Search results for " ventilation"
showing 10 items of 372 documents
Adaptive Lung Ventilation (ALV) Evaluierung eines neuen closed loop-gesteuerten Beatmungsalgorithmus bei Eingriffen in �berstreckter Seitenlage
1996
The lateral decubitus position is the standard position for nephrectomies. There is a lack of data about the effects of this extreme position upon respiratory mechanics and gas exchange. In 20 patients undergoing surgery in the nephrectomy position, we compared a new closed-loop-controlled ventilation algorithm, adaptive lung ventilation (ALV), which adapts the breathing pattern automatically, to the respiratory mechanics with conventionally controlled mandatory ventilation (CMV). The aims of our study were (1) to describe positioning effects on respiratory mechanics and gas exchange, (2) to compare ventilatory parameters selected by the ALV controller with traditional settings of CMV, and …
Baclofenintoxikation bei chronischer Hämodialyse und Nierentransplantation
2008
Fourteen days after renal transplantation, at first gave with good transplant function, a 36-year-old woman developed neurogenic dysfunction of bladder emptying. This was treated with baclofen, 5 mg three times daily by mouth. Between the 7th and 10th treatment day she progressively developed an organic psychotic syndrome and increasing respiratory paralysis after the onset of renal failure, associated with rejection of the transplanted kidney which required dialysis. Plasma concentration of baclofen was 565 ng/ml (therapeutic range 80-400 ng/ml). After discontinuing the drug and renewed haemodialysis the baclofen level rapidly fell and the symptoms receded. In a second case, a 57-year-old …
Effektivit�t pr�klinischer Notfallversorgung Fiktion oder Fakt?
1996
The current increase in the cost of health care must be considered as a severe threat to the prehospital emergency services system. Two examples have been selected--the patient with polytrauma and the patient in cardiac arrest--to demonstrate the dilemma between a need for objective data and the requirements of emergency patients. Study results obtained in trauma patients indicating that total prehospital time, including scene time, is correlated to patient outcome have led to the conclusion that at the scene treatment by emergency physicians may be dispensable. It has, however also been demonstrated that the time required for medical treatment at the scene is equivalent to 20% of the total…
Are urban water bodies really cooling?
2020
Abstract Small urban water bodies, like ponds or canals, are often assumed to cool their surroundings during hot periods, when water bodies remain cooler than air during daytime. However, during the night they may be warmer. Sufficient fetch is required for thermal effects to reach a height of 1–2 m, relevant for humans. In the ‘Really cooling water bodies in cities’ (REALCOOL) project thermal effects of typical Dutch urban water bodies were explored, using ENVI-met 4.1.3. This model version enables users to specify intensity of turbulent mixing and light absorption of the water, offering improved water temperature simulations. Local thermal effects near individual water bodies were assesse…
Optimisation of Heat Loss through Ventilation for Residential Buildings
2018
This study presents the results of research on heat loss from various types of residential buildings through ventilation systems. Experimental research was done to analyse the effectiveness of ventilation systems of different types and determine the parameters of air discharged via the ventilation ducts. A model of heat loss from the discharge of exhaust air outside through air ducts has since been developed. Experiments were conducted on three experimental systems of building ventilation: gravitational, mechanical, and supply-exhaust ventilation systems with heat recovery. The proposed model dependencies were used to chart the daily fluctuations of the optimum multiplicity of air exchange …
Obesity and Outcomes in COVID-19: When an Epidemic and Pandemic Collide.
2020
Obesity has reached epidemic proportions in the United States and in much of the westernized world, contributing to considerable morbidity. Several of these obesity-related morbidities are associated with greater risk for death with coronavirus disease 2019 (COVID-19). Severe acute respiratory syndrome coronavirus 2 penetrates human cells through direct binding with angiotensin-converting enzyme 2 receptors on the cell surface. Angiotensin-converting enzyme 2 expression in adipose tissue is higher than that in lung tissue, which means that adipose tissue may be vulnerable to COVID-19 infection. Obese patients also have worse outcomes with COVID-19 infection, including respiratory failure, n…
Investigating energy saving potential in a big shopping center through ventilation control
2019
Abstract This paper investigates energy saving measures for the ventilation system of large shopping centers. This kind of buildings is characterized by high yearly energy consumptions, because of the high level of operating hours and the frequent use of obsolete technologies. In the analyzed case studies, three big Do It Yourself (DIY) shops, located in Italy, are considered. Two different approaches are considered, they are aimed at reducing the annual energy consumption for the indoor air exchange of the sales area. The first considered retrofit solution consists in the installation of heat recovery exchangers, reducing the energy demand for the air thermal treatment without changing the…
Investigating Energy Saving Potential in a Big Shopping Centre through Ventilation Control
2018
This work shows an example of energy saving interventions on the ventilation system of a big shopping center. This kind of buildings is characterized by high energy consumptions, because of the high level of yearly operating hours and the use of obsolete technologies. In the case study, a big Do It Yourself (DIY) shop located in the southern part of Italy is analyzed, proposing two different approaches aimed at reducing the annual energy consumption for the indoor air exchange of the sales area. In the AS-IS scenario, a centralized HVAC plant, composed by six rooftops, is installed on the roof of sales area, working with fixed airflow value. The first retrofit solution involves the installa…
Skin conductance measurement for the assessment of analgosedation adequacy in infants treated with mechanical ventilation: A multicenter pilot study
2020
Background Patients treated in neonatal/pediatric intensive care units (N/PICUs) are frequently exposed to pain. To assess its severity, several behavioral and behavioral-physiological scales are used, but their usefulness is limited. It is therefore justified to search for additional methods to assess the adequacy of analgesia and sedation in these patients. Objectives To evaluate the usefulness of skin conductance (SC) measurement in the assessment of analgosedation quality in infants requiring mechanical ventilation treated in N/PICUs. Material and methods Thirty infants aged 6-208 days treated in 6 N/PICUs, mechanically ventilated and receiving analgosedation, were included for the stud…
Sedation and analgesia during noninvasive ventilation (NIV)
2017
The use of noninvasive ventilation (NIV) has increased significantly in patients with acute respiratory failure (ARF) in order to prevent tracheal intubation and its complications. Unfortunately, NIV failure represents a frequent event, with rates that in some cases reach 40%. Mask intolerance, agitation, and delirium may lead to NIV failure, thus requiring endotracheal intubation. NIV failure rates are higher in patients without chronic obstructive pulmonary disease (COPD), and, when used in acute hypoxemic failure, its failure is associated with an increased mortality rate. The practice of sedation during NIV could be a valuable option for patients at risk of intubation. Sedation may decr…