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An experimental study of death in a reverse suspension
S Uchigasaki1, H Takahashi, T Suzuki
1Department of Forensic Medicine, Yamagata University School of Medicine, Yamagata University School of Medicine, Japan. seisaku@aa.uno.ne.jp
The American Journal of Forensic Medicine and Pathology
|July 22, 1999
Summary
Head-down suspension causes postural asphyxia in rabbits due to hindered breathing. This leads to decreased oxygen and blood pressure, resulting in death within 26 hours on average.
Area of Science:
- Physiology
- Respiratory System
- Cardiovascular System
Background:
- The physiological effects of sustained head-down body positions are not fully understood.
- Investigating the impact of reverse suspension on vital functions is crucial for understanding potential risks.
Purpose of the Study:
- To examine the respiratory and circulatory responses in rabbits subjected to a head-down position.
- To determine the cause of mortality associated with prolonged head-down suspension.
Main Methods:
- 14 rabbits were placed in a reverse suspension (head-down) position.
- Respiratory rate and movement amplitude were monitored.
- Arterial oxygen partial pressure (PaO2) and blood pressure were measured.
Main Results:
- Initial slight increase in respiratory rate, followed by gradual reduction in movement amplitude.
- PaO2 initially increased then decreased, correlating with reduced respiratory movements.
- Blood pressure decreased, linked to declining PaO2 and respiratory compromise.
- All rabbits expired between 17 and 44 hours (average 26 hours).
Conclusions:
- Postural asphyxia, caused by restricted respiratory movements in a head-down position, is the likely cause of death.
- Survival in a head-down position is possible for at least 12 hours.
- Further research into physiological adaptations and protective measures is warranted.

