Pulmonary Effects from a Simulated Long-Duration Mission in a Confined Cockpit.

INTRODUCTION: A recent U-2 fatigue study, in which 10 subjects completed 2 simulated long-duration missions breathing either 100% oxygen or air in a hypobaric chamber, offered an opportunity to compare subjects' pulmonary function before and after remaining seated in a confined cockpit for 12 h. METHODS: In one U-2 mission configuration, the subject wore a full pressure suit and breathed aviator's breathing oxygen while chamber pressure was maintained at 4572 m (15,000 ft) above mean sea level. In the second mission configuration, subjects wore standard aircrew flight equipment and breathed air while chamber pressure was maintained at 2438 m (8000 ft) above mean sea level. Subjects' pulmonary function was assessed before and after the mission using four metrics: forced vital capacity, forced expiratory volume in 1 s, peak expiratory flow, and forced expiratory volume in 1 s/forced vital capacity ratio. RESULTS: Subjects showed significant declines for all four pulmonary metrics (2.7%, 6.4%, 13.9%, and 3.5%, respectively) after 12 h seated in the cockpit in both full pressure suit and aircrew flight equipment conditions. DISCUSSION: While the declines at both altitudes amounted to modest percentages of subjects' total pulmonary capacities, they emerged after a single, acute sedentary exposure and appear to be unrelated to the percentage of oxygen in the breathing gas. This might have operational implications in confined mission environments where physiological demands are interspersed with long periods of inactivity.Beer J, Dart TS, Fischer J, Kisner J. Pulmonary effects from a simulated long-duration mission in a confined cockpit. Aerosp Med Hum Perform. 2017; 88(10):952-957.

An electrical muscle stimulation suit for increasing blood pressure.

BACKGROUND: Electrical muscle stimulation (EMS) is used to strengthen muscles in rehabilitation of patients and for training of athletes. Voluntary muscle straining and an inflated anti-G suit increase the arterial blood pressure (BP) and give a pilot G protection during increased +Gz. This study's aim was to measure whether BP also increases with EMS of lower body muscles. METHODS: A suit with new cloth electrodes sewn into the garment was developed. There were 12 subjects who were tested in sitting position during 3 conditions with 10 consecutive periods of EMS, inflated anti-G suit (GS), or lower body muscle anti-G straining maneuvers (AGSM). BP was continuously measured noninvasively. RESULTS: The means of the baseline systolic BP, before each of the test conditions, were 127 +/- 16, 128 +/- 1, and 145 +/- 14 mmHg for GS, AGSM, and EMS, respectively. During inflation of the GS, execution of the AGSM, and EMS, mean systolic BP during the first 10 s was 143 +/- 15, 146 +/- 13, and 150 +/- 13 mmHg, respectively, with no statistical difference between the conditions. The corresponding mean resting heart rate before each test was 57-63 bpm for all conditions. During the test periods with GS, AGSM, and EMS, heart rate was 59 +/- 11, 79 +/- 16, and 61 +/- 15 bpm, respectively, with statistical differences (P < 0.001) between AGSM and the other two conditions. CONCLUSION: EMS created similar BP as GS and AGSM at 1 G and also had higher pre- and post-control values. Further studies are required to evaluate if this principle may be used for G protection of pilots.