Search results for "ventilation"
showing 10 items of 476 documents
Evaluation of the Thermodynamic Performance of the Traditional Passive Systems
2011
The need to reduce urban consumption of energy in the buildings, one of the major energy waster resulting in emission of CO2, is pushing research in the field of building design to the appreciation of passive air-conditioning systems that can be integrated with conventional systems and determine, therefore, the so-called hybrid systems. Historically this passive systems were developed in the Mediterranean and in the Middle East area. Actually the research activity has been focused on this problem, through an approach that involves the application of design strategies and the development of computational tools and control systems. The synergy between current scientific knowledge, advanced ma…
Analysis of discrete and continuous distributions of ventilatory time constants from dynamic computed tomography.
2005
In this study, an algorithm was developed to measure the distribution of pulmonary time constants (TCs) from dynamic computed tomography (CT) data sets during a sudden airway pressure step up. Simulations with synthetic data were performed to test the methodology as well as the influence of experimental noise. Furthermore the algorithm was applied to in vivo data. In five pigs sudden changes in airway pressure were imposed during dynamic CT acquisition in healthy lungs and in a saline lavage ARDS model. The fractional gas content in the imaged slice (FGC) was calculated by density measurements for each CT image. Temporal variations of the FGC were analysed assuming a model with a continuous…
Definition of tachycardia for risk stratification of pulmonary embolism
2020
Tachycardia is a reliable predictor of adverse outcomes in normotensive patients with acute pulmonary embolism (PE). However, different prognostic relevant heart rate thresholds have been proposed. The aim of the study was to investigate the prognostic performance of different thresholds used for defining tachycardia in normotensive PE patients.We performed a post-hoc analysis of normotensive patients with confirmed PE consecutively included in a single-centre and a multi-centre registry. An adverse outcome was defined as PE-related death, need for mechanical ventilation, cardiopulmonary resuscitation or administration of catecholamines.Of 1567 patients (median age: 72 [IQR, 59-79] years; f…
Review of wind tunnel modelling of flow and pollutant dispersion within and from naturally ventilated livestock buildings
2021
[EN] Ammonia emissions from naturally ventilated livestock buildings (NVLBs) pose a serious environmental problem. However, the mechanisms that control these emissions are still not fully understood. One promising method for understanding these mechanisms is physical modelling in wind tunnels. This paper reviews studies that have used this method to investigate flow or pollutant dispersion within or from NVLBs. The review indicates the importance of wind tunnels for understanding the flow and pollutant dispersion processes within and from NVLBs. However, most studies have investigated the flow, while only few studies have focused on pollutant dispersion. Furthermore, only few studies have s…
ANALYSIS OF A RECIPROCATE ENGINE–BASED COGENERATION PLANT WITH HIGH TEMPERATURE HEAT RECOVERY FOR INDUSTRIAL USES
2012
In consequence of the increasing awareness on the future scarcity of fossil energy sources and the global warming impact of energy conversion processes, the European Union has been planning several actions to enhance the efficiency of energy use and reduce the environmental impact. The declared goals of EU actions are synthetized in the 20-20-20 formula, consisting of an expected 20% increase of energy efficiency, a 20% contribution to the total energy supply by renewable sources and a 20% abatement of pollutant emissions. Applications of cogeneration in process industry can significantly contribute to achieve these targets. In this paper a reciprocate engine-based Combined Heat and Power (…
The Artificial Kidney Initiation in Kidney Injury 2 (AKIKI2): study protocol for a randomized controlled trial
2019
Abstract Background The Artificial Kidney Initiation in Kidney Injury (AKIKI) trial showed that a delayed renal replacement therapy (RRT) strategy for severe acute kidney injury (AKI) in critically ill patients was safe and associated with major reduction in RRT initiation compared with an early strategy. The five criteria which mandated RRT initiation in the delayed arm were: severe hyperkalemia, severe acidosis, acute pulmonary edema due to fluid overload resulting in severe hypoxemia, serum urea concentration > 40 mmol/l and oliguria/anuria > 72 h. However, duration of anuria/oliguria and level of blood urea are still criteria open to debate. The objective of the study is to compar…
Respiratory mechanics measured by forced oscillations during mechanical ventilation through a tracheal tube
2011
The forced oscillation technique (FOT) allows the measurement of respiratory mechanics in the intensive care setting. The aim of this study was to compare the FOT with a reference method during mechanical ventilation through a tracheal tube. The respiratory impedance spectra were measured by FOT in nine anaesthetized pigs, and resistance and compliance were estimated on the basis of a linear resistance-compliance inertance model. In comparison, resistance and compliance were quantified by the multiple linear regression analysis (LSF) of conventional ventilator waveforms to the equation of motion. The resistance of the sample was found to range from 6 to 21 cmH(2)O s l(-1) and the compliance…
Topiramate and Metabolic Acidosis in Infants and Toddlers
2002
Summary: Purpose: Topiramate (TPM) inhibits carbonic anhydrase, with metabolic acidosis as a possible side effect, although this has been reported in only two adult cases. We investigated the acid–base metabolism in infants and toddlers treated with TPM. Methods: Nine infants and toddlers aged 5 months to 2.3 years (median, 6 months) were treated with TPM at maximal doses of 8.2–26 mg/kg/day (median, 11 mg/kg/day). The maximal TPM dose was achieved after 8–35 days (median, 17 days). TPM was given in addition to other antiepileptic drugs (AEDs) in five cases and as a sole AED in four patients with refractory epilepsy resistant to multiple AEDs. The diagnoses were infantile spasms (n = 5), e…
Hyperventilation in Adult TBI Patients: How to Approach It?
2021
Hyperventilation is a commonly used therapy to treat intracranial hypertension (ICTH) in traumatic brain injury patients (TBI). Hyperventilation promotes hypocapnia, which causes vasoconstriction in the cerebral arterioles and thus reduces cerebral blood flow and, to a lesser extent, cerebral blood volume effectively, decreasing temporarily intracranial pressure. However, hyperventilation can have serious systemic and cerebral deleterious effects, such as ventilator-induced lung injury or cerebral ischemia. The routine use of this therapy is therefore not recommended. Conversely, in specific conditions, such as refractory ICHT and imminent brain herniation, it can be an effective life-savin…