• Title/Summary/Keyword: 인공호흡

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The Effects of Training on the Proper Use of Respiratory Rate Measurement Devices for Providing High-Quality Artificial Ventilation

  • Jae-Ran Lim;Sung-Hwan Bang;Hyo-Suk Song;Gyu-Sik Shim;Ho-Jin Park
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.3
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    • pp.165-171
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    • 2024
  • This study aims to investigate the appropriate volume of artificial ventilation and success rate when Basic - emergency medical Technician administer bag valve mask(BVM) artificial ventilation to patients experiencing respiratory failure or respiratory arrest using a respiratory rate measurement device. The research was conducted from December 11th to 12th, 2023, targeting 20 Basic - emergency medical Technicians enrolled at D University. Ten participants were selected for the experimental group, receiving BVM ventilation training with the use of a respiratory rate measurement device, while the other ten were assigned to the control group, receiving BVM ventilation training without the use of a respiratory rate measurement device. The experiment involved providing artificial ventilation for 2 minutes. The results of the study indicated that the control group did not provide accurate tidal volume (p=.025). The experimental group demonstrated a higher success rate of ventilation over the 2-minute period, while the control group showed a significant difference (p=.001). Subjective perception of tidal volume and objectively measured tidal volume also exhibited a significant difference in the control group (p=.010). Therefore, training with a respiratory rate measurement device can align the subjective perception of tidal volume with objective measurements, increase the success rate of ventilation, and potentially contribute to improving survival rates in patients experiencing respiratory failure or respiratory arrest during cardiopulmonary resuscitation.

The Wireless Monitoring System of Respiration Signal (호흡신호 무선 통신 시스템 개발)

  • Son, Byoung-Hee;Jang, Jong-Chan;Yang, Hyo-Sik;Cha, Eun-Jong
    • Journal of the Institute of Convergence Signal Processing
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    • v.12 no.3
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    • pp.157-162
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    • 2011
  • This study is about implementing wireless transferring system in pre-hospital cardiopulmonary resuscitation(CPR). Also, this study includes monitoring based feedback between patient and hospital to increase the survival rate of emergency patient by developing the performance of cardiopulmonary resuscitation in pre-hospital. It minimizes the loss of flow rate or gastric inflation through the space between the airway and the esophagus, which enables the inspiration-expiration rate to be measured more precisely. Due to these reasons this study applied ET insertion based respiratory sensor to measure flow rate. The main indices of artificial ventilation are justified from minute respiration(V), end-tidal $CO_2(E_TCO_2)$, and tracheal pressure($P_{tr}$). The simulation is performed to verify the bandwidth and delay time of transport network for in-hospital monitoring even as transporting images and voice information simultaneously. The total bandwidth is 815 kbps, and WLAN (IEEE 802.11x) is used as communication protocol. The network load is under 1.5% and the transmit delay time is measured under 0.3 seconds.

Accuracy Evaluation of Respiratory Air Flow Transducer for Artificial Ventilation (인공호흡시 호흡기류 계측 센서의 정확도 평가)

  • Lee, In-Kwang;Park, Mi-Jung;Kim, Kyoung-Ok;Shin, Eun-Young;Shon, Ho-Sun;Cha, Eun-Jong;Kim, Kyung-Ah
    • Journal of the Korean Society of Radiology
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    • v.9 no.7
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    • pp.425-431
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    • 2015
  • Measurement accuracy was evaluated for the respiratory air flow transducer developed for applications under emergent situations. Pressure-Flow calibration equation was obtained by acquisition of air flow signals from the transducer in response to 6 flow waveforms, similar to those of artificial ventilation, generated by the standard flow generator system. Tidal volume and maximal flow rate were calculated on the flow signal then compared with the error-free data obtained by the linear displacement transducer of the flow generator system. Mean relative error of the tidal volume was within 3% and that of the maximal flow rate, approximately 5%, demonstrating accurate enough measurements. Therefore, the transducer could be applied to emergent situations to monitor the respiratory air flow signal as well as diagnostic parameters in real time.

인공아가미기술

  • Heo, Pil-Woo
    • 기계와재료
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    • v.22 no.3
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    • pp.110-119
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    • 2010
  • 인공아가미기술은 수중에서 용존산소를 분리하여 호흡에 사용하는 것을 말한다. 이를 위해 아가미의 특성을 분석하고 현재까지 제시되고 있는 용존산소의 분리를 위한 메커니즘 특성을 기술하였다. 즉 압력 강하, 캐리어 용액, plastron의 관점에서 용존산소를 분리하여 수중 호흡에 사용하는 부분에 대해 소개하였다. 또한, 현재 진행 중인 용존산소 분리실험장치를 이용한 수중 용존산소의 감소특성을 제시하였다. 압력을 감소함에 따라 용존산소량이 비례하여 감소함을 알 수 있었다. 중공사막에 공급되는 유량을 증가시키면 용존산소량의 감소가 둔화되는 특성을 나타낸다. 휴대형 인공아가미기술은 물놀이와 관련된 레저활동의 안전도구로 활용이 가능하고, 스쿠버다이버, 마이크로연료전지, 인공부레, 잠수함 그리고 인공 폐 분야에 사용이 기대된다.

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Factors Related to the Development of Myocardial Ischemia During Mechanical Ventilation (인공 호흡기 적용에 따른 심근 허혈의 발생에 관한 연구)

  • Kim, Tae-Hyung;Kim, You-Ho;Lim, Chae-Man;Kim, Won;Shim, Tae-Sun;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong;Koh, Youn-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.5
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    • pp.645-653
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    • 1999
  • Introduction : Although myocardial ischemia tends to occur more frequently than can he documented in ventilated patients, it has not been well studied on the factors related to the occurrence of the ischemia. Methods : To investigate the related factors to ischemia development, a prospective study was done in 95 cases with consecutive 73 patients who had received mechanical ventilation(MV) in MICU. In addition to 24 h holter monitoring, echocardiogram, electrolytes, cardiac enzymes, hemodynamic, and gas exchange measurements were done within 24 h after initiation of MV in 69 cases. The measurements were repeated at weaning period in 26 cases. The ischemia was defined by the ST segment changes; up-sloping depression more than 1.5 mm or down-sloping or horizontal depression more than 1.0 mm from isoelectric baseline for 80 ms following J point. Results : Twelve patients(12.6% in 95 cases) developed ischemia in total. The incidence of ischemia development showed an increased tendency in the initial 24 hr after MV (15.9%) and in patients with left-sided heart failure found by echocardiogram (18.2%) compared with that of the weaning period (3.8%) and patients without heart failure (10.9%) (P=0.12, P=0.09, in each). There were no differences in APACHE III score, baseline ECG findings, electrolytes abnormalities, use of inotropics or bronchodilators, presence of sepsis or shock, mode of ventilation, and survival rate according to the development of ischemia. Maximal heart rates and mean arterial pressure also were not different between patients with ($137.2{\pm}30.9/min$, $82.5{\pm}15.9$ mm Hg) and without ischemia ($l29.5{\pm}29.7/min$, $83.8{\pm}17.6$ mm Hg). Conclusion : Although the incidence of myocardial ischemia was 12.6% in total, there were no clinically predictable factors to the development of ischemia during mechanical ventilation.

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A Development Of The Portable Spirometry System Of Pressure Method Using Static Pressure In Pitot Tube (개구관에서의 정체압을 이용한 차동 압력 방식의 휴대형 호흡측정 시스템 개발)

  • 이종수;신창민;김영길
    • Journal of Biomedical Engineering Research
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    • v.22 no.6
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    • pp.479-486
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    • 2001
  • Spirometer is a medical equipment which diagnoses respiratory function by measuring 9as volume across Patient's lunes through airway. Because a little overdose of anesthesia medicine can take away Patient's life in the ventilator for a surgical operation. an exact measurement of respiring volume is very important. This Paper Presented an exact flow volume calculation method from factors having an influence on measurement and introduced a spirometry system for an anesthesia ventilato. This system, using differential Pressure sensor measured flow by mutual relation with Pressure. temperature. gas density and linearization from the 2nd order characteristics of differential pressure with flow.

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A Comparison of Accuracy in Artificial Respiration and Chest Compression Depending on Position, Gender, and Weight of a Victim Given Cardiopulmonary Resuscitation (심폐소생술 시행 시 피구조자의 위치, 성별, 체중에 따른 가슴압박과 인공호흡 정확도 비교)

  • Baek, Hong-Seok;Park, Sang-Sub
    • The Journal of the Korea Contents Association
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    • v.11 no.5
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    • pp.280-290
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    • 2011
  • The purpose of this study was to increase accuracy in performing cardiopulmonary resuscitation through comparing accuracy between chest compression and artificial respiration depending on position, gender, and weight of a victim given conducting cardiopulmonary resuscitation. This study randomly sampled 72 college students in G Province (36 in the experimental group and 36 in the control group) to conduct a research from November 5 to 19, 2009. The collected data were analyzed by using an SPSS WIN 12.0 Version program. Since the results showed that most regions got more effective artificial respiration and chest compression on the right side than on the left side, it is necessary to apply cardiopulmonary resuscitation on the right side in terms of how to implement and instruct cardiopulmonary resuscitation in the future. However, it seems that continuous researches are necessary to see if cardiopulmonary resuscitation is more effective on the right side in terms of the survival rate in an actual emergency.

The Relationship between Arterial and End-tidal Partial Pressures of CO$_{2}$ in Halothane-anesthetized Heavy Breed Horses with respect to Operative Positions and the Modes of Ventilation (Halothane으로 마취된 거대말에서 수술자세와 호흡방법에 따른)

  • 안경아;권오경;산권명부;권구청;산안칙부
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.238-243
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    • 1997
  • 체중이 700-750kg 인 4마리의 중종마에 70분동안 마취를 실시하여 동맥혈의 이 산화탄소 분압과 호기말 가스내의 이산화탄소 분압 사이의 관계를 관찰하였다. 마취도중 자발 호흡, 인공호흡 1(흡기시간 2.0초), 인공호흡 2(흡기시간 2.5초)를 각각 30분,20분,20분씩 실시하였으며 매 10분마다 동맥혈가스분석과 호기말 가스내 이산화탄소분압 측정을 실시하 였다. 동시에 혈압, 심전도, 체온측정을 실시하여 마취된 환축의 상태를 관찰하였다. 2주후에 자세를 달리하여(앙와에서 측와로) 같은 방법으로 재 실험하였다. 호기말 이산화탄소분압은 동맥혈에서보다 평균 10 mmHg 정도 낮은 양상을 보였으나 높은 상관관계를 보였으며 자세에 따른 유의적 차이는 업었다(앙와자세; r=0.949, 측와자세; r=0.920, P<0.01). 이러한 결과를 토 대로 조직에 창상을 줄 수 있는 동맥혈 가스분석 대신 비침습적방법인 호기말 가스내 이산화 탄소 분압을 측정하는 것이 환축의 모니터링에 효과적으로 사용 가능하다는 것을 알 수 있었다.

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Quantitative Electroencephalogram Alteration by Ventilation Volume of Hyperventilation (과호흡의 환기량에 따른 뇌파의 변화)

  • Kim, Young-Sik;Choi, Hyun-Ju
    • Journal of Life Science
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    • v.19 no.12
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    • pp.1829-1835
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    • 2009
  • Hyperventilation (HV) is routinely induced in order to activate brain waves during an electroencephalogram (EEG). The aim of this study was to examine the effects of HV conditions on EEG and suggested basic data for the standardized procedure. Three degrees of HV were induced for 5 minutes with a ventilation volume of 160 ml/min (control group), 240 ml/min, and 300 ml/min in rats. Powers of delta, theta, alpha, and beta waves were examined by a quantitative EEG. The results showed that there was no significant difference in the powers of all EEG waves between the control and 240 ml/min groups. However, a notable change in EEG powers during HV induced by a ventilation volume of 300 ml/min was observed in the frontal cerebral region as follows: power of the delta was increased by 12.8% (p<0.01), powers of the theta, alpha and beta were decreased by 41.3% (p<0.01), 48.6% (p<0.05), and 41.9% (p<0.05), respectively. Therefore, it is concluded that an increase of about 90% of the normal ventilation volume might be adequate for the hyperventilation, and a useful parameter for evaluation of the qualified hyperventilation might be an alteration of the frontal EEG powers.