• 제목/요약/키워드: drainage method

Search Result 894, Processing Time 0.033 seconds

Efficacy of a 14Fr Blake Drain for Pleural Drainage Following Video-Assisted Thoracic Surgery (비디오 흉강경 수술에 적용된 14Fr Blake Drain의 효능 분석)

  • Choi, Jinwook;Choi, Ho;Lee, Sungsoo;Moon, Jonghwan;Kim, Jongseok;Chung, Sangho;An, Hyoungwook
    • Journal of Chest Surgery
    • /
    • v.42 no.1
    • /
    • pp.59-62
    • /
    • 2009
  • Background: Pleural drainage following video-assisted thoracic surgery has traditionally been achieved with largebore, semi-rigid chest tubes. Recent trends in thoracic surgery have been toward less invasive approaches for a variety of diseases. The purpose of this study was to evaluate the safety and efficacy of drainage by means of small, soft, and flexible 14Fr Blake drains. Material and Method: Between December 2007 and March 2008, 14Fr silastic Blake drains were used for drainage of the pleural cavity in 37 patients who underwent a variety of video-assisted thoracic surgical procedures at our institution. Result: The average postoperative length of hospital stay was 3.26 days (range, 2~12 days), Blake drains were left in the pleural space for an average of 3.15 days (range, 1~7 days), and the average amount of drainage was 43.8 ml/day. The maximal amount of blood removed daily by a Brake drain was as much as 290 mL. There were no drain-related complications. Blake drains seemed to cause less pain while in place, and particularly at the time of removal. Conclusion: The use of a Blake drain following minor thoracic surgery appeared to be safe and effective in drainage of fluid or air in the pleural space, and were associated with minimal discomfort.

Varied Flow Analysis for Linear Drainage Channels (선형 배수로에 대한 부등류 해석)

  • Ku, Hye-Jin;Jun, Kyung-Soo
    • Journal of Korea Water Resources Association
    • /
    • v.41 no.8
    • /
    • pp.773-784
    • /
    • 2008
  • The present study was carried out to examine flow properties in linear drainage channels such as road surface drainage facilities. The finite difference formulation for the varied flow analysis was solved for flow profiles in the channels. Starting the first step at the control section, the Newton-Raphson method was applied for producing numerical solutions of the equation. We considered two types of linear drainage channels, a channel with one outlet at downstream end and a channel with two outlets at both ends. Moreover, the flow analysis for various channel slopes was performed. However, we considered channels with the two outlets of slopes satisfying the condition that the both ends are the control section. The maximum of those slopes was decided from the relation between the channel slope and the location of control section. The flow of a channel with one outlet was calculated upward and downward from the control section existing in channel or upward from the control section at downstream end. The flow of a channel with two outlets at both ends were calculated for upstream and downstream channel segments divided by the water dividend, respectively and the flow analysis was completed when the water depth at the water dividend calculated from upstream end was equal to that calculated from downstream end. If the slope was larger than the critical slope, the channel with two outlets was likely to behave like the channel with one outlet. The maximum water depth was investigated and compared with that calculated additionally from the uniform flow analysis. The uniform flow analysis was likely to lead a excessive design of a drainage channel with mild slope.

Evaluation of pore water pressure on the lining during tunnel operation (운영 중 터널에 작용하는 간극수압 평가기법)

  • Shin, Jong-Ho;Shin, Yong-Suk;Choi, Kyu-Cheol
    • Journal of Korean Tunnelling and Underground Space Association
    • /
    • v.10 no.4
    • /
    • pp.361-369
    • /
    • 2008
  • Control of ground water is one of the most important factors for long-term operation of tunnel because most of tunnel is located in the ground. In case of leakage tunnel, there is no pore water pressure on the lining when the drainage system is properly working. After long-term operation, however, the pore water pressure can be developed on the lining due to the deterioration of the drainage system. The increased pore water pressure on the lining is termed here as 'residual pore water pressure'. Residual pore water pressure can be measured by piezometer, but it is generally not allowed because of damages of drainage system. Therefore, an indirect and nondestructive method is required for evaluating the residual pore water pressure. Moreover, understanding of pore water pressure is needed during healthy operation of the lining. In this study, a new method for evaluation of pore water pressure on the lining during operation is proposed using theoretical and numerical analysis. It is shown that the method is particularly useful for stability investigation of pore water pressure on the lining during operation using theoretical analysis with normalized pore water pressure curve.

  • PDF

A Study on leakage monitoring of tunnel linings using the electric resistivity survey (전기비저항탐사를 이용한 터널라이닝 누수조사 연구)

  • Shin, Jong-Ho;Shin, Yong-Seok;Yoon, Jong-Ryeol;Kim, Ho-Jong
    • Journal of Korean Tunnelling and Underground Space Association
    • /
    • v.10 no.3
    • /
    • pp.257-267
    • /
    • 2008
  • Tunnels acting as drains involve groundwater-related problems such as deterioration of drainage systems or leakage through the linings. Generally initial and minor leakage problems can not be recognized by naked eyes. When the leakage over the linings is noticed, damages to structures and facilities have already occurred and could be considerable. Therefore it is vital to recognize initial leakage as early as possible and provide appropriate measures. Detection of leakage under operation requires installing piezometer. However, that may cause destruction of water proofing sheet which is generally not allowed. In this study electric resistivity method, one of the geophysical surveys, was adopted to detect possible leakage through tunnel linings. Physical lining models were made in the laboratory. The electric response was monitored for varying hydraulic conditions. It is shown that the method is very useful to detect initial leakage and monitor the malfunction of drainage system. Furthermore the method can also be used to check the quality of any repairing works of linings.

  • PDF

Evaluation of Drainage Capacity of Precast Concrete-panel Retaining Wall Attached to In-situ Ground Using Numerical Analysis (수치해석을 이용한 원지반 부착식 판넬옹벽의 투수성 평가)

  • Kwon, Youg Kyu;Lee, Jae Won;Hwang, Young-cheol;Ban, Hoki;Lee, Minjae
    • Journal of the Korean Geotechnical Society
    • /
    • v.37 no.3
    • /
    • pp.43-50
    • /
    • 2021
  • On the construction of new roads, the cut slope is inevitable and thus has been widely applied in the mountainous area. Particularly, the retaining wall with the precast concrete panel is often selected for its higher stability and mostly constructed in bottom-up method. However, the bottom-up method results in steeper slope as 1:0.05 before constructiong retaining wall and thus causes poor compaction at backfill which may induce instability during or after the construction. To overcome this problem, precast concrete panel retaining wall was attached in-situ ground (so called top-down). This paper presents the evaluation of drainage capacity of top-down method which has impermeable layer between panel and mortar being used to increase the ability of attachment of the precast concrete panel.

Assessing the Unit Load Reduction Equation of Drainage Outlet Raising Management in Paddy Fields (논 물꼬관리 기법 적용에 따른 원단위 삭감부하량 산정식 평가)

  • Kim, Dong-Hyeon;Oh, Heung-Keun;Jang, Taeil;Ham, Jong-Hwa
    • Journal of The Korean Society of Agricultural Engineers
    • /
    • v.65 no.2
    • /
    • pp.35-45
    • /
    • 2023
  • The DOR (Drainage outlet raising) in the paddy field has been suggested as one of the most important best management practices for the TMDL (Total maximum daily load) management in the technical guidelines by the NIER (National institute of environmental research). However, this method is underestimated and is not well adopted by local governments for the TMDL. The purpose of this study is to evaluate the unit load reduction equation according to the application of DOR in order to expand this equation. The original equation in the guideline was derived using the HSPF (Hydrological Simulation Program-Fortran) model for 1 year in Changnyeong. We analyzed the reduction effect of the original equation application by collecting additional long-term monitoring data from the Buan, Icheon, Iksan, and Jeonju. When comparing the reduction loads between the original equation and monitoring results, the evaluation results of the original equation were 11% of the monitoring analysis results, which was underestimated. This means that the original equation needs to be improved. For assessing the equation, the HSPF Paddy-RCH model was established according to the NI ER guideline and evaluated for applicability. The performance results of the model showed a reasonable range by the statistical criteria. Modified equations 1 and 2 were proposed based on the monitoring and modeling results. Modified equation 1 was the method of modifying the original equation's main factors, and modified equation 2 was the method of applying the non-point pollution reduction efficiency according to the rainfall class using the long-term modeling results. At the level of 58.6~64.6% of monitoring data, the difference between them could be further reduced compared to the original equation. The suggested approach will be more reasonable and practicable for decision-makers and will contribute to the TMDL management plans.

Effects of Intracavitary Urokinase Instillation in Complicated Pleural Effusion (합병성 흉막 삼출에 대한 국소적 Urokinase 주입치료 효과에 관한 연구)

  • Sohn, Dong-Hyun;Yoon, Su-Mi;Kim, Chung-Mi;Park, Ik-Soo;Sohn, Jang-Won;Yang, Seok-Chul;Yoon, Ho-Joo;Shin, Dong-Ho;Park, Sung-Soo
    • Tuberculosis and Respiratory Diseases
    • /
    • v.48 no.3
    • /
    • pp.357-364
    • /
    • 2000
  • Background : Complicated exudative pleural fluid collections have traditionally been treated by either closed tube thoracostomy drainage or by open surgical drainage. Complete drainage is important in order to control pleural sepsis, restore pulmonary function, and entrapment. Recently intracavitary fibrinolytic therapy has been advocated as a method to facillitate drainage of complicated exudative pleural effusion and to allow enzymatic debridemant of the restrictive fibrinous sheets covering the pleural surface. The purpose of this study is to prospectively evaluate the effects of image-guided catheter drainage with high dose urokinase(UK) instillation in the treatment of complicated pleural effusions. Patients : Twenty complicated pleural effusion patients that poorly respond to image-guided drainage were allocated to receive UK. There were 8 pneumonia and 12 tuberculosis. Methods : Drugs were diluted in 250 mL normal saline and were infused intrapleurally through the chest tube or pig-tail catheter in a daily dose of 250,000 IU of UK. Response was assessed by clinical outcome, fluid drainage, chest radiography, pleural ultrasound and/or computed tomography. Results : The mean UK instillation time was $1.63{\pm}0.10$. The mean volume drained UK instillation was $381.3{\pm}314.4\;mL$, and post-UK was $321.6{\pm}489.5\;mL$. The follow up duration after UK therapy was mean $212.9{\pm}194.5$ days. We had successful results in 19 cases (95.0%). There were 12 pleural thickenings (60.0%), 2 markedly decreased effusions (10.0%) and 5 cases of no thickening or effusion. There was recurrence after treatment in only one patient(5%) with complicated pleural effusiondue to tuberculosis. Conclusions : Image-guided drainage with high dose UK instillation (250,000 U/day) in complicated pleural effusion is a safe and more effective method than closed thoracostomy drainage. And this management, in turn, can obviate surgery in most cases.

  • PDF