Document Detail

Infusion of intravenous fluids distal to pneumatic antishock trousers.
MedLine Citation:
PMID:  6526989     Owner:  NLM     Status:  MEDLINE    
The pneumatic antishock trouser garment is a widely used adjunct in the stabilization of the hypotensive patient. Successful resuscitation may require infusion of intravenous (IV) solutions below the diaphragm. However, once all three sections of the pneumatic antishock trousers are inflated, the only IV access available below the diaphragm with the garment inflated is in the foot or ankle. To determine the feasibility of infusing IV solutions distal to the garment, an IV catheter was inserted percutaneously in an ankle or foot vein (saphenous if possible) of ten volunteers. With a Jobst three-section antishock air pants garment in place but deflated, each volunteer was injected via a 3-mL syringe with a measured amount of xenon 133 dissolved in 2 mL of normal saline. The 133Xe was then rapidly flushed with 250 mL of normal saline using a blood infusion hand pump. Time required for 133Xe to reach the central circulation was measured using a gamma emissions camera. The above procedure was then repeated with the garment inflated to 40 and then to 100 mm of mercury. There was no statistically significant difference in the amount of time to reach peak concentration of 133Xe in the thorax or in the time required to infuse 250 mL of normal saline via hand pump with the garment inflated to 0, 40, or 100 mm Hg. These results indicate that IV solutions may be rapidly infused under pressure distal to the pneumatic antishock trousers and reach the central circulation without significant delay.
J F Tucker; D F Danzl; E Teague; J Trujillo; J Bisker
Related Documents :
8214489 - The uptake of isoflurane during anaesthesia.
23989089 - Implementing the awakening and breathing coordination, delirium monitoring/management, ...
7426229 - Effect of low concentrations of halothane on the oxygen electrode.
9032179 - Airway anesthesia and respiratory adaptations to dead space loading and exercise.
24624009 - Validity of the eating attitude test among exercisers.
6802469 - Variable effects of anaesthetics on the ventilatory response to hypoxaemia in man.
7061689 - Ultrastructural and biochemical characterization of human brown adipose tissue in pheoc...
11111629 - Understanding what motivates older adults to exercise.
22785159 - Thermoregulation of the testicle in response to exercise and subsequent effects on seme...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  2     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  1984  
Date Detail:
Created Date:  1985-04-05     Completed Date:  1985-04-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  79-83     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Ankle / blood supply
Foot / blood supply
Gravity Suits*
Infusions, Parenteral*
Middle Aged
Saphenous Vein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The relationship of the level of training and area of medical specialization with registrant perform...
Next Document:  The mormyrid brainstem. I. Distribution of brainstem neurones projecting to the spinal cord in Gnath...