The bloodâÂÂair barrier or airâÂÂblood barrier, (alveolarâÂÂcapillary barrier or membrane) exists in the gas exchanging region of the lungs. It exists to prevent air bubbles from forming in the blood, and from blood entering the alveoli. It is formed by the type I epithelial lining cells of the alveolar wall, the endothelial cells of the capillaries and the fused basement membrane between, forming the alveolar basement membrane. The barrier is permeable to molecular oxygen, carbon dioxide, carbon monoxide and many other gases.
This bloodâÂÂair barrier is extremely thin (approximately 600 nm-2üm; in some places merely 200 nm) to allow sufficient oxygen diffusion, yet it is extremely strong. This strength comes from the type IV collagen in between the endothelial and epithelial cells. Damage can occur to this barrier at a pressure difference of around .
Failure of the barrier may occur in a pulmonary barotrauma. This can be a result of several possible causes, including blast injury, swimming-induced pulmonary edema, and breathing gas entrapment or retention in the lung during depressurization, which can occur during ascent from underwater diving or loss of pressure from a pressurized vehicle, habitat or pressure suit.
Possible consequences of rupture of the bloodâÂÂair barrier include arterial gas embolism and hemoptysis.