Pneumomediastinum diagnosed by chest radiography after centrifuge training
A retrospective review of the human centrifuge training database in the Republic of Singapore Air Force was carried out for the period 1995-2006. Six cases of pneumomediastinum were reported in aircrew trainees who underwent ab initio human centrifuge training. Only two of the six cases presented wi...
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| Veröffentlicht in: | Aviation, space, and environmental medicine space, and environmental medicine, 2008-04, Vol.79 (4), p.424-428 |
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| creator | Gan, Wee Hoe Lam, Pin Min Chong, Chun Hon Tan, Boon Chuan Benjamin Fong, Kenneth Leopold Tan, Hung Yong Richard |
| description | A retrospective review of the human centrifuge training database in the Republic of Singapore Air Force was carried out for the period 1995-2006. Six cases of pneumomediastinum were reported in aircrew trainees who underwent ab initio human centrifuge training. Only two of the six cases presented with chest discomfort with or without neck pain, with the rest being incidental findings picked up during routine medical examination. The diagnoses were confirmed by chest radiographs and computed tomography scans of the thorax. This is believed to be attributable to over-zealous or incorrect performance of the anti-G straining maneuver in trainees unaccustomed to a high G environment. Trainees subsequently underwent a structured weights training program and centrifuge training profiles were reviewed and revised to allow graduated G training. All affected trainees recovered uneventfully with conservative management, and were able to return to flying training. |
| doi_str_mv | 10.3357/ASEM.2099.2008 |
| format | Article |
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Six cases of pneumomediastinum were reported in aircrew trainees who underwent ab initio human centrifuge training. Only two of the six cases presented with chest discomfort with or without neck pain, with the rest being incidental findings picked up during routine medical examination. The diagnoses were confirmed by chest radiographs and computed tomography scans of the thorax. This is believed to be attributable to over-zealous or incorrect performance of the anti-G straining maneuver in trainees unaccustomed to a high G environment. Trainees subsequently underwent a structured weights training program and centrifuge training profiles were reviewed and revised to allow graduated G training. All affected trainees recovered uneventfully with conservative management, and were able to return to flying training.</description><identifier>ISSN: 0095-6562</identifier><identifier>DOI: 10.3357/ASEM.2099.2008</identifier><identifier>PMID: 18457301</identifier><language>eng</language><publisher>United States</publisher><subject>Centrifugation - adverse effects ; Humans ; Hypergravity - adverse effects ; Male ; Mediastinal Emphysema - diagnostic imaging ; Mediastinal Emphysema - etiology ; Neck ; Radiography, Thoracic ; Space life sciences ; Subcutaneous Emphysema - etiology</subject><ispartof>Aviation, space, and environmental medicine, 2008-04, Vol.79 (4), p.424-428</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c324t-365517d5b3dc98a3b42d61180ffafa86d15d030e6a92bc6cd57f65b3f5fe2ecc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>214,314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18457301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gan, Wee Hoe</creatorcontrib><creatorcontrib>Lam, Pin Min</creatorcontrib><creatorcontrib>Chong, Chun Hon</creatorcontrib><creatorcontrib>Tan, Boon Chuan Benjamin</creatorcontrib><creatorcontrib>Fong, Kenneth Leopold</creatorcontrib><creatorcontrib>Tan, Hung Yong Richard</creatorcontrib><title>Pneumomediastinum diagnosed by chest radiography after centrifuge training</title><title>Aviation, space, and environmental medicine</title><addtitle>Aviat Space Environ Med</addtitle><description>A retrospective review of the human centrifuge training database in the Republic of Singapore Air Force was carried out for the period 1995-2006. 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All affected trainees recovered uneventfully with conservative management, and were able to return to flying training.</description><subject>Centrifugation - adverse effects</subject><subject>Humans</subject><subject>Hypergravity - adverse effects</subject><subject>Male</subject><subject>Mediastinal Emphysema - diagnostic imaging</subject><subject>Mediastinal Emphysema - etiology</subject><subject>Neck</subject><subject>Radiography, Thoracic</subject><subject>Space life sciences</subject><subject>Subcutaneous Emphysema - etiology</subject><issn>0095-6562</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkD1PwzAQhj2AaCmsjCgTW8LZjp1krKrypSKQgNly_JEaNU6xk6H_nkStxMhyd8Pzvjo9CN1gyChlxf3yY_2aEaiqcUB5huYAFUs542SGLmP8BgCaE7hAM1zmrKCA5-jl3Zuh7VqjnYy980ObjFfju2h0Uh8StTWxT4LUrmuC3G8PibS9CYkyvg_ODo1J-iCdd765QudW7qK5Pu0F-npYf66e0s3b4_NquUkVJXmfUs4YLjSrqVZVKWmdE80xLsFaaWXJNWYaKBguK1IrrjQrLB9py6whRim6QHfH3n3ofobxPdG6qMxuJ73phih4hYuSFuxfkBLGAVMYwewIqtDFGIwV--BaGQ4Cg5jUikmtmNSKSe0YuD01D_Wo7g8_eaW_oUZ3ng</recordid><startdate>200804</startdate><enddate>200804</enddate><creator>Gan, Wee Hoe</creator><creator>Lam, Pin Min</creator><creator>Chong, Chun Hon</creator><creator>Tan, Boon Chuan Benjamin</creator><creator>Fong, Kenneth Leopold</creator><creator>Tan, Hung Yong Richard</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>H8D</scope><scope>L7M</scope><scope>7X8</scope></search><sort><creationdate>200804</creationdate><title>Pneumomediastinum diagnosed by chest radiography after centrifuge training</title><author>Gan, Wee Hoe ; Lam, Pin Min ; Chong, Chun Hon ; Tan, Boon Chuan Benjamin ; Fong, Kenneth Leopold ; Tan, Hung Yong Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-365517d5b3dc98a3b42d61180ffafa86d15d030e6a92bc6cd57f65b3f5fe2ecc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Centrifugation - adverse effects</topic><topic>Humans</topic><topic>Hypergravity - adverse effects</topic><topic>Male</topic><topic>Mediastinal Emphysema - diagnostic imaging</topic><topic>Mediastinal Emphysema - etiology</topic><topic>Neck</topic><topic>Radiography, Thoracic</topic><topic>Space life sciences</topic><topic>Subcutaneous Emphysema - etiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Gan, Wee Hoe</creatorcontrib><creatorcontrib>Lam, Pin Min</creatorcontrib><creatorcontrib>Chong, Chun Hon</creatorcontrib><creatorcontrib>Tan, Boon Chuan Benjamin</creatorcontrib><creatorcontrib>Fong, Kenneth Leopold</creatorcontrib><creatorcontrib>Tan, Hung Yong Richard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>Aerospace Database</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>MEDLINE - Academic</collection><jtitle>Aviation, space, and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gan, Wee Hoe</au><au>Lam, Pin Min</au><au>Chong, Chun Hon</au><au>Tan, Boon Chuan Benjamin</au><au>Fong, Kenneth Leopold</au><au>Tan, Hung Yong Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pneumomediastinum diagnosed by chest radiography after centrifuge training</atitle><jtitle>Aviation, space, and environmental medicine</jtitle><addtitle>Aviat Space Environ Med</addtitle><date>2008-04</date><risdate>2008</risdate><volume>79</volume><issue>4</issue><spage>424</spage><epage>428</epage><pages>424-428</pages><issn>0095-6562</issn><abstract>A retrospective review of the human centrifuge training database in the Republic of Singapore Air Force was carried out for the period 1995-2006. 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| ispartof | Aviation, space, and environmental medicine, 2008-04, Vol.79 (4), p.424-428 |
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| language | eng |
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| source | MEDLINE; IngentaConnect Open Access Journals |
| subjects | Centrifugation - adverse effects Humans Hypergravity - adverse effects Male Mediastinal Emphysema - diagnostic imaging Mediastinal Emphysema - etiology Neck Radiography, Thoracic Space life sciences Subcutaneous Emphysema - etiology |
| title | Pneumomediastinum diagnosed by chest radiography after centrifuge training |
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