ABSTRACT
The article centres on development of a methodology for evaluating the function of lower limb veins of cosmonauts in microgravity. The whys and wherefores of the choice of occlusive plethysmography equipment and procedure are explained. Much place is given to arguments for the requisite body and limb positioning during venous plethysmography pre launch and on return from space flight. To minimize the gravity effect on venous blood flow, the body should be in the level position and the calf aligned with the hydrodynamically indifferent point. Determining the type of test occlusion, occlusion adjustments, venous parameters of interest, and data processing procedure constitute the methodology.
Subject(s)
Aerospace Medicine , Astronauts , Gravitation , Veins/physiology , Hemodynamics , Humans , Lower Extremity/blood supply , Plethysmography , Space FlightABSTRACT
Experience of ambulatory treatment of 260 patients with varicosity of the lower limbs (chiefly with trombovar) is summarized. An original technique of sclerotherapy is proposed. A differential approach to management of horizontal reflux is developed. Peridural anesthesia is recommended as an optimal method in ambulatory surgery. Use of these methods reduces the rate of complications and to make sclerotherapy cheaper.