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ARTICLE |

MAST Suits FREE

P. Kent Harman, MD; Irving L. Kron, MD; Stanton P. Nolan, MD
JAMA. 1985;254(8):1035-1035. doi:10.1001/jama.1985.03360080045018
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To the Editor.—  The article by Kaback et al1 regarding use of the MAST suit is comprehensive. The general assumption that application of the MAST garment does not impair renal function is probably erroneous. Shenasky and Gillenwater2 demonstrated that up to 80% of the pressure exerted by MAST suits fitted to dogs is transmitted to the abdomen and retroperitoneum. We have shown in a dog model that elevating intraabdominal pressure to 20 mm Hg reduced renal blood flow and glomerular filtration rate to 23% and 21% of normal, respectively.3 In humans, we have shown that renal function is dramatically impaired when the intra-abdominal pressure exceeds 30 mm Hg.4Clearly, it has been well demonstrated both in the laboratory and in clinical settings that the kidneys are exquisitely sensitive to external compression. It appears from our work that application of the abdominal portion of the MAST suit

REFERENCES

Kaback KR, Sanders AB, Meislin HW:  MAST suit update . JAMA 1984;;252:2598-2603.
Shenasky JH, Gillenwater JY:  The renal hemodynamic and functional affects of external counter pressure . Sury Gynecol Obstet 1972;;134:253-258.
Harman PK, Kron IL, McLachlan HD, et al:  Elevated intra-abdominal pressure and renal function . Ann Surg 1982;;196:594-597.
Kron IL, Harman PK, Nolan SP:  The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration . Ann Surg 1984;;199:28.

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Kaback KR, Sanders AB, Meislin HW:  MAST suit update . JAMA 1984;;252:2598-2603.
Shenasky JH, Gillenwater JY:  The renal hemodynamic and functional affects of external counter pressure . Sury Gynecol Obstet 1972;;134:253-258.
Harman PK, Kron IL, McLachlan HD, et al:  Elevated intra-abdominal pressure and renal function . Ann Surg 1982;;196:594-597.
Kron IL, Harman PK, Nolan SP:  The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration . Ann Surg 1984;;199:28.
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