• Journal of The Korean Society of Clinical Toxicology
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• 제8권2호
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• pp.106-112
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• 2010

Purpose: The purpose of this study is to investigate the factors that predict using mechanical ventilation for patients with organophosphate intoxication. Methods: We retrospectively reviewed the medical records of 111 patients with acute organophosphate intoxication and who were treated in our emergency center from January 2000 to December 2008. We compared the toxicologic characteristics, the laboratory findings and the APACHE II scores between the Mechanical Ventilation group (MV group) and the non-Mechanical Ventilation group (the non MV group). Results: Sixty three patients were in the MV group and 48 patients were in the non MV group. In the MV group, the patients had an older age (p<0.001), a larger amount of ingestion (p<0.001), a lower initial serum cholinesterase level (p=0.003), a higher APACHE II score (p<0.001) and they ingested a more toxic agent (p=0.001). There were no significant differences in gender, the type of visit and the arrival time between the MV group and the non MV group. Conclusion: We suggest that the patient's age, the amount of organophosphate ingestion, the toxicity of the agent, the initial serum cholinesterase level and the APACHE II score are important factors to determine if mechanical ventilation will be applied for patients with organophosphate intoxication.

• Tuberculosis and Respiratory Diseases
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• 제86권2호
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• pp.133-141
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• 2023

Background: The present study evaluated the association between participation in a rehabilitation program during a hospital stay and 1-year survival of patients requiring at least 21 days of mechanical ventilation (prolonged mechanical ventilation [PMV]) with various respiratory diseases as their main diagnoses that led to mechanical ventilation. Methods: Retrospective data of 105 patients (71.4% male, mean age 70.1±11.3 years) who received PMV in the past 5 years were analyzed. Rehabilitation included physiotherapy, physical rehabilitation, and dysphagia treatment program that was individually provided by physiatrists. Results: The main diagnosis leading to mechanical ventilation was pneumonia (n=101, 96.2%) and the 1-year survival rate was 33.3% (n=35). One-year survivors had lower Acute Physiology and Chronic Health Evaluation (APACHE) II score (20.2±5.8 vs. 24.2±7.5, p=0.006) and Sequential Organ Failure Assessment score (6.7±5.6 vs. 8.5±2.7, p=0.001) on the day of intubation than non-survivors. More survivors participated in a rehabilitation program during their hospital stays (88.6% vs. 57.1%, p=0.001). The rehabilitation program was an independent factor for 1-year survival based on the Cox proportional hazard model (hazard ratio, 3.513; 95% confidence interval, 1.785 to 6.930; p<0.001) in patients with APACHE II scores ≤23 (a cutoff value based on Youden's index). Conclusion: Our study showed that participation in a rehabilitation program during hospital stay was associated with an improvement of 1-year survival of PMV patients who had less severe illness on the day of intubation.

• Journal of Korean Academy of Nursing
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• 제31권1호
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• pp.31-42
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• 2001

This study was done to evaluate the effect reducing artificial dead space on intubated children. Data were collected from July 1st, 1998 to August 31st, 1999. The subjects were selected from a pediatric intensive care unit of 'S' hospital and intubated with 3.5 mm or 4.5 mm endotracheal tube after open heart surgery. They were composed of 34 patients : 17 patients were assigned to the experimental group and the rest of them were placed in the control group. The artificial airway volume was minimized in the experimental group, and the control group maintained the artificial airway volume. ETCO2, PaCO2, SPO2 were measured as indicators of pulmonary ventilation. The tools of this study were GEM-Premier and Space-Lab patient monitors. The data were analyzed using the SPSS/PC+ program. The $\chi$2 -test was used to find general characteristics. The t-test was used to test the homogenety of the pulmonary ventilation status and mechanical ventilation setting before intervention between the two groups. Also, the paired t-test was used to examine the hypothesis. The results can be summerized as : 1. CO2 can be expelled effectively from the body in case artificial dead space was decreased. 2. As the artificial dead space was reduced, the difference between ETCO2 and PaCO2 was decreased, in other words pulmonary ventilation was improved. 3. If the artificial dead space occupied above 15 percent of tidal volume, the effect of CO2 was retention revealed in the body. 4. If the artificial dead space occupied below effect. Based on the results, the following is suggested to be applied practically : 1. A kind of the ventilator circuit acting artificial dead space should be removed from the intubated children with mechanical ventilaion. 2. The endotracheal tube should not be cut because extra-body space of the endotracheal tube did not have an effect on the dead space of the intubated children. Since the researcher could not cover this aspect in the study, they recommend the following. 1. The study should be extended to the other pulmonary disease patients for the effect of improving pulmonary ventilation. 2. Also, further studying with a more narrow interval in the extra-body space of the artificial airway will be able to explain the point of artificial dead space with proper ventilation.

• Fire Science and Engineering
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• 제23권5호
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• pp.117-124
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• 2009

The objective of this research is to analyze the ventilation performance of mechanical ventilation systems to enhance removal efficiency of indoor hamful gases. The ventilation performance is evaluated using a step-down method based on ASTM Standard E741-83. The ventilation performance is evaluated as a function of the ventilation rate and supply/extract locations using a tracer gas ($CO_2$) technique. As a result, the $CO_2$ concentration as a function of time is decayed exponentially and the ventilation performance is found to increase with increased the ventilation rate. The ventilation performance of the second type ventilation system is better than that of the first type or the third type. The ventilation performance without human occupancy increases up to 55% and the ventilation performance with one person increases up to 25% at the supply air of 570Lpm comparing with a natural reduction after one hour in the test chamber. The ventilation performance is better than 15% comparing with natural decay at the supply of 570Lpm in an office room.

• Plant Journal
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• 제4권2호
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• pp.66-72
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• 2008

In this inquiry, I would suggest jet ventilation system for effective elimination of welding flaw at machinery material welding shop on plant and evaluate the airstream on inner space and property of welding flaw's density through the examination. We can know outer atmosphere inflows at the speed of about 0.05m/s from western entrance in case of stopping the jet ventilation system, but airstream is accumulated on entire space. At height of worker's breathing surface(Ground Level = 1.5 m, below of GL) and welding work center, density of welding flaw on upper part(GL = 12m) is appeared 4 times higher than outer atmosphere at surplus range besides nearby of western entrance. At operation of jet ventilation system, since the smooth air current transfer at inner space and exhaust effect the wind speed is maintained at 0.932 m/s at the point of height of worker's breathing surface on inner space and it's concluded about the working conditions have been better than before operation of jet ventilation system because of that results show that inner space density of welding flaw at height of worker's breathing surface is 40.5%, and in the work shop, it is 20.3% at upper part.

• Journal of Hydrogen and New Energy
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• 제35권3호
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• pp.324-335
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• 2024

The container package type sealed water electrolysis production system installs mechanical balance of plant and electrical balance of plant as an integrated unit to enable independent operation within the package module. The auxiliary equipment required to operate the water electrolysis system must be integrated to reduce the installation area and shorten the installation time. At this time, as leak risk factors are placed in a dense space, when a hydrogen gas leak accident occurs, it can have a mutual influence on other adjacent facilities, so it contains various risk factors. In this study, when a gas leak occurs in a container packaged water electrolysis system, possible sources of leakage in the system according to the KS C IEC 60079-10-1:2015 and KGS GC101 standards were identified, and the leak rate and leak characteristics were calculated. did. The hazardous area and its range were calculated according to ventilation and dilution characteristics. In order to optimize ventilation characteristics, design of experiment was used to analyze the influence to evaluate the adequacy of ventilation, and overseas ventilation standards were analyzed and compared. In addition, the optimal ventilation structure and characteristics of the container packaged water electrolysis system were presented according to the results of the experimental design method.

• Journal of the Korean housing association
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• 제15권5호
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• pp.77-84
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• 2004

The mock-ups of ventilation system, which has been widely adopted for the bathroom with the area of 100 $m^2$ apartment housing, were established and tested to design mechanical ventilation for apartment housing bathroom where air supply exhaust are relatively important. These ventilation mock-ups were capable of controlling intake and exhaust, which has the size of supply openings as 40cm${\times}$1cm, 40cm${\times}$3cm, 40cm${\times}$5cm. They were established at five locations, spaced 40cm from each other at a height of 25cm from the floor. The exhaust fans were located at four corners and center of the ceiling. The results this ventilation effect measurement by different condition are showing that when the size of air supply is bigger and the location is lower, the effect of ventilation was relatively higher. In addition, as the distance between exhaust fan and air supply was farther, the ventilation effect were getting highly efficient.

• Proceedings of the KSME Conference
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• 대한기계학회 2001년도 춘계학술대회논문집B
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• pp.87-92
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• 2001

In automobile highway tunnels, in order to maintain a suitable environment for drivers and traffic, visibility in the tunnel must be maintained, and the concentrations of poisonous substances including carbon monoxide must be kept at or below allowable levels. For this reason, in long tunnels and tunnels with heavy traffic, ventilation facilities are installed. When the ventilation facilities are run at full capacity, the environment in the tunnel is obviously adequately maintained, but this consumes a great deal of electric power. Consequently, a central problem in highway tunnel ventilation control systems is to keep the pollution concentration at or below the allowable level, and thus provide a safe environment for traffic, while consuming as little electricity as possible. This paper introduces an operation method of longitudinal flow ventilation systems with jet-fan, dust collector and vertical ducts.

• Journal of Chest Surgery
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• 제26권1호
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• pp.64-66
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• 1993

We experienced 2 cases of surgical immobilization with Judet`s strut for flail chest with multiple rib fractures. The patients were undertaken explorative thoracotomy for unevacuated hematoma and chest wall fixation for paradoxically moving segments of ribs after initial trials of internal fixation, i.e. mechanical ventilation with endotracheal intubation. Immediately after operation, the patient`s general condition and respiratory status were improved remarkably. Mechanical ventilation and endotracheal intubtion were removed on postoperative second day without any events.

• Journal of Korean Neurosurgical Society
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• 제54권4호
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• pp.359-362
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• 2013

Chronic hypoventilation due to injury to the brain stem respiratory center or high cervical cord (above the C3 level) can result in dependence to prolonged mechanical ventilation with tracheostomy, frequent nosocomial pneumonia, and prolonged hospitalization. Diaphragm pacing through electrical stimulation of the phrenic nerve is an established treatment for central hypoventilation syndrome. We performed chronic phrenic nerve stimulation for diaphragm pacing with the spinal cord stimulator for pain control in a quadriplegic patient with central apnea due to complete spinal cord injury at the level of C2 from cervical epidural hematoma. After diaphragmatic pacing, the patient who was completely dependent on the mechanical ventilator could ambulate up to three hours every day without aid of mechanical ventilation during the 12 months of follow-up. Diaphragm pacing through unilateral phrenic nerve stimulation with spinal cord stimulator was feasible in an apneic patient with complete quadriplegia who was completely dependent on mechanical ventilation. Diaphragm pacing with the spinal cord stimulator is feasible and effective for the treatment of the central hypoventilation syndrome.