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