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NASA NTRS2014

Standing Without Gravity: the Use of Lower Body Negative Pressure for Research and Reconditioning in Spaceflight

Weightlessness during spaceflight causes cephalad redistribution of intravascular and extravascular fluid, provoking cardiovascular and autonomic nervous system adaptations. The resulting functional state is appropriate for weightlessness but can result in orthostatic hypotension and intolerance during and after return to a persistent acceleration or gravitational environment. Lower body negative pressure (LBNP) applies subambient air pressure to the legs and lower abdomen inside a volume sealed at the waist, and decompression by 40‐50 mmHg reverses the spaceflight‐induced cephalad shift. LBNP has been used both to test the state of cardiovascular system during spaceflight and as a countermeasure by all space‐faring nations. Two configurations have thus far been used in spaceflight since the first LBNP flew on the first Soviet Salyut station in 1971. The Soviet and Russian configuration, used in four Salyut stations, the Mir space station and the Russian segment of the International Space Station, has no saddle to support the body so during decompression the feet press against the bottom of the collapsible chamber which shortens and applies force against the feet proportional to the decompression level. Thus, activation of the skeletal musculature partially counteracts vascular and venous pooling in the enclosed body segments, stimulating the orthostatic compensatory mechanisms as they would be standing on Earth. In the American configuration, used aboard Skylab and the Space Shuttle, a saddle supported the astronaut so the feet did not contact the bottom of the chamber, and vascular engorgement was not countered by muscular contraction. This minimized skeletal muscle involvement, unmasked vascular compensatory mechanisms for research purposes, and allowed measurements of changes in leg volume and muscle sympathetic nerve activity. Both variants have demonstrated research and therapeutic value in appropriately designed protocols. LBNP continues to be used for research and countermeasures on ISS, and future versions may explore the value of exercise during LBNP as an integrated countermeasure. This paperwill review the history and development of LBNP for spaceflight research and therapeutic purposes.

Charles, John B.↗

NASA NTRS2003

Mathematical model of diffusion-limited evolution of multiple gas bubbles in tissue

Models of gas bubble dynamics employed in probabilistic analyses of decompression sickness incidence in man must be theoretically consistent and simple, if they are to yield useful results without requiring excessive computations. They are generally formulated in terms of ordinary differential equations that describe diffusion-limited gas exchange between a gas bubble and the extravascular tissue surrounding it. In our previous model (Ann. Biomed. Eng. 30: 232-246, 2002), we showed that with appropriate representation of sink pressures to account for gas loss or gain due to heterogeneous blood perfusion in the unstirred diffusion region around the bubble, diffusion-limited bubble growth in a tissue of finite volume can be simulated without postulating a boundary layer across which gas flux is discontinuous. However, interactions between two or more bubbles caused by competition for available gas cannot be considered in this model, because the diffusion region has a fixed volume with zero gas flux at its outer boundary. The present work extends the previous model to accommodate interactions among multiple bubbles by allowing the diffusion region volume of each bubble to vary during bubble evolution. For given decompression and tissue volume, bubble growth is sustained only if the bubble number density is below a certain maximum.

Evaluation Studies↗

NASA NTRS2002

Mathematical model of diffusion-limited gas bubble dynamics in unstirred tissue with finite volume

Models of gas bubble dynamics for studying decompression sickness have been developed by considering the bubble to be immersed in an extravascular tissue with diffusion-limited gas exchange between the bubble and the surrounding unstirred tissue. In previous versions of this two-region model, the tissue volume must be theoretically infinite, which renders the model inapplicable to analysis of bubble growth in a finite-sized tissue. We herein present a new two-region model that is applicable to problems involving finite tissue volumes. By introducing radial deviations to gas tension in the diffusion region surrounding the bubble, the concentration gradient can be zero at a finite distance from the bubble, thus limiting the tissue volume that participates in bubble–tissue gas exchange. It is shown that these deviations account for the effects of heterogeneous perfusion on gas bubble dynamics, and are required for the tissue volume to be finite. The bubble growth results from a difference between the bubble gas pressure and an average gas tension in the surrounding diffusion region that explicitly depends on gas uptake and release by the bubble. For any given decompression, the diffusion region volume must stay above a certain minimum in order to sustain bubble growth.

NASA Discipline Environmental Health↗

NASA NTRS2003

Patent foramen ovale and paradoxical systemic embolism: a bibliographic review

A patent foramen ovale (PFO) has been reported to be an important risk factor for cardioembolic cerebrovascular accidents through paradoxical systemic embolization, and it provides one potential mechanism for the paradoxical systemic embolization of venous gas bubbles produced after altitude or hyperbaric decompressions. Here, we present in a single document a summary of the original findings and views from authors in this field. It is a comprehensive review of 145 peer-reviewed journal articles related to PFO that is intended to encourage reflection on PFO detection methods and on the possible association between PFO and stroke. There is a heightened debate on whether aviators, astronauts, and scuba divers should go through screening for PFO. Because it is a source of an important controversy, we prefer to present the findings in the format of a neutral bibliographic review independent of our own opinions. Each cited peer-reviewed article includes a short summary in which we attempt to present potential parallels with the pathophysiology of decompression bubbles. Two types of articles are summarized, as follows. First, we report the original clinical and physiological findings which focus on PFO. The consistent reporting sequence begins by describing the method of detection of PFO and goal of the study, followed by bulleted results, and finally the discussion and conclusion. Second, we summarize from review papers the issues related only to PFO. At the end of each section, an abstract with concluding remarks based on the cited articles provides guidelines.

NASA Discipline Environmental Health↗

NASA NTRSDate not supplied

Nasa Exploration Atmosphere Tests 3 & 4: Development and Validation of Planetary Extravehicular Activity Prebreathe Protocols for Alternate Atmospheres and Suit Pressures

INTRODUCTION: Space suits operate at low pressures to optimize astronauts’ performance. The drop in pressure from the habitat environment to the suit carries a risk of decompression sickness (DCS), which is mitigated by a 95% O2 prebreathe protocol. Prebreathe protocols for the lunar surface have a significantly higher risk compared to International Space Station microgravity Extravehicular Activities (EVA). In previous studies, we validated a prebreathe protocol from a 56.5 kPa 34% O2 cabin to a 29.6 kPa EVA pressure; however, the enriched oxygen cabin environment poses a flammability risk that requires significant changes to material design and selections. Here, we report outcomes for prebreathe protocols from a sub-30% O2 cabin and associated changes necessary to control DCS risk critical to upcoming lunar missions. METHODS: Fourteen volunteers completed 11-day hypobaric chamber studies with an “alternate exploration atmosphere” of 66.2kPa, 28.5% O2. Subjects acclimated for 48 hrs and then participated in five 6-hour simulated EVAs at 29.6 or 35.6kPa, 95% O2. Prior to EVA, subjects underwent a 20, 90, or 150-minute prebreathe. The EVA simulation was designed to be representative of future planetary EVAs, proportionate to the subject’s VO2max. Decompression stress was monitored by real-time doppler and echocardiograph alternating every 15 min, as well as clinical monitoring for DCS signs/symptoms. Venous gas emboli (VGE) and DCS outcomes were verified against NASA-STD-3001 acceptance criteria. RESULTS AND DISCUSSION: Venous gas emboli (VGE) were identified during all EVAs. A neurological DCS case was identified in the 90-min/29.6kPa prebreathe, terminating further testing of this protocol. No DCS cases were identified in the 150 min/29.6kPa protocol. The 20 min/36.5kPa protocol was rejected due to a Type II DCS case. All DCS symptoms resolved with treatment, with no sequelae post initial treatment of DCS. These various test points highlighted to the significant benefit of elevated suit pressure to shorten prebreathe protocols, but also the difficulty in assessing and managing DCS during sustained EVA operations in remote planetary surfaces.

decompression sickness↗

NASA NTRS1971

Airway structure and alveolar emptying in the lungs of sea lions and dogs.

Investigation of the effects of various cycles of compression and decompression on the alveolar volumes of the excised lungs of sea lions and dogs. The results obtained include the finding that, in comparison to dog lungs, sea lion lungs empty more completely on mild compression and much more completely on severe compression. These findings support Scholander's (1940) hypothesis that some marine mammals are protected from decompression sickness by cartilaginous reinforcement of the small airways which permits alveolar emptying during a dive, so isolating compressed gas from pulmonary capillary blood.

Denison, D. M.↗

NASA NTRS1973

Nutrition systems for pressure suits.

Nutrition systems were successfully developed in the Apollo Program for astronauts wearing pressure suits during emergency decompression situations and during lunar surface explorations. These nutrition systems consisted of unique dispensers, water, flavored beverages, nutrient-fortified beverages, and intermediate moisture food bars. The emergency decompression system dispensed the nutrition from outside the pressure suit by interfacing with a suit helmet penetration port. The lunar exploration system utilized dispensers stowed within the interior layers of the pressure suit. These systems could be adapted for provision of nutrients in other situations requiring the use of pressure suits.

Huber, C. S.↗

NASA NTRS1975

Barometric pressure and gas composition

Many factors affecting artificial gas atmosphere, which is used to maintain life during space flight, are considered. The wide variability of barometric pressure in spacecraft, due in large measure to spacecraft design is discussed. Explosive decompression is described; this develops from instantaneous depressurization of the cabin. Decompression sickness is reviewed, including bubble growth and evolution of gas bubbles in organisms. Dysbarism, hypoxia, and hypercapnia are also discussed.

V. B. Malkin↗

NASA NTRS1976

Space communication system for compressed data with a concatenated Reed-Solomon-Viterbi coding channel

A space communication system incorporating a concatenated Reed Solomon Viterbi coding channel is discussed for transmitting compressed and uncompressed data from a spacecraft to a data processing center on Earth. Imaging (and other) data are first compressed into source blocks which are then coded by a Reed Solomon coder and interleaver, followed by a convolutional encoder. The received data is first decoded by a Viterbi decoder, followed by a Reed Solomon decoder and deinterleaver. The output of the latter is then decompressed, based on the compression criteria used in compressing the data in the spacecraft. The decompressed data is processed to reconstruct an approximation of the original data-producing condition or images.

Rice, R. F.↗

NASA NTRS1976

Denitrogenation interruptions with air

A 3-h denitrogenation period at ground-level pressure with 95% O2-5% N2, with an air interruption of 5 min or more and matched with additional denitrogenation time equal to the interruption, will later result occasionally in altitude decompression sickness ('bends') during a 2-h decompression exposure at 3.8 psia (10,058 m equivalent) with 92% O2- 8% N2. Thus the equal time or 'mirror-image' make-up time for loss of denitrogenation did not prevent bends 7 times in 17 subjects during 71 exposures with air interruptions; on the other hand, no case of bends was reported after uninterrupted denitrogenation periods. Nitrogen-loading during the interruptive period is believed to resupply the bends sites with additional nitrogen, which re-establishes conditions favoring a return to a high incidence of bends.

Cooke, J. P.↗

NASA NTRS1979

Flight test evaluation of an RAF high altitude partial pressure protective assembly

A partial pressure suit was evaluated during tests in an F-104 and F-15 as a protective garment for emergency descents. The garment is an pressure jerkin and modified anti-g suit combined with an oronasal mask. The garment can be donned and doffed at the aircraft to minimize thermal buildup. The oronasal mask was favored by the pilots due to its immobility on the face during high g-loading. The garment was chosen to provide optimum dexterity for the pilot, which is not available in a full pressure suit, while protecting the pilot at altitudes up to 18,288 meters, during a cabin decompression, and subsequent aircraft descent. During cabin decompressions in the F-104 and F-15, cabin pressure altitude was measured at various aircraft angles of attack, Mach numbers, and altitudes to determine the effect of the aerodynamic slipstream on the cabin altitude.

Ashworth, G. R.↗

NASA NTRS1979

Friction measurements in piston-cylinder apparatus using quartz-coesite reversible transition

The value of friction determined by monitoring piston displacement as a function of nominal pressure on compression and decompression cycles at 1273 K is compared with the friction value obtained by reversing the quartz-coesite transition at 1273 and 1073 K in a talc-glass-alsimag cell (Akella and Kennedy, 1971) and a low-friction salt cell (Mirwald et al., 1975). Quenching runs at 1273 K gave double values of friction of 0.25 GPa for the talc-glass-alsimag cell and 0.03 GPa for the salt cell. The piston-displacement technique gave somewhat higher values. Use of piston-displacement hysteresis loops in evaluating the actual pressure on a sample may lead to overestimates for decompression runs and underestimates for compression runs.

Akella, J.↗

NASA NTRS1982

Survey of Spaceflight Safety Systems /Survey period: July 1981 June 1982/

Information from the Survey of Spaceflight Safety Systems considered most applicable to present and future spaceflight activities is summarized. Mission reports for the first three Shuttle Orbiter flights discuss all anomalies which occurred and their resolution, such as the solid rocket booster ignition overpressure spike, and thermal tile damage. Two emergency rescue systems for orbiting space stations are proposed: a dish type rescue capsule and a reusable orbit vehicle. Prebreathing and stage decompression are considered as means of protecting astronauts against decompression effects. The Spacelab Space Sled experiments are described, as is a test program on the assembly of large space structures completed in mid-1981. Finally, collision hazards for space missions are estimated, and operational procedures for minimizing these hazards are discussed.

Brown, N. E.↗

NASA NTRS1985

Compatible atmospheres for a space suit, Space Station, and Shuttle based on physiological principles

Fundamental physiological principles have been invoked to design compatible environments for a space suit, Space Station and the spacecraft used to transport the astronauts from earth. These principles include the long-term memory of tissues for a bubble-provoking decompression, the intermittent nature of blood flow in the tight connective tissue(s) responsible for the bends whose incidence in aviators has been shown to be related to bubble volume by the Weibull distribution. In the overall design an astronaut breathing a mixture of 30 percent O2 in N2 for 4-5 h in a spacecraft at 11.9 psia can transfer to a Space Station filled with the same mix at 8.7 psia and, after a further 4-5 h, go EVA at any time without any oxygen prebreathing at any stage. The probable incidence of decompression sickness has been estimated as less than 0.5 percent using the present suit operating at 4.3 psia but the risk could be reduced to zero if the suit pressure were increased to 6.5 psia.

Hills, B. A.↗

NASA NTRS1986

Evaluation of 9.5 PSIA as a suit pressure for prolonged extravehicular activity

A study was undertaken to determine if a pressure of 9.5 psia would aid against the occurrence of decompression sickness in both males and females (without prebreathing or stage decompression requirements) during a typical simulated extravehicular activity scenario. Twenty percent of the male subjects produced grades 1 and 2 bubbles while females did not produce bubble signals at all. It is concluded that a pressure of 9.5 psia can protect the astronaut from both formation of severe bubbling and development of bends symptoms when exposed to these study conditions.

Dixon, G. A.↗

NASA NTRS1986

The relationship of intravascular bubbles to bends at altitude

In response to recent findings attesting to a correlation between intravehicular bubbling and decompression sickness at intermediate altitudes, an attempt was made to define a minimum pressure for a pressure suit which would obviate the need for prebreathing 100 percent oxygen prior to extravehicular activity (EVA). Fifty-seven male subjects were exposed to altitudes ranging from 16,000 to 30,000 ft in two separate protocols. The first was designed to determine a pressure at which no bends occurred if a crewmember were decompressed from a sea level space station pressure just prior to EVA without prebreathing 100 percent oxygen. The other study was designed to define an altitude and exercise regimen at which bends-susceptible and bends-resistant crewmembers could be separated. It is shown that the close association which exists between severe bubbling and bends at a pressure altitude of 4.3 psia (30,000 ft) decreases as pressure is increased and essentially disappears at pressures less than or equal to 7.8 psia (16,000 ft).

Krutz, R. W.↗

NASA NTRS1991

CRUSH: The NSI data compression utility

CRUSH is a data compression utility that provides the user with several lossless compression techniques available in a single application. It is intended that the future development of CRUSH will depend upon feedback from the user community to identify new features and capabilities desired by the users. CRUSH provides an extension to the UNIX Compress program and the various VMS implementations of Compress that many users are familiar with. An important capability added by CRUSH is the addition of additional compression techniques and the option of automatically determining the best technique for a given data file. The CRUSH software is written in C and is designed to run on both VMS and UNIX systems. VMS files that are compressed will regain their full file characteristics upon decompression. To the extent possible, compressed files can be transferred between VMS and UNIX systems, and thus be decompressed on a different system than they were compressed on. Version 1 of CRUSH is currently available. This version is a VAX VMS implementation. Version 2, which has the full range of capabilities for both VMS and UNIX implementations, will be available shortly.

Seiler, ED↗

NASA NTRS1991

A very high speed lossless compression/decompression chip set

A chip is described that will perform lossless compression and decompression using the Rice Algorithm. The chip set is designed to compress and decompress source data in real time for many applications. The encoder is designed to code at 20 M samples/second at MIL specifications. That corresponds to 280 Mbits/second at maximum quantization or approximately 500 Mbits/second under nominal conditions. The decoder is designed to decode at 10 M samples/second at industrial specifications. A wide range of quantization levels is allowed (4...14 bits) and both nearest neighbor prediction and external prediction are supported. When the pre and post processors are bypassed, the chip set performs high speed entropy coding and decoding. This frees the chip set from being tied to one modeling technique or specific application. Both the encoder and decoder are being fabricated in a 1.0 micron CMOS process that has been tested to survive 1 megarad of total radiation dosage. The CMOS chips are small, only 5 mm on a side, and both are estimated to consume less than 1/4 of a Watt of power while operating at maximum frequency.

Venbrux, Jack↗