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Aortic blood flow during sequential MAST inflation
Insights
Medical antishock trousers significantly reduced blood flow in the aorta by 75% and increased blood pressure by 10% in healthy volunteers. Lower inflation pressures were less effective.
Area of Science:
- Physiology
- Medical Devices
- Hemodynamics
Background:
- Medical antishock trousers (MAST) are used to treat hypotension.
- The physiological effects of MAST inflation on major blood vessels are not fully understood.
Purpose of the Study:
- To investigate the hemodynamic effects of sequential MAST inflation in healthy volunteers.
Main Methods:
- Ten healthy volunteers underwent sequential inflation of MAST.
- Measurements included cardiac output, pulse rate, blood pressure, and distal abdominal aortic blood flow.
Main Results:
- Full MAST inflation decreased distal aortic blood flow by 75% (P < .001).
- Blood pressure increased by 10% (P < .001) with no significant change in cardiac output or pulse rate.
- Lower inflation pressures demonstrated markedly reduced effectiveness.
Conclusions:
- Full inflation of MAST effectively reduces distal aortic blood flow and increases blood pressure.
- MAST's effectiveness is pressure-dependent, with lower pressures being less impactful.
Abstract:
Cardiac output, pulse rate, blood pressure, and distal abdominal aortic blood flow were measured in ten healthy volunteers during sequential inflation of medical antishock trousers. Full inflation of all three compartments decreased distal aortic blood flow by three quarters (P less than .001) and increased blood pressure by 10% (P less than .001), but had no effect on cardiac output or pulse rate. Inflation to lower pressures was markedly less effective.
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