Maximum intra-thoracic pressure with anti-G straining maneuvers and positive pressure breathing during +Gz.

Positive pressure breathing during +Gz (PBG) and anti-G straining maneuvers (AGSM) each improve +Gz tolerance by increasing blood pressure through increases in intra-thoracic pressure, but the maximal intra-thoracic pressure from their combined effect is not known. Six subjects performed the following: 1) maximal AGSM at +1 Gz; 2) assisted PBG (constant 60 mm Hg) at +Gz; 3) submaximal AGSM at +Gz (enough to maintain peripheral vision); 4) maximal AGSM at +Gz; and 5) combined PBG and maximal AGSM at +Gz. They wore TLSS mask/helmet ensemble, CSU-15/P G-suit, and TLSS-style jerkin. Intra-thoracic pressure was measured with a catheter-tip pressure transducer in the esophagus (Pes). The change in gastric pressure was also measured (delta Pga). For both Pes and delta Pga, there were no significant differences among experimental conditions (1), (4) and (5), as above. Group mean Pes and delta Pga in these three conditions were 139 and 197 mm Hg, respectively. The similar results between maximal AGSM, and maximal AGSM and PBG are explained by limited support from the thoracic counter-pressure garment, and the characteristics of the respiratory system.