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| Name | Class |
|---|---|
| Val de Grâce Hospital | UNKNOWN |
| Uppsala University Hospital | OTHER |
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The primary aim of this project is to get further knowledge on the effects of + Gz accelerations and hyperoxia on lung ventilation in humans. The secondary aim is to study lung perfusion and cardiovascular function in these conditions.
Experiments were conducted in a human centrifuge. The protocol aimed at mimicking a routine peacetime flight in combat aircraft, and included 10-min exposure to +1.4 - +3.5 Gz. Subjects were exposed three times to this sequence, breathing air, 44.5% O2 or 100% O2.
Ten volunteers wearing anti-G trousers participated in the study. The Ethics Committee Ile-de-France III and the French National Agency for Drug Safety (ANSM) approved the protocol (number 2009-A01092-55).
Three different imaging techniques, electrical impedance tomography (EIT), pulmonary ultrasound and chest SPECT/CT were used and compared. EIT enabled ventilation monitoring in the human centrifuge, whereas pulmonary ultrasound and SPECT/CT gave functional and topographical information before and after exposure to +Gz accelerations. EIT analysis focused on regional ventilation, SPECT on global lung ventilation and perfusion, CT on the presence of atelectasis, and pulmonary ultrasound analysis looked for comet tails in 64 chest areas. Arterial blood pressure was recorded continuously by finger photoplethysmography. Cardiac output and stroke volume were computed from these recordings, using three different algorithms. Echocardiography was used as reference non-invasive technique for stroke volume determination and performed before and after exposure to +Gz accelerations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ventilation | Experimental | hypergravity gas mixture |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hypergravity | Other | 1hr sitting rest followed by 10 min of hypergravity (2 centrifuge runs) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| change in regional ventilation distribution | "per lobe and per quadrant at 5th intercostal space level" | baseline, 2hrs 30min |
| Measure | Description | Time Frame |
|---|---|---|
| change in regional pulmonary perfusion | "per lobe and per quadrant at 5th intercostal space level" | baseline, 2hrs 30min |
| cardiac output (L/min) | "echocardiography (sub-aortic diameter), photoplethysmography (Liljestrand, systolic area and Windkessel algorithms)" |
| Measure | Description | Time Frame |
|---|---|---|
| tidal volume | global (mL, area under the flow versus time curve) and regional (% change per quadrant at 5th intercostal space level) | 2hrs 30min |
Inclusion Criteria:
Part 1 exclusion Criteria:
Part 2 exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Garin, MD, PhD | Armed Forces Biomedical Research Institute | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Armed Forces Biomedical Research Institute | Brétigny-sur-Orge | 91 223 | France | |||
| Department of Nuclear Medicine, Val-de-Grâce hospital |
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| ID | Term |
|---|---|
| D001261 | Pulmonary Atelectasis |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D018471 | Hypergravity |
| C041364 | nitrox |
| ID | Term |
|---|---|
| D018470 | Gravity, Altered |
| D006112 | Gravitation |
| D055580 | Astronomical Phenomena |
| D055585 | Physical Phenomena |
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| gas mixture |
| Other |
breathing air, 44.5%O2 or 100%O2 |
|
| 2hrs |
| Paris |
| 75005 |
| France |