Table 5 Summary of the effect of in-flight venous interventions.

From: Systematic review of the use of ultrasound for venous assessment and venous thrombosis screening in spaceflight

Venous interventions

Findings

LBNP

Application of LBNP (−25 mmHg and −45 mmHg of 10 min with a transition step of −35 mmHg): The calf volume increased as the pressure decreased (Arbeille et al.)28.

Application of LBNP −25 mmHg restored variables at least back to pre-flight supine levels. From reported figure: IJV volume returns to pre-flight supine level in 10/12 astronauts (Arbeille et al.)16.

LBNP −25 mmHg reduced IJV area and improved blood flow (Marshall-Goebel et al.)2.

LBNP −45 mmHg: Less increase of calf circumference, femoral resistance, and cerebral/femoral blood flow ratio inflight/postflight than pre-flight (Herault et al.)21.

Cuffs (Bracelets)

With versus without cuffs: decreased jugular area, increased femoral area (Herault et al.)21.

Reduction of cephalic congestion and jugular vein area, no noticeable effect on cerebral blood flow, femoral vein area higher (Fomina et al.)19.

Increased femoral vein area, decreased IJV area (Hamilton et al.)20.

Respiratory manoeuvres

Increased femoral vein area with bracelets, little additional increase with bracelets + Valsalva (Hamilton et al.)20.

Increased femoral vein with Valsalva (Hamilton et al.)20.

IJV pressure appears to increase as the level of gravity decreases (Martin et al.)24.

Decreased IJV area with bracelets, Mueller and both bracelets + Mueller (Hamilton et al.)20.

Flow induced by Mueller manoeuvre (Auñón-Chancellor et al.)1.

Modified Mueller increased peak velocity and reduced echogencity (Pavela et al.)25.

Modified Mueller and contralateral compression reversed the flow direction to antegrade (Pavela et al.)25.