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dehydration prevent air flight
“Shots”

Healthcare and You

by Marvin Ackerman, MD

dehydration prevent air flight

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dehydration prevent air flight




dehydration prevent air flight

Medifocus Guidebook on
 Peripheral Neuropathy

Smile If the Flight Attendant Asks If You Would Like Some Pocari

dehydration prevent air flight
Are you afraid to fly? Why? Is it a fear of terrorism, weather, malfunction, pilot error, nausea, or just plain inexplicable fright? How about hypovolemia? Oh - why should you be afraid of hypovolemia? Well, did you know that sitting on an airplane for a long period of time can be dangerous, if you do not drink enough fluids? Back in 1998 Greenleaf and fellow researchers found that men resting for 12 hours at an altitude of 2800 meters had less decrease in blood volume, in other words less hypovolemia, if they drank beverages with sodium chloride and citrate in them. So why is this important? The reason is that someone who's blood volume is decreased from dehydration, and then sits for a long period of time, may now have added a slowed blood flow in their veins, called venous stasis, to complicate things. This may result from not drinking enough fluids, and/or drinking diuretic beverages - possibly on a day when the air is dry enough to add to the problem. Should this individual have some tendency towards clotting of the blood the result can be formation of a clot in a leg vein. This is serious enough, but even worse, this clot, or thrombus, may break away, and become an embolus. Now the real trouble begins because the embolus may travel to the heart, through the heart and into the pulmonary artery, which takes it to the lung. The outcome may be a serious, sometimes severe, medical problem called pulmonary embolism, as shown by Lapostolle et al in the 2001 New England Journal of Medicine.

dehydration prevent air flight With this information as a background, a group of Japanese researchers led by Hamada performed their own observation, about which they wrote a research letter to the editor of JAMA (Journal of the American Medical Association). They used a product from Otsuka Pharmaceutical called Pocari in an attempt to prevent lower leg blood thickening (viscosity) during long airplane flights. Pocari is somewhat similar to the Gatorade used by athletes to avoid dehydration and preserve their energy. Both have carbohydrates and sodium. The formula for Pocari contains two electrolytes consisting of 21.0 mEq/L of sodium, and 5.0 mEq/L of potassium, plus 6.7% carbohydrate. Forty healthy young men were studied during a long flight after eating a standard meal and fluids for 2 days. Twenty were randomly chosen to drink either water or Pocari at multiple specific intervals during which they remained seated for 9 hours. The results indicated that the Pocari group fared significantly better as measured by net fluid balance, plasma volume, and blood viscosity. It was concluded that a beverage containing electrolytes and carbohydrates "may provide better hydration than plain water alone during long flights." For those among the readers who have access to Pocari and might want to try it on their next flight I would like to quote someone who drank the stuff. The commentary follows, but please do not blame me for writing it. I actually cut out the more horrifically descriptive portions. It goes like this, "Japan's version of Gatorade, Pocari sweat, is thick, salty, sweet - and looks like a sumo wrestler wrung out his diaper moisture into a glass after a day of slapping his belly against other dudes. Worse, it smelt like those chemicals your not supposed to sniff, like ammonia." My own impression can only relate to a taste I once had of Gatorade, which though not quite that horrific, nevertheless was never again allowed to pass my lips. I have one further comment about this study. Since this was only a research letter, perhaps the authors merely left out a few things. However, I would have liked to have some indication as to how it was determined that all the participants in the study were "healthy men."

 

This is your Captain; It's now 1 PM.
Welcome on board flight two eighty two.
Fasten your seat belts. Enjoy your Pocari.
Your attendants are Mary, and of course Katy too.

This is your Captain. It's now 4PM,
That's Dali you see ahead on your right
It's time again for Pocari so drink every drop.
You must be fortified. It's a very long flight.

This is your Captain. It's now 8 PM.
Who is that hitting my door with a shoe?
I'm sure you'll feel better as soon as we land.
So please untie Mary, and of course Katy too.



dehydration prevent air flight

Cartoons and Poems following each article are created and copyrighted by Dr. Ackerman and cannot be copied or reproduced without his permission. Copyright © 2006 by Marvin Ackerman, M.D.

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dehydration prevent air flight

Relax! It’s Only Your Doctor’s Waiting Room, Not the ER: Or How to Get Along With and Understand Your Doctor is an insightful but irreverent intrusion into the complexities of modern day medicine. Listen to an interview with Dr. Ackerman

Shots Disclaimer

Editorial content of Shots belongs to and reflects the thoughts of the author only. Do not consider medical editorial reviews, news items and other general information found on Shots as a prescription, medical advice or an endorsement for any treatment or procedure. Always seek any medical advice from your doctor. Medical editorial reviews and other news items that you read about in Shots may or may not be appropriate for your particular health problem or concern. Always refer these matters to your physician for clarification and determination. Any information provided in Shots may be controversial, totally unrelated to your own situation, even harmful if taken merely at face value without appropriate evaluation of your specific condition, and therefore must be considered simply to be an editorial review, a news review or a general medical information review and not as relating to your specific condition or as information for diagnosis, evaluation or treatment of your specific condition. Unauthorized reproduction, and linking of Shots in whole or in part to any other website, webpage, print and other electronic media, i.e. TV, Videos etc. is strictly prohibited and is punishable by law.

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