• Title/Summary/Keyword: Fluid Management

Search Result 523, Processing Time 0.029 seconds

THE RELATIONSHIP BETWEEN INTRAOPERATIVE FLUID MANAGEMENT AND POSTOPERATIVE ADVERSE OUTCOME IN A ORTHOGNATHIC SURGERY (악교정 수술중 수액요법과 술후 합병증의 연관성)

  • Lyoo, Jung-Ho;Kim, Dai-Yun;Bae, Jun-Su;Yang, Byung-Eun;You, Jun-Yong;Kim, Yong-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.23 no.5
    • /
    • pp.428-434
    • /
    • 2001
  • Few topics in operative and perioperative patient management generate more controversy than that of appropriate fluid and electrolyte therapy. especially, controversy has swirled around colloid vs crystalloid therapy and the composition of administered fluids, agreement among clinicians as to what fluid therapy is appropriate, and in what amount, is rare. This controversy likely will be enhanced by Arieff' s provocative article. He described 11 adults and 2 pediatric patients. All developed fatal postoperative pulmonary edema, seemingly caused solely by excessive postoperative fluid administration. From January 1999 to December 1999, we investigated 24 patients, which were operated by orthognathic surgery, about the intraoperative fluid therapy and the associated effect in orthognathic surgery, which is regarded as one of the major surgery of oral and maxillofacial surgery. First, They were devided into two groups, that is one-jaw surgery and two-jaw surgery, and each groups were devided by intraoperative fluid volume of 8ml/kg/hr. Subjective assesment was collected through use of a series of 3 questionnaries. In each questionnaire, a 5-point Liekert scale was used far assessment of following parameters of recovery from anesthesia: headache, dizziness, drowsiness, nausea/vomiting, thirst. The patient completed questionnaire 1 at 4 hour after surgery, questionnaire 2 was completed at 24 hours after surgery, and questionnaire 3 was completed at 48 hours after surgery. This study demonstrated that appropriated perioperative rehydration decreases postoperative adverse outcomes and improved the patient's perception of the postoperative period.

  • PDF

Intravenous fluid prescription practices among pediatric residents in Korea

  • Lee, Jiwon M.;Jung, Younghwa;Lee, Se Eun;Lee, Jun Ho;Kim, Kee Hyuck;Koo, Ja Wook;Park, Young Seo;Cheong, Hae Il;Ha, Il-Soo;Choi, Yong;Kang, Hee Gyung
    • Clinical and Experimental Pediatrics
    • /
    • v.56 no.7
    • /
    • pp.282-285
    • /
    • 2013
  • Purpose: Recent studies have established the association between hypotonic fluids administration and hospital-acquired hyponatremia in children, and have contended that hypotonic fluids be removed from routine practice. To assess current intravenous fluid prescription practices among Korean pediatric residents and to call for updated clinical practice education Methods: A survey-based analysis was carried out. Pediatric residents at six university hospitals in Korea completed a survey consisting of four questions. Each question supposed a unique scenario in which the respondents were to prescribe either a hypotonic or an isotonic fluid for the patient. Results: Ninety-one responses were collected and analyzed. In three of the four scenarios, a significant majority prescribed the hypotonic fluids (98.9%, 85.7%, and 69.2%, respectively). Notably, 69.2% of the respondents selected the hypotonic fluids for postoperative management. Almost all (96.7%) selected the isotonic fluids for hydration therapy. Conclusion: In the given scenarios, the majority of Korean pediatric residents would prescribe a hypotonic fluid, except for initial hydration. The current state of pediatric fluid management, notably, heightens the risk of hospital-acquired hyponatremia. Updated clinical practice education on intravenous fluid prescription, therefore, is urgently required.

A Design and Implementation of Industrial Fluid Monitoring System (산업공정상의 유체 유동 모니터링 시스템 설계 및 구현)

  • Lee, Won-Joo;Lee, Sang-Jun
    • Journal of the Korea Society of Computer and Information
    • /
    • v.15 no.4
    • /
    • pp.99-106
    • /
    • 2010
  • In this paper, we propose an industrial fluid monitoring system which performs the flow control function and monitors fluid pressure transmitted from MFC(Mass Flow Controller) unit. This system consists of MFC unit, channel device, and monitoring management software. MFC unit transmits the measured data of the fluid pressure to the channel device which would provide the input/output interface between management software, monitoring and MFC unit. The monitoring and management software control and analyze by monitoring real time measurements of fluid pressure from each channel of MFC unit. This software can process 20 channels and 0.1 monitoring cycle which gives 200 data measurement per second (i.e., 720,000 data/hour). At this time, the storage space increases in proportion to the rise of input data. This growth of data and storage space makes loss of data access efficiency. Therefore, it demands the implementation by sensing scheme of change scope and data, which can effectively manage the data.

Pain management in 『Treatise on Cold Damage and Miscellaneous Disease』 according to sufficiency-deficiency of fluid and humor (mainly with greater yang disease part) (진액(津液)의 유무(有無)에 따른 『상한잡병론(傷寒雜病論)』의 통증(痛症) 치법(治法)에 관하여(태양병편을 중심으로))

  • Lee, Myeong-Cheol;Kang, Yeon-Seok
    • The Journal of Korean Medical History
    • /
    • v.27 no.2
    • /
    • pp.135-143
    • /
    • 2014
  • Human body fluid and humor include not only sweat, joint fluid but also every fluids, for example, blood, essence, kidney essence and marrow. Historically, in the oriental medicine, there are a lot of efforts in order to preserve fluid and humor. In "Treatise on Cold Damage and Miscellaneous Disease (傷寒雜病論)", when treating cold damage, preservation of fluid and humor is put first. I tried to find out the relation about fluid and humor and pain treatment in "Treatise on Cold Damage and Miscellaneous Disease". So, I investigated sentences related to pains in "Treatise on Cold Damage and Miscellaneous Disease" "greater yang disease part" and commentaries of several chinese medical doctors. And I divide pain treatments into four categories. (fluid and humor sufficiency-exterior pattern, fluid and humor sufficiency-interior pattern, fluid and humor deficiency-exterior pattern, fluid and humor deficiency-interior pattern) At first, when treating pains of cold damage, there are many considerations about deficiency and sufficiency of fluid and humor through pulse condition and symptoms. Second, in pain-cases of fluid and humor sufficiency, purge methods is chosen. And in pain-cases of fluid and humor deficiency, tonifying methods is chosen. Finally, one of the main objects of "Treatise on Cold Damage and Miscellaneous Disease" is preservation and supply of fluid and humor.

Measurement and Correlation of Hinokitiol Solubility in Supercritical Carbon dioxide (초임계 이산화탄소에서 히노키치올의 용해도 측정과 예측)

  • Shin, Moon-Sam
    • Proceedings of the KAIS Fall Conference
    • /
    • 2011.05a
    • /
    • pp.489-492
    • /
    • 2011
  • Supercritical fluid technology has been an alternative for purification and separation of biological compounds in cosmetic, food, and pharmaceutical products. Solubility information of biological compounds in supercritical fluids is essential for choosing a supercritical fluid processes. The equilibrium solubility of hinokitiol was measured in supercritical carbon dioxide with a static method in the pressure range from 8 to 40 MPa and at temperatures equal to 313.2, 323.2 and 333.2 K. The experimental data were correlated well by Peng.Robinson equation of state and quasi-chemical nonrandom lattice fluid model.

  • PDF

Pediatric Minor Traumatic Brain Injury : Growing Skull Fracture, Traumatic Cerebrospinal Fluid Leakage, Concussion

  • Choi, Jong-Il;Kim, Sang-Dae
    • Journal of Korean Neurosurgical Society
    • /
    • v.65 no.3
    • /
    • pp.348-353
    • /
    • 2022
  • Traumatic brain injury (TBI) is a major public health issue that causes significant morbidity and mortality in the pediatric population. Pediatric minor TBIs are the most common and are widely underreported because not all patients seek medical attention. The specific management of these patients is distinct from that of adult patients because of the different physiologies in these age groups. This article focuses on minor TBIs, particularly growing skull fractures, traumatic cerebrospinal fluid leakage, and concussion.

Endoscopic Management of Large Peripancreatic Fluid Collections in Two Pediatric Patients by Endoscopic Ultrasound-guided Transmural Drainage

  • Walsh, Leonard T.;Groff, Andrew;Mathew, Abraham;Moyer, Matthew T.
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.23 no.1
    • /
    • pp.105-109
    • /
    • 2020
  • The incidence of acute pancreatitis (AP) has increased in the pediatric population over the past few decades and it stands to follow that the complications of severe AP, including symptomatic pancreatic fluid collections (PFCs) will increase as well. In adults, the therapeutic options for this situation have undergone a dramatic evolution from mainly surgical approaches to less invasive endoscopic approaches, mainly endoscopic ultrasound-guided transmural drainage (EUS-TD) followed be direct endoscopic necrosectomy if needed. This has proven safe and effective in adults; however, this approach has not been well studied or reported in pediatric populations. Here we demonstrate that EUS-TD seems to offer a safe, efficacious and minimally invasive approach to the management of large PFCs in pediatric patients by reviewing two representative cases at our institution.

Nurses' Experience of Managing Diet and Fluid in Hemodialysis Patients (혈액투석 환자의 식이와 수분관리에 대한 간호사의 경험)

  • Yeom, Eun Yi;Seo, Kum Sook
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.17 no.1
    • /
    • pp.27-37
    • /
    • 2014
  • Purpose: The purpose of this study was to understand nurses' experience of managing diet and fluid in hemodialysis patients and to provide helpful information in improving care of hemodialysis patients. Methods: Data were collected through in-depth interviews with ten nurses who had experience of providing care to hemodialysis patients. Colazzi's phenomenological method was used to analyze data. Results: Twenty themes were identified in the first stage of data analysis and were later categorized into ten theme clusters, of which four categories were derived. The four categories were 'developing a strong feeling of responsibility for management', 'acknowledging limits in performing duties', 'providing patient-centered education' and 'becoming a guide for the long treatment process'. Conclusion: The study results will be useful for improving nursing curriculum to ensure more effective and successful diet and fluid management in hemodialysis patients.

Fast Network based Localized Mobility Management protocol using Media Independent Handover Services (MIH 서비스를 이용한 고속 NetLMM 프로토콜)

  • Park, Si-Hyun;Kim, Young-Han
    • Journal of the Institute of Electronics Engineers of Korea TC
    • /
    • v.43 no.11 s.353
    • /
    • pp.35-43
    • /
    • 2006
  • In this paper we have presented a network based high-speed handover protocol using NetLMM(Network based Localized Mobility Management) WG protocol in IETF(Internet Engineering Task Force). We use IEEE 802.21 MIHS(Media Independent Handover Services) for improving handover latency and we analysis proposed Fast NetLMM protocol performance using Fluid Flow Mobility Model. Evaluation results show that the Fast NetLMM protocol performance is better than other mobility management protocols.

Dynamic stress, strain and deflection analysis of pipes conveying nanofluid buried in the soil medium considering damping effects subjected to earthquake load

  • Abadi, M. Heydari Nosrat;Darvishi, H. Hassanpour;Nouri, A.R. Zamani
    • Computers and Concrete
    • /
    • v.24 no.5
    • /
    • pp.445-452
    • /
    • 2019
  • In this paper, dynamic stress, strain and deflection analysis of concrete pipes conveying nanoparticles-water under the seismic load are studied. The pipe is buried in the soil which is modeled by spring and damper elements. The Navier-Stokes equation is used for obtaining the force induced by the fluid and the mixture rule is utilized for considering the effect of nanoparticles. Based on refined two variables shear deformation theory of shells, the pipe is simulated and the equations of motion are derived based on energy method. The Galerkin and Newmark methods are utilized for calculating the dynamic stress, strain and deflection of the concrete pipe. The influences of internal fluid, nanoparticles volume percent, soil medium and damping of it as well as length to diameter ratio of the pipe are shown on the dynamic stress, strain and displacement of the pipe. The results show that with enhancing the nanoparticles volume percent, the dynamic stress, strain and deflection decrease.