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Wiley InterScience

Journal of Forensic Sciences

Journal of Forensic Sciences

Volume 52 Issue 1, Pages 171 - 175

Published Online: 7 Dec 2006

© 2010 American Academy of Forensic Sciences



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Ventilatory and Metabolic Demands During Aggressive Physical Restraint in Healthy Adults
Betty A. Michalewicz, M.S. 1 ; Theodore C. Chan, M.D. 2 ; Gary M. Vilke, M.D. 2 ; Susan S. Levy, Ph.D. 1 ; Tom S. Neuman, M.D. 2 ; and Fred W. Kolkhorst, Ph.D. 1,3
  1 Department of Exercise and Nutritional Sciences, San Diego State University, San Diego, CA 92182.
  2 Department of Emergency Medicine, Medical Center, University of California, San Diego, CA 92103.
  3 San Diego State Heart Institute, San Diego State University, San Diego, CA 92182.
Correspondence to  Additional information and reprint requests:
Fred W. Kolkhorst, Ph.D.
Department of Exercise and Nutritional Sciences
San Diego State University
5500 Campanile Drive
San Diego
CA 92182-7251
E-mail: fred.kolkhorst@sdsu.edu
Copyright Copyright © 2006 by American Academy of Forensic Sciences
KEYWORDS
forensic sciences • maximal voluntary ventilation • minute ventilation • oxygen consumption • positional asphyxia

ABSTRACT

ABSTRACT: We investigated ventilatory and metabolic demands in healthy adults when placed in the prone maximal restraint position (PMRP), i.e., hogtie restraint. Maximal voluntary ventilation (MVV) was measured in seated subjects (n=30), in the PMRP, and when prone with up to 90.1 or 102.3 kg of weight on the back. MVV with the heaviest weight was 70% of the seated MVV (122±28 and 156±38 L/min, respectively; p<0.001). Also, subjects (n=27) were placed in the PMRP and struggled vigorously for 60 sec. During the restrained struggle, ventilatory function (̇E/ MVV) was 44% of MVV in the resting PMRP. While prone with up to 90.1 or 102.3 kg on the back, the decrease in MVV was of no clinical importance in these subjects. Also, while maximally struggling in the PMRP, ̇E was still adequate to supply the ventilatory needs.


Received 11 Dec. 2005; and in revised form 19 June 2006; accepted 1 July 2006; published 8 Dec. 2006.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1556-4029.2006.00296.x About DOI

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