The Anesthesia and Coping Strategies of Medical Care for Astronauts in Shenzhou Eleven Spaceship
Clinical Medicine Research
Volume 8, Issue 5, September 2019, Pages: 119-124
Received: Sep. 9, 2019;
Accepted: Oct. 14, 2019;
Published: Oct. 23, 2019
Views 492 Downloads 112
Liu Ji, The Strategic Support Force Medical Center of PLA, Beijing, China
Fang Weiwu, The Strategic Support Force Medical Center of PLA, Beijing, China
Jia Fukong, The Strategic Support Force Medical Center of PLA, Beijing, China
Song Haifeng, The Strategic Support Force Medical Center of PLA, Beijing, China
Lou Xiaotong, The Strategic Support Force Medical Center of PLA, Beijing, China
Li Lu, The Strategic Support Force Medical Center of PLA, Beijing, China
Yang x Rong, The Strategic Support Force Medical Center of PLA, Beijing, China
Tan Rong, The Strategic Support Force Medical Center of PLA, Beijing, China
Shi Tiejun, The Strategic Support Force Medical Center of PLA, Beijing, China
Wu Jie, The Strategic Support Force Medical Center of PLA, Beijing, China
Zhou Li, The Strategic Support Force Medical Center of PLA, Beijing, China
Wang Yuan, The Strategic Support Force Medical Center of PLA, Beijing, China
Gu Jianwen, The Strategic Support Force Medical Center of PLA, Beijing, China
To analyze the characteristics and basic principles of the medical support and anesthesia for the Shenzhou eleven astronaut landing field, and to summarize the experience of the medical care and anesthesia in the main landing field of our country, and to ensure the security tasks in the special environment such as the emergency return of manned space flight. To review the reports on the medical care and anesthesia of the astronauts at landing field, and summarize the experience of the medical care and anesthesia of the Shenzhou five to the Shenzhou ten astronaut medical support landing field, and put forward a series of organizations and prepositions on the environment characteristics of the "Shenzhou eleven" in the long time and the cold weather in the main landing field of the scheduled return time. Case, equipment and effective treatment plan, and be tested in actual combat. On the basis of the original first aid, the first aid equipment was adjusted, the first aid procedure was optimized, the heat preservation heating device was added, the laryngeal mask, the anti fog visible laryngoscope and the portable ultrasonic device were introduced, and the anesthesia and medical care plan for the manned space landing field was formulated, which was the astronaut stay in the space and the cold and complicated weather conditions. The treatment and medical care provided a strong guarantee. The first aid support scheme of the Shenzhou eleven spacecraft's main landing field was improved and optimized, and it fully met the medical security task of the special environment such as the astronaut emergency return and so on in the cold weather.
Yang x Rong,
The Anesthesia and Coping Strategies of Medical Care for Astronauts in Shenzhou Eleven Spaceship, Clinical Medicine Research.
Vol. 8, No. 5,
2019, pp. 119-124.
P. D. Hodkinson, R. A. Anderton, B. N. Posselt, et al. An overview of space medicine [J]. British Journal of Anaesthesia, 2017, 119 (S1): i143–i153.
Summers RL, Johnston SL, Marshburn TH, et al. Emergencies in space [J]. Ann Emerg Med, 2005, 46: 177-184.
Matthieu komorowski, Mark R. Campbell. The Bion project and History of Post-Spaceflight Primate Anesthesia [J]. Aerosp Med Hum Perform, 2018, 89 (4): 414-415.
James W, Eugene E, John D. Anesthesia during and after exposure to microgravity [J]. Aviat Space Environ Med, 2004, 571-580.
Norsk P, Asmar A, Damgaard M, et al. Fluid shifts, vaso dilatation and ambulatory blood pressure reduction during long duration space ﬂight [J]. J Physiol, 2015, 593: 573-584.
Watenpaugh DE, Hargens AR. The cardiovascular system in microgravity [M]. Comprehensive physiology. In: Terjung R (ed), 2011.
Liu Ji, Jia Fukun, Song Haifeng, et al. First aid cardiopulmonary resuscitation at the exit of capsule and strategy coping with the "Shenzhou 11"spacecraft [J]. Chinese Journal of Emergency Medicine, 2018, 27 (8).
Convertino VA, Cooke WH. Evaluation of cardiovascular risks of space ﬂight does not support the NASA Bioastronautics Critical Path Roadmap [J]. Aviat Space Environ Med, 2005, 76: 869-876.
Hamilton DR. Cardiovascular disorders [M]. Principles of clinical medicine for space ﬂight. New York, Springer, 2008, 317-359.
Liu Ji, Jia Fukun, Lou Xiaotong, et al. First aid resuscitation and coping strategy of the main landing site of the "Shenzhou 11" spacecraft [J]. Chinese Journal of Critical Care Medicine, 2019, 39 (1).
Cooke WH, Ames JE IV, Crossman AA, et al. Nine months in space: Effects on human autonomic cardiovascular regulation [J]. J Appl Physiol, 2000, 89: 1039-1045.
Norsk P, Damgaard M, Petersen L, et al. Vasorelaxation in space [J]. Hypertension, 2006, 47: 69-73.
Buckey JC, Gaffney FA, Lane LD, et al. Central venous pressure in space [J]. New Engl J Med, 1993, 328: 1853-1854.
Hargens AR, Richardson S. Cardiovascular adaptations, ﬂuid shifts, and countermeasures related to space ﬂight [J]. Respir Physiol Neurobiol, 2009, 169 (Suppl 1): S30-S33.
Arbeille P, Kerbeci P, Mattar L, et al. Insufﬁcient ﬂow reduction during LBNP in both splanchnic and lower limb areas is associated with orthostatic intolerance after bedrest [J]. Am J Physiol Heart Circ Physiol, 2008, 295: H1846-254.
Demiot C, Dignat-George F, Fortrat J-O, et al. WISE 2005: Chronic bed rest impairs microcirculatory endothelium in women [J]. Am J Physiol Heart Circ Physiol, 2007, 293: H3159-H3164.
Prisk GK. The lung in space [J]. Clin Chest Med, 2005, 26: 415-438.
Hedenstierna G, Edmark L. Mechanisms of atelectasis in the perioperative period [J]. Best Pract Res Clin Anaesthesiol, 2010, 24: 157-169.
Kirkpatrick AW, Pelosi P, Waele JJD, et al. Clinical review: Intra-abdominal hypertension: Does it inﬂuence the physiology of prone ventilation? [J]. Crit Care, 2010, 14: 232.
Williams D, Kuipers A, Mukai C, et al. Acclimation during space ﬂight: Effects on human physiology [J]. CMAJ, 2009, 180: 1317-1323.
Crucian B, Stowe R, Mehta S, et al. Immune system dysregulation occurs during short duration space ﬂight on board the space shuttle [J]. J Clin Immunol, 2013, 33: 456-465.
Smith SM, Zwart SR, Block G, et al. The nutritional status of astronauts is altered after long-term space ﬂight aboard the International Space Station [J]. J Nutr, 2005, 135: 437-443.
Yue Maoxing, Zou Dewei, Min Qingwang, et al. Medical support and rescue for the First Chinese astronaut in the Landing place [J]. Chinese Journal of Aerospace Medicine, 2003, 14 (4): 193-195.
Liu Zhiguo, Min Qinwang, Jia Fukong, et al. Optimized layout and application of helicopter medical platiform for manned space flight [J]. Chinese Medical Equipment Journal, 2015, 36 (4): 35-36, 39.
Yang Heming, Lou Xiaotong, Song Haifeng, et al. Medical support for astronauts in the main landing field of Shenzhou eleven manned spaceship [J/CD]. Chin J Hygiene Rescue (Eletronic Edition), 2017, 3 (1): 37-39.
Tan Rong, Gu Jianwen, Li Lu, et al. The specialty and coping strategies of “ShenZhou 11” astronauts’s rescue and medical aid [J]. Chinese Journal of Emergency Medicine, 2016, 25 (12): 1325-1328.
Matthieu Komorowski, Sarah Fleming, Mala Mawkin, et al. Anaesthesia in austere environments: literature review and considerations for future space exploration missions [J]. Nature, 2018, 4: 5.
Andrew W, Kirkpatrick, Jeffrey A. Jones, et al. Trauma Sonography for Use in Microgravity [J]. Aviation, Space, and Environmental Medicine, 2007, 78 (4): A38-42.