• Title/Summary/Keyword: On-pump

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The Comparison of Clinical Outcomes of Off-Pump versus On-Pump Coronary Artery Bypass Grafting in High Risk Patients (고위험군 환자에서 시행한 On-Pump CABG와 Off-Pump CABG의 비교연구)

  • 윤영남;이교준;김치영;안지영;오영준;유경종
    • Journal of Chest Surgery
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    • v.37 no.9
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    • pp.749-754
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    • 2004
  • Off-pump coronary artery bypass grafting (Off-Pump CABG) has been proven to have less morbidity and to facilitate early recovery. High-risk surgical patients may have benefitted by avoiding the adverse effects of the cardiopulmonary bypass. We compared the effectiveness of Off-Pump CABG with that of coronary artery bypass using cardiopulmonary bypass (On-Pump CABG) in high-risk patients. Material and Method: 682 patients (424 Off-Pump CABG and 258 On-Pump CABG) underwent isolated coronary artery bypass grafting between January 2001 and June 2003. Patients who were considered high risk were selected High risk is defined as the presence of one or more of nine adverse prognostic factors. Data were collected from 492 patients in Off-Pump CABG and 100 in On-Pump CABG for risk factors, extent of coronary disease, and in-hospital outcomes. Result: Off-Pump CABG group and On-Pump CABG group did not show differences in their preoperative risk factors. We used more arterial grafts in Off-Pump CABG group (p < 0.05). Postoperative results showed that operative mortality (0.5% in Off-Pump CABG versus 2.0% in On-Pump CABG), renal failure (2.6% in Off-Pump CABG versus 7.0% in On-Pump CABG), and perioperative myocardial infarction (1.5% in Off-Pump CABG versus 1.0% in On-Pump CABG) did not differ significantly. However, Off-Pump CABG had shorter mean operation time (p<0.05), lower mean CK-MB level (p <0.05), lower rate of usage of inotropics (p < 0.05), shorter mean ventilation time (p <0.05), lower perioperative stroke (0% versus 2.0%), and shorter length of stay (p < 0.05) than On-Pump CABG. On-Pump CABG had more distal grafts (p<0.05) than Off-Pump CABG. Although Off-Pump CABG and On-Pump CABG did not show statistical differences in mortality and morbidity was more frequent in CABG. Conclusion: Off-Pump CABG reduces morbidity and favors hospital outcomes. Therefore, Off-Pump CABG is safe, reasonable and may be a preferable operative strategy for high-risk patients.

The Comparison of Clinical Outcomes of Off-pump versus On-pump Coronary Artery Bypass Grafting in Diabetes Patients (당뇨 환자에서 시행한 Off-pump CABG와 On-pump CABG의 비교 연구)

  • 송석원;임상현;홍순창;조수진;장병철;강면식;신혜란;유경종
    • Journal of Chest Surgery
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    • v.37 no.7
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    • pp.553-558
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    • 2004
  • Avoiding cardiopulmonary bypass (CPB) in coronary artery bypass grafting (CAB G) has been known to reduce early mortality and morbidity. Diabetes Mellitus is a significant risk factor for adverse early and late outcomes after CABG. We compared the clinical results of off-pump CABG versus on-pump CABG in diabetes patients. Material and Method: 682 patients (424 off-pump CABG and 258 on-pump CABG) underwent isolated coronary artery bypass grafting between January 2001 and June 2003. Data were collected 242 patient who had diabetes. Among them, 154 patients underwent off-pump CABG and 90 patients underwent on-pump CABG. We analyzed the preoperative risk factors and postoperative results between 2 groups. Result: Two groups did not show statistical differences in age, sex, coronary and operative risk factors. Operative time was significantly shorter in off-pump CABG, however, number of grafts was fewer in off-pump CABG. Postoperative inotropic usage was lower in off-pump CABG. Postoperative CK-MB level was lower in off-pump CABG, and ICU stay and ventilation time was significantly shorter in off-pump CABG. However, there was no statistical difference between 2 groups in operative mortality, reoperation rate, perioperative myocardial infarction, wound infection, renal failure, neurological complications and hospital stay. Conclusion: Off-pump CABG group showed less myocardial damage and early recovery. We concluded that off-pump CABG is the more reasonable technique in diabetes patients although two techniques showed good results. The long-term follow up and prospective study may be warranted.

A Study on Torque Efficiency Test Method of Tandem Pump (탠덤 펌프의 토크효율 시험방법에 관한 연구)

  • 유진산;함영복;김성동
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1997.10a
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    • pp.282-285
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    • 1997
  • The torque efficiency of oil hydraulic pump is an important factor for it's performance characteristics. A study on the performance test method of oil hydraulic pump is based on test standard, but there is to be desired an study for double or tandem type oil hydraulic piston pump. So in this study present a test method on the tandem pump for torque efficiency and analysis method of the results.

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A Comparative Study Between On-Pump and Off-Pump Coronary Artery Bypass Grafting on Clinical Outcomes

  • Moon Seong-Min;Choi Seok-Cheol
    • Biomedical Science Letters
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    • v.10 no.3
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    • pp.237-243
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    • 2004
  • In recent, many cardiac centers have preferred off-pump coronary artery bypass grafting (CABG) to on-pump CABG to prevent the adverse effects of cardiopulmonary bypass. The present study was performed to prove beneficial effects of off-pump CABG. Sixty adult patients scheduled for elective CABG were randomly assigned to On-pump group (n=30) or Off-pump group (n=30). Arterial blood samples were drawn before and after the operation (Pre-OP and Post-OP, respectively) for measuring CBC, prothrombin time, activated thromboplastine time, blood gas analysis, creatine kinase-MB (CK-MB) level, and lactate dehydrogenase (LDH) level. Perioperative parameters including heparin and protamine usages, complications, blood components usages, blood loss, ventilation and ICU-staying time, and hospitalization were also evaluated. Platelet count at Post-OP was high in Off-pump group whereas CK-MB and LDH levels were low compared with On-pump group. Off-pump group had significantly lower heparin and protamine usages, lower total leukocyte count, higher hematocrit and hemoglobin levels, less blood loss, lower usages of blood components, shorter ventilation and ICU-staying time, and lower incidence of pleural effusion than On-pump group. Other variables did not significantly differ between two groups. These results showed that Off-pump CABG was a satisfactory technique with less inflammatory reaction, less cardiac damage, less postoperative complications, and less cost.

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The Comparison of Clinical Study of Off Pump and On Pump CABG (On Pump-CABG와 Off Pump-CABG의 임상적 고찰에 관한 비교연구)

  • 유경종;임상현;송석원;김치영;홍유선;장병철
    • Journal of Chest Surgery
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    • v.35 no.4
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    • pp.261-266
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    • 2002
  • In an attempt to avoid the adverse effects of the cardiopulmonary bypass, off pump coronary artery bypass grafting(Off pump CABG) that has recently been rediscovered and refined. We compared the preoperative risk factors and in-hospital outcomes of patients done Off pump with those done On pump CABG. Material na Method: One hundred seventy eight patients was underwent CABG between January 2001 and July 2001 12 patients whom underwent associated valvular or left ventricular volume reduction surgery were excluded in this study Data were collected for 52 Off pump CABG and 114 On pump CABG for patient and disease risk factors, extent of coronary disease, and in-hospital outcomes. Result: Off pump CABG and On pump CABG groups did not show any differences in their patient and disease risk factors, and extent of coronary disease. Off pump CABG group had significantly lower mean operation time(234 $\pm$ 37 min vs 290 $\pm$ 48 min, p<0.001), lower mean CK-MB level(10.1 $\pm$ 13.5 IU/L vs 33.1 $\pm$ 18.2 IU/L, p<0.001) and mean ventilation time(14.8 $\pm$ 3.5 hours vs 16.2 $\pm$ 4.9 hours, p=0.048) than On pump CABG groups. On pump CABG group had significantly more distal grafts(3.4 $\pm$ 0.9 vs 2.6 $\pm$ 0.8, p<0.001) than Off pump CABG groups. There were no operative mortality in two groups. Off pump) CABG and On pump CABG groups did not show any differences in their postoperative complications and outcomes including perioperative myocardial infarction, stroke, respiratory failure, renal failure, reoperation, the amount of bleeding, the need of intraaortic balloon pump, the need of inotropics, and the stay of intensive care unit and hospital. Two patients were converted to On pump CABG. Conclusion: This study showed that patients having Off pump CABG are not exposed to a greater risks of adverse outcomes and also provided evidence that patients having Off pump CABG have significantly lower operation time, CK-MB, ventilation time and less distal grafts. Although there may be potential benefits to Off pump CABG, further studies must be directed to determine those patients who would benefit from Off pump CABG.

The Analysis of Life Cycle Cost and Cooling Water Circulating Pump Energy Saving According to Variable Speed Pressure Differential Setpoint Control Strategy

  • Kim, Seo-Hoon;Kim, Jong-Hun;Jang, Cheol-Yong;Song, Kyoo-dong
    • KIEAE Journal
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    • v.15 no.4
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    • pp.37-43
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    • 2015
  • Purpose : The study applied control strategy to reduce through optimal control and operation of pump by applying control on variable speed to the circulation pump of HVAC system in the office building. The study has the purpose to review validity of control on variable speed as ESMs(Energy Saving Measures) and establish the control technology on variable speed pump. The study performed reduction analysis of building energy and economic evaluation of pump through energy effectiveness control strategy of HVAC system. Method: The study sought possible reduction through energy control strategy which can provide proper flow fitting to building load by applying control on variable speed pump. The study applied control strategy to reduce through pressure differential set-point control and operation of pump by applying control on variable speed to the circulation pump of HVAC system in the office building. Result : The results showed that about 16-35% of pump energy could be saved by using these optimal control strategies. In the result of analysis on 10 years life cycle cost of analysis on payback period of initial investment pump, variable speed pump control showed 5.1 years.

Effects of the Impeller Shapes on the Non-Clogging and the Screw-type Centrifugal Pump Performances (논클로그 및 스크류식 원심펌프의 임펠러 형상이 펌프성능에 미치는 영향)

  • Kim, Dong-Joo;Suh, Sang-Ho;Sung, Sun-Kyung
    • The KSFM Journal of Fluid Machinery
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    • v.1 no.1 s.1
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    • pp.81-89
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    • 1998
  • In this study, the effects of the impeller shapes on the pump performances of the non-clogging and the screw-type centrifugal pumps are experimentally studied. The characteristics of total head, efficiency and power of the non-clogging pump increase as the number of vanes increases. The screw-type centrifugal pump with the linear-shape vane shows a little better performance than that of the screw-type centrifugal pump with the curved-shape vane. The differences in the characteristics of total head, efficiency and power are, however, insignificant. Therefore, it is advisable that, considering the convenience of pump manufacturing, the screw-type centrifugal pump with the linear-shape vane should be used. This study also compares the pump characteristics of the non-clogging pump and screw-type centrifugal pump. The characteristics of total head and efficiency of the non-clogging pump are better than those of the screw-type centrifugal pump. The screw-type centrifugal pump requires more shaft power than the non-clogging pump.

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Numerical Analysis on the Flow Uniformity in a Pump Sump Model with Multi Pump Intake (다중 흡수정을 갖는 펌프장 모델의 유동균일성 해석)

  • Choi, Jong-Woong;Choi, Young-Do;Lim, Woo-Seop;Lee, Young-Ho
    • The KSFM Journal of Fluid Machinery
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    • v.12 no.4
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    • pp.14-22
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    • 2009
  • The head-capacity curves for pumps developed by the pump manufacturer are based on tests of a single pump operating in a semi-infinite basin with no close walls or floors and with no stray currents. Therefore, flow into the pump intake is with no vortices or swirling. However, pump station designers relying on these curves to define the operating conditions for the pump selected sometimes meet the reductions of capacity and efficiency, as well as the increase of vibration and additional noise, which were caused by air-entered flow in the pump station. From this background, the authors are carrying out a systematic study on the flow characteristics of intakes within a sump of pump station model. Multi-intake sump model with anti-submerged vortex device basin is designed and the characteristics of submerged vortex is investigated in the flow field by numerical simulation. In this study, a commercial CFD code is used to predict the vortex generation in the pump station accurately. The analysed results by CFD show that the vortex structure and effect of anti-submerged vortex device are different at each pump intake channel.

A Study on Effects of Piston Pumping Phase on Vibration and Noises of Tandem Swash Plate Type Axial Piston Pump(1) (피스톤 펌핑 위상이 텐덤형 사판식 액셜 피스톤 펌프의 진동 ${\cdot}$ 소음에 미치는 영향에 관한 연구(1))

  • Park, Sung-Hwan;Lee, Jin-Kul
    • Journal of the Korean Society for Precision Engineering
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    • v.16 no.5 s.98
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    • pp.74-82
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    • 1999
  • To meet the needs of the hydraulic excavator of large capacity, tandem axial type piston pump which is high pressure and high speed have been developed. But inevitably we can not help facing the problem of noise at that time. In order to reduce the noise of this pump, many researchers have been studying the problem of oil distribution manner. But they are not interested in the symmetric structure of tandem type pump. So, focusing on the symmetric structure of tandem type pump, this paper analyzed unbalanced force developed in the pump chamber and verified the effect of the pumping phase of the piston on vibration and noise of the tandem axial type piston pump theoretically.

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Development of Pump Selection Computer Program with Pump Performance Viscosity Correction Function (점도보정을 고려한 펌프선정 프로그램 개발)

  • Kim, Jin-Kwon;Jeon, Sang-Gyu
    • 유체기계공업학회:학술대회논문집
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    • 2004.12a
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    • pp.189-192
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    • 2004
  • Utilizing pump selection softwares is becoming a new general trend in pump industries, substituting the old fashioned pump catalogs. One of the most powerful pump selection softwares is developed, which features pump performance viscosity correction function as well as pump selection based on the exact pump performance curves, NPSH warning, automatic determination of impeller diameter cutting to meet the customer's performance specification, performance simulation for the rpm and diameter variation, standard motor recommendation according to the motor standards and enclosure types and automatic pump datasheet generation for sales submission, automatic pump drawings and dimension generation for installation check and part preparation. This software provides pump distributors and customers with a quick, easy and exact pump selection, various performance curves review (system curves, performance curve of series or parallel operation) of the selected pumps.

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