The control of breathing results from a complex interaction involving the r
espiratory centers, which feed signals to a central control mechanism that,
in turn, provides output to the effector muscles, In this review, we descr
ibe the individual elements of this system, and what is known about their f
unction in man. We outline clinically relevant aspects of the integration o
f human ventilatory control system, and describe altered function in respon
se to special circumstances, disorders, and medications. We emphasize the c
linical relevance of this topic by employing case presentations of active p
atients from our practice.