• Title/Summary/Keyword: High-Frequency Ventilation

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High Frequency Jet Ventilation via Cricothyroid Membrane Puncture under Microlaryngoscopic Surgery (미세 후두현미경술시 윤상갑상막천자를 통한 고빈도 제트환기법)

  • 양훈식;김용주;김춘길
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.109-115
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    • 1995
  • High frequency Jet ventilation (HFJV) via cricothyroid membrane puncture contols frequency of ventilation as 20-200/min and persuits adequate gas exchange. HFJV was known to have advantages such as improvement of PaO$_2$, lesser barotrauma, stable hemodynamic effects, good operative field and lesser movement of head. The purpose of this study was to clarify the advantages of HFJV in cases of microlaryngeal surgery which operating time was expected even within 30 minutes. Twenty-eight patients were divided two groups : 1)control group : general endotracheal Intubation anesthesia. 2)experimental group : HFJV via cricothyroid membrane puncture with intravenous anesthesia, frequency 40/min, I/E ratio 40%, driving pressure 40 psi. We analyzed blood pressure, arterial blood gas, score of general condition and recovery time after operation. In conclusion, HFJV via cricothyroid membrane puncture had a good score of general condition and rapid recovery of consciousness, although some accumulation of P$CO_2$and elevation of blood pressure.

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Respiratory Review of 2013: Critical Care Medicine

  • Choi, Hye Sook
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.1
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    • pp.1-8
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    • 2013
  • Several papers on respiratory and critical care published from March 2012 to February 2013 were reviewed. From these, this study selected and summarized ten articles, in which the findings were notable, new, and interesting: effects of high-frequency oscillation ventilation on acute respiratory distress syndrome (ARDS); safety and efficacy of hydroxyethyl starch as a resuscitation fluid; long-term psychological impairments after ARDS; safety and efficacy of dexmedetomidine for sedation; B-type natriuretic peptide-guided fluid management during weaning from mechanical ventilation; adding of daily sedation interruptions to protocolized sedations for mechanical ventilation; unassisted tracheostomy collar of weaning from prolonged mechanical ventilations; and effects of nighttime intensivist staffing on the hospital mortality rates.

Theoretical Prediction of Lung Hyperinflation(LHI) Due to Asymmetric Pressure-Flow Characteristics of Human Airways During High Frequency Ventilation (HFV)

  • Cha, Eun-Jong
    • Journal of Biomedical Engineering Research
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    • v.11 no.2
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    • pp.195-202
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    • 1990
  • The hypothesis of asymmetric resistance to explain the phenomenon of lung hyperinflation (LHI) during hlgh frequency ventilation (HFV) was quantitatively studied. LHI was predicted by modeling the ism-volume pressure-flow (IVPF) data from 5 human subjects using the empirical Rohrer's equation. Non-steadiness during HFV was compensated by em- ploying recently proposed volume-frequency diagram. Tidal volume and ventilation frequency were 100 ml and 20 Hz, respectively. Airflow pattern was a symmetric sinusoid. The predic- tion results of mean pressure drop across the airways were averaged for those 5 subjects, and compared with zero by one-sided student's t-test. A marginally significant (P<0.1) increase in mean pressure drop was observed during HFV at low lung volumes (below FRC) , which could increase mean lung volume up to one liter When the lung volume was above FRC, no significant LHI (P >0.25) was resulted. LHI seemed to be inversely related to the lung volume. These results recommend to clinically apply HFV only at lung volumes above FRC.

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The Effect of Ventilation and Concentration of Indoor Air Quality at Indoor Parking Lots (실내주차장의 실내공기질 농도특성 및 환기에 의한 저감효과)

  • Park, Jeong-Ho
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.20 no.4
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    • pp.241-247
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    • 2010
  • Recently, indoor air quality (IAQ) has been one of the major concerns of people. Indoor parking lots are subject to be exposed to high concentrations of air pollutants emitted from vehicles. This study was performed to investigate indoor air quality (IAQ) at indoor parking lots. Sampling sites were selected 5 indoor parking lots. Target indoor air quality parameters include a number of criteria pollutants such PM$_{10}$, CO, CO$_2$, and HCHO. In addition, a variation of IAQ according to ventilation system operating was measured at C site (underground parking lot). In general, all pollutants were maintained below indoor air quality maintenance standards. The indoor air quality at indoor parking lots was affected by the availability of the ventilation facility and their operation frequency. At the underground parking lot (C site) with ventilation system, TVOC concentration according to ventilation system operating were found to be lower operating (488.2 ${\mu}g/m^3$) than non-operating (1,401.2 ${\mu}g/m^3$).

Factors influencing arterial $CO_2$ tension in cats during high frequency oscillation ventilation (고빈도 진동 환기가 동맥혈의 호흡성 가스에 미치는 영향)

  • Do, Jun-Young;Lee, Jae-Yick;Lee, Kwan-Ho;Kim, Yeung-Jo;Chung, Jae-Chun;Lee, Hyun-Woo;Lee, Suck-Kang
    • Journal of Yeungnam Medical Science
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    • v.6 no.2
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    • pp.47-55
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    • 1989
  • High frequency ventilation (HFV) is a new ventilatory technique that uses very small tidal volume(less than the anatomic dead space) and high frequency, and classified 4 distinct types according to frequency and mode of gas delivery. The mechanism of gas transport of high frequency oscillation ventilation(HFOV) is somewhat different to other types of HFV. To evaluate the determinants of $PaCO_2$ in HFOV, a study was done with a HFOV on 9 cats, and the results are : 1) $PaCO_2$ was not correlated with frequency at the constant stroke volume(6 voltage) and bias flow (6L/minutes). 2) $PaCO_2$ was correlated with stroke volume but not with bias flow under the constant frequency(15Hz/min) and bias flow(3 to 6L/min). From above results, the main determinant of $PaCO_2$ on artificial ventilation with HFOV was stroke volume, but further study between flow, the site of delivery to the airway and humidification of bias flow and $CO_2$ elimination is required in future research.

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CFD analysis of ventilation efficiency around an elevated highway using visitation frequency and purging flow rate

  • Huang, Hong;Kato, Shinsuke;Ooka, Ryozo;Jiang, Taifeng
    • Wind and Structures
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    • v.9 no.4
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    • pp.297-313
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    • 2006
  • The concentration of air pollution along roads is higher than the surrounding area because ventilation efficiency has decreased due to the high-density use of space along roads in recent years. In this study, ventilation efficiency around a heavily traffic road covered by an elevated highway and hemmed in along its side by buildings is evaluated using Visitation Frequency (VF, the frequency for pollutant to return to the objective domain) and Purging Flow Rate (PFR, the air flow rate for defining the local domain-averaged concentration). These are analyzed using Computational Fluid Dynamics (CFD) based on the standard $k-{\varepsilon}$ model. The VF and PFR characteristics of four objective domains are analyzed in terms of the changes in wind direction and arrangements of the fencing dividing up and down direction in the road center under the elevated highway. The resulting VFs are more than 1.0 for all cases, which means that pollutants return to the objective domain restricted by the elevated highway and side buildings. The influence of the arrangement of the buildings around the objective domain and the structure in the domain on the VF is substantial. In cases where there are no obstacles under the elevated highway, the local air exchange rate in the domain tends to be improved. Using these indices, the urban ventilation efficiencies between different urban areas can be compared easily.

A Study on the Proper Quantity of Ventilation through Changing Floor Temperature in Sleeping (수면시 바닥표면온도에 따른 적정 환기량에 관한 연구)

  • Kim, Dong-Gyu;Lee, Sung;Kim, Se-Hwan
    • KIEAE Journal
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    • v.10 no.1
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    • pp.19-24
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    • 2010
  • Modern people are spending most of time in interior area. Indoor air environmental problem is one of the most effective factors influenceable to human health. Furthermore, saving energy and making ventilation system for pleasant indoor environment are necessary when it is faced shortage of energy over the world. In our country's case, it is already imposed that required quantity of air ventilation in buildings is 0.7 times per hour on "The regulation on building engineering system". As on the rise of the interests about Indoor air environment, Heat and Carbon dioxide emissions from User's metabolism, activity, furniture, and construction materials etc. could be the causes of Indoor air pollution. If these materials stays in Indoor air for so long, it could directly influence the user's health condition with a disease. As of building's sterilization improved that raised more mechanical ventilation. It also leads much energy waste in a period of high price of fossil fuel. Therefore, the way that saves energy and effective control of indoor ventilation is urgently needed. So, this study places the purpose on validating volume of indoor ventilation and user's comfortable degree by comparison CO2 emission rate through changing floor temperature.

Effects of Asymmetric Airway Inertance on Mean Lung Volume During High Frequency Ventilation(HFV)

  • Cha, Eun-Jong
    • Journal of Biomedical Engineering Research
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    • v.11 no.2
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    • pp.203-208
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    • 1990
  • A possible asymmetry in airway inertance was modeled based on previously reported radiographic visualization data of the airway wall fluctuation in intact dogs. Effects of asymmetric Inertance on mean lung volume during high frequency ventilation (HFV) were evaluated in terms of mean inertive pressure drop across the airways. It was found that a negligible inertlve pressure drop was expected ($<1{\;}cmH_20$) in normal subjects, while a sig- nificant rise in mean alveolar pressure compared to mean mouth pressure by approximately $3{\;}cmH_20$ was resulted for about 40% airway fluctuation representing bronchoconstriction state by Histamine induction. These results demonstrate that asymmetric Inertance could lead patients with airway diseases to a significant lung hyperinflation (LHI), and bronchodilation treatment is recommended prior to applying HFV to prevent those patients from a possible barotrauma.

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Tracheal Reconstruction with High Frequency Jet Ventilation in Patients of Tracheal Stenosis (기관 협착 환자에서 고빈도 제트 환기법응 이용한 기관 성형술)

  • 김정택
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.1021-1026
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    • 1990
  • The patients with tracheal stenosis have become more increasing in recent due to the increased use of tracheostomy and assisted ventilation Anesthetic management during tracheal reconstruction is a concern to the anesthetist and the surgeon, who must share the airway as a operation field and at the same time provide good gas exchange. Multiple technique such as the tube ventilation system or C \ulcornerP bypass method have been recommended to achieve this goals. However, these methods have disadvantages of poor surgical exposure and hemorrhagic complication from using C \ulcornerP bypass The technique for HFJV was first described for bronchoscopy, and it involves positive-pressure breathing with high flow[40 \ulcorner60L/min] of oxygen This flow is directed to a semirigid catheter inserted in the endotracheal tube and the tracheal reconstruction can be done without interruption. From Dec. 1986 to July 1990 we have experienced 6 patients of tracheal stenosis necessitating circumferential resection and end to end anastomosis; 5 patients with tracheal stenosis following cuffed tracheostomy or intubation, a patient with tracheal stenosis due to invasive thyroid cancer. The specific advantages during tracheal reconstruction are unobstructed field during surgical reconstruction and good gas exchange through the procedure.

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An Analysis of Human Reaction & IAQ Analysis by Changing the Floor Temperature & Ventilation (바닥온도와 실내 환기에 따른 인체반응 및 실내공기질 분석)

  • Lee, Ji-Weon;Chin, Kyung-Il;Kim, Se-Hwan
    • KIEAE Journal
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    • v.15 no.1
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    • pp.97-102
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    • 2015
  • Recently many buildings are airtight, deterioration takes the high stage. As this room ventilation is increasingly difficult, the importance of indoor air was emphasized. And Got a few provisions on the indoor ventilation, the building is used for other purposes also requires a lot of careful research. In this study, consisting of floor heating ventilation in the room and wants to know the impact on the human body react with the carbon dioxide concentration in the indoor air were investigated PMV. We have get the data through the experimental study like this. It can be inferred correlations of ventilation and temperature according to human comfort that you should consider when using the work of residential buildings in accordance with the changing social conditions and social. It is also determined that in the future through additional experiments related data can be established basic experimental data.