The influence of special environment on peripheral veins and coping strategies during the space medical rescue mission of Shenzhou-13 spacecraft
10.3760/cma.j.issn.1671-0282.2022.07.007
- VernacularTitle:神舟十三号飞船医疗保障任务中特殊环境对外周静脉的影响与应对策略
- Author:
Mingjie GAO
1
;
Ming ZHAO
;
Peiming SUN
;
Jianwu YANG
;
Lianyong LI
;
Yuxia CHENG
;
Heming YANG
Author Information
1. 中国人民解放军战略支援部队特色医学中心,北京 100101
- Keywords:
Peripheral veins;
Special environment;
Medical care;
Shenzhou-13 spacecraft
- From:
Chinese Journal of Emergency Medicine
2022;31(7):876-881
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the environmental characteristics of launch section during the space medical rescue mission of Shenzhou-13 spacecraft, evaluate the influence of special environment on peripheral veins, and investigate the coping strategies.Methods:Combined with the practice of launch section during space medical rescue mission of Shenzhou-13 spacecraft, the main factors of aerospace special environment, cold and faint light, were selected and the related literature was reviewed to explore the feasibility, advantages and disadvantages of peripheral venipuncture, central venous catheter and bone marrow puncture. The experience of the space medical rescue mission was summarized and the coping strategies were provided for follow-up task training.Results:The environmental characteristics of launch section during the space medical rescue mission of Shenzhou-13 spacecraft included cold, faint light, sand-wind and complex terrain. The vascular filling, vascular elasticity and visibility of peripheral vein decreased in different degrees under special environmental, the vascular visibility was most affected. The literature analysis showed that bone marrow puncture was a suitable method to establish infusion access in cold and faint light environment.Conclusions:The special environment of space launch mission has greater impact on peripheral veins. In order to assurance the successful implementation of manned space project, the training of basic operational skills should be consolidated, the training of ability in special environment should be enhanced and the advanced clinical auxiliary equipment should be equipped in follow-up space medical mission training.