Comparisons of three anti-G suit configurations during long duration, low onset, +Gz

Little physiologic data exist on the effects of long duration, low onset, hypergravity (+G). Space shuttle crewmembers are subjected to low +G forces (less than +3G) for upwards of 30 minutes during reentry. A similar reentry profile is predicted for the National Aerospace Plane (NASP). The physiologic effects of this acceleration stress are compounded by the loss of body water experienced during microgravity. Currently, a standard 5 bladder anti-G suit is being used during shuttle reentry. There have been complaints of discomfort using this suit, mainly due to the abdominal bladder. This study compared the effectiveness of three anti-G suit configurations in volume depleted subjects during a simulated space shuttle reentry profile. Methods: Seven male subjects were given intravenous Lasix in a dose from 20-40 mg to induce a total body weight loss of 3 plus or minus 1.5 percent. Approximately six hours after the injection, the subjects donned one of three anti-G suits - a standard 5 bladder anti-G suit, an extended coverage anti-G suit (the advanced technology anti-G suit or ATAGS), or an extended coverage anti-G suit without an abdominal bladder (the reentry anti-G suit or REAGS). All subjects were exposed to a simulated space shuttle reentry profile. Non-invasive eye-level blood pressure (ELBP) was monitored throughout the +G exposure. When systolic ELBP dropped below 70 mmHg, the anti-G suit was inflated in 0.5 psig increments to the pressure required to maintain 70 mmHg ELBP. Each subject rode with all three suits. Comparisons were made between the final pressure required in each suit to maintain ELBP and subjective reports of comfort. Results: The mean final suit pressure required to maintain ELBP was 1.1 psi, in both the ATAGS and REAGS versus 1.8 psi in the standard suit. In addition, the subjects rated the REAGS suit highest on the comfort scale, citing the absence of the abdominal bladder as the main reason. Conclusions: Overall, the REAGS suit was the superior anti-G suit during long duration, low onset +G. This is based on its ability to maintain ELBP and still remain comfortable when inflated for prolonged periods of time.