Cardiovascular responses to positive pressure breathing using the tactical life support system

The improved protection afforded by the Tactical Life Support System (TLSS) vs. other partial pressure ensembles has not been reported with respect to the cardiovascular effects of positive pressure breathing (PPB). Nine seated subjects wearing TLSS were exposed to 30, 50, and 70 mm Hg PPB (breathing air) with four times this pressure in the G-suit. Experiments were conducted at ground-level in order, separated by 4 min rest and preceded by a 1-min control period. Stroke volume and cardiac output (SV, CO) and indexes (SI, CI) were determined by impedance cardiography. Mean arterial pressure (MAP) was directly related to PPB level, increasing by 23%, 32%, and 47% for each PPB level, respectively (p less than 0.01). HR, SV, and CO were unaffected after 4 min of 30, 50, and 70 mm Hg PPB. The results indicate that cardiovascular function decay is less severe than that reported using other PPB ensembles at similar PPB levels. Improved protection is most likely due to the greater pressurization of the G-suit and the 45% greater bladder volume in the leg bladders, leading to restored venous return and SV.