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March 1984

Military Antishock Trousers: Effect on Hemodialysis-Induced Hypotension

Author Affiliations

From the Division of Nephrology, Center for the Health Sciences, UCLA School of Medicine (Drs Krishna, Danovitch, and Nissenson), and the Nephrology Section, Wadsworth Veterans Administration Medical Center, Los Angeles (Dr Shinaberger). Dr Krishna was a fellow of the National Kidney Foundation of Southern California.

Arch Intern Med. 1984;144(3):482-483. doi:10.1001/archinte.1984.00350150066020

• To evaluate the effect of military antishock trousers (MAST) on hemodialysis-induced hypotension, we observed seven patients undergoing maintenance hemodialysis treatment. We saw each patient on two separate occasions during four-hour hemodialysis treatments. On one occasion, we inflated the MAST to a pressure of 45 mm Hg over the lower extremities and 15 mm Hg over the abdomen; on the second occasion, the MAST were not inflated. Blood pressure was recorded at 15-minute intervals. We found no significant difference between the mean arterial pressure with MAST inflation and that in the control studies. The weight losses during the two studies were also similar. We suggest that, despite their reported efficacy in posttrauma hypotension, MAST are not effective in managing dialysis-induced hypotension.

(Arch Intern Med 1984;144:482-483)

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