ways among different species, and is present from birth so that organisms can breathe independently. This reflex has been studied extensively in humans and non-human animals to learn more about how it functions and the conditions under which it can be impaired.

The primary purpose of this reflex is to limit the possibility of overinflating the lungs. Receptors in the respiratory system known as pulmonary stretch receptors monitor the lungs as they start to expand when someone takes a breath. When these receptors detect that the lungs have inflated sufficiently, they send a signal which triggers an exhalation. These receptors also kick in at the end of the exhalation to stimulate another inhalation.

When someone is placed on a ventilator, care must be taken to avoid overinflating the lungs, as the patient's Hering-Breuer reflex cannot kick in to regulate breaths.
When someone is placed on a ventilator, care must be taken to avoid overinflating the lungs, as the patient's Hering-Breuer reflex cannot kick in to regulate breaths.

This reflex is named for researchers Josef Breuer and Karl Ewald Konstantin Hering, who documented the reflex in the late 1800s while studying animals under anesthesia. They demonstrated that they could create apnea, a cessation of breathing, by keeping the lungs overinflated. This has also been documented in people, making the Hering-Breuer reflex a cause for concern among anesthesiologists who must maintain the right mix and volume of gases in surgery to provide patients with the oxygen they need without damaging the lungs.

The primary purpose of the Hering-Breuer reflex is to limit the possibility of over-inflating the lungs.
The primary purpose of the Hering-Breuer reflex is to limit the possibility of over-inflating the lungs.

When someone is placed on a ventilator because he or she is having trouble breathing, care must be taken to avoid overinflating the lungs because the patient's Hering-Breuer reflex cannot kick in to regulate breaths, since the ventilator is doing the breathing for the patient. The ventilator can be programmed to adjust the volume of air pushed into the patient's lungs and the frequency of breaths, striking a balance which provides the patient with oxygen while keeping the lungs safe.

Impairments in the vagus nerve and pons may lead to breathing arrhythmias.
Impairments in the vagus nerve and pons may lead to breathing arrhythmias.

The vagus nerve and the area of the brain known as the pons are both involved in the Hering-Breuer reflex. Impairments in these areas can lead to breathing arrhythmias because the respiratory system is no longer able to function as it would normally. This can be a concern in the wake of strokes and other injuries to the nervous system, and certain chemical compounds can have a depressive effect on these areas of the nervous system, leading to difficulty breathing.

Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a TheHealthBoard researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Learn more...
Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a TheHealthBoard researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Learn more...

Discussion Comments

croydon

@bythewell - The knee jerk reflex is called the Patellar reflex.

And reflexes are involuntary, you're right.

The Hering-Breuer reflex is involuntary, but it mostly doesn't control your normal breathing. It might in some animals, but not in humans.

It just stops you from continuing to inflate your lungs until they pop.

There are two actually, the inflation and the deflation reflex and one stops you from popping your lungs and the other stops you from deflating them too much.

bythewell

Even reading this article made me aware of my breathing, which is kind of an uncomfortable feeling. Whenever I'm too aware of my breathing I feel like I'm suddenly not getting enough air.

I guess this is the kind of reflex that people can control, as they can hold their breath (even when the lungs aren't completely inflated). Some people can apparently hold their breath until they pass out even, although I've never tried that.

I always thought a reflex was something involuntary, like the knee jerk reflex when the doctor hits a nerve in your knee with a little hammer. Are there different kinds of reflex?

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    • When someone is placed on a ventilator, care must be taken to avoid overinflating the lungs, as the patient's Hering-Breuer reflex cannot kick in to regulate breaths.
      By: sudok1
      When someone is placed on a ventilator, care must be taken to avoid overinflating the lungs, as the patient's Hering-Breuer reflex cannot kick in to regulate breaths.
    • The primary purpose of the Hering-Breuer reflex is to limit the possibility of over-inflating the lungs.
      By: Alexandr Mitiuc
      The primary purpose of the Hering-Breuer reflex is to limit the possibility of over-inflating the lungs.
    • Impairments in the vagus nerve and pons may lead to breathing arrhythmias.
      By: Lisa F. Young
      Impairments in the vagus nerve and pons may lead to breathing arrhythmias.
    • Hering-Breuer reflex limits the possibility of over-inflating the lungs.
      By: snapgalleria
      Hering-Breuer reflex limits the possibility of over-inflating the lungs.
    • Receptors in the respiratory system known as pulmonary stretch receptors monitor the lungs as they start to expand when someone takes a breath.
      By: jovannig
      Receptors in the respiratory system known as pulmonary stretch receptors monitor the lungs as they start to expand when someone takes a breath.