• The Korean Journal of Emergency Medical Services
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• v.22 no.1
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• pp.73-82
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• 2018

Purpose: The purpose of this study was to compare the tidal volumes and airway pressures of 3 mask-sealing methods (one hand C-E, two hands C-E, and one hand O-E) for ventilation treatment. Methods: The study subjects were 45 paramedic students. Tidal volume was measured for the three sealing methods by setting a ventilator, connecting it to the masks for 2 minutes, and using Respi-trainer software. Results: Regarding general characteristics, the group of men, in upper grades, and with practical training experience and experience and experience in the implementation of bag-valve-mask ventilation provided higher tidal volumes. Regarding physical characteristics, larger hands and greater grip strength correlated with higher tidal volume. Two hands C-E generated the highest tidal volume of $483.78{\pm}34.14mL$, one hand O-E generated $449.59{\pm}51.09mL$ and one hand C-E generated $394.31{\pm}68.95mL$. Conclusion: Means of tidal volumes were statistically significantly different based on mask sealing methods (p<.001). Two hand C-E was performed by the two-persons task and was suggested as the most effective method. For the one-person task, one hand O-E was the more effective method compared to the previous one hand C-E.

• Tuberculosis and Respiratory Diseases
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• v.73 no.2
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• pp.100-106
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• 2012

Background: There are a plethora of literatures showing that high-intensity intensive care unit (ICU) physician staffing is associated with reduced ICU mortality. However, it is not widely used in ICUs because of limited budgets and resources. We created a critical care team (CCT) to improve outcomes in an open general ICU and evaluated its effectiveness based on patients' outcomes. Methods: We conducted this prospective, observational study in an open, general ICU setting, during a period ranging from March of 2009 to February of 2010. The CCT consisted of five teaching staffs. It provided rapid medical services within three hours after calls or consultation. Results: We analyzed the data of 830 patients (157 patients of the CCT group and 673 patients of the non-CCT one). Patients of the CCT group presented more serious conditions than those of the non-CCT group (acute physiologic and chronic health evaluation II [APACHE II] 20.2 vs. 15.8, p<0.001; sequential organ failure assessment [SOFA] 5.5 vs. 4.6, p=0.003). The CCT group also had significantly more patients on mechanical ventilation than those in the non-CCT group (45.9% vs. 23.9%, p<0.001). Success rate of weaning was significantly higher in the CCT group than that of the non-CCT group (61.1% vs. 44.7%, p=0.021). On a multivariate logistic regression analysis, the increased ICU mortality was associated with the older age, non-CCT, higher APACHE II score, higher SOFA score and mechanical ventilation (p<0.05). Conclusion: Although the CCT did not provide full-time services in an open general ICU setting, it might be associated with a reduced ICU mortality. This is particularly the case with patients on mechanical ventilation.

• Journal of Chest Surgery
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• v.26 no.1
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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 Tunnelling and Underground Space Association
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• v.17 no.2
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• pp.153-166
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• 2015

Long subsea tunnel to be built below the seabed, as compared to the general railway tunnel, is subject to many restrictions in terms of spatial limitation when vertical or inclined shafts are built for the purpose of ventilation and fire safety. So, the construction of some artificial island is required to provide ventilation. But, because of construction difficulty and cost increase, it is necessary to minimize the artificial island construction. The longer ventilation distance is, the more fresh air requirement is needed. When supply airflow becomes excessive, duct size is restricted by the limitations of structure clearance and fan pressure and power increase exponentially. Therefore, in order to build a long subsea tunnel, it is necessary to overcome these practical problems and to develop technical solution that can keep the comfortable condition of tunnel environment during construction. In this study, as on ventilation method development suitable for long subsea tunnel, through comparison of temporary ventilation capacity calculation methods during construction phase, domestic and abroad, the application of Swiss SIA 196 code is found suitable for long subsea tunnel. And, through experiment on leakage of the duct connector, we confirmed that the leakage ratio per 100 m of domestic duct connection type is between 1.5~3.0%. Based on S-class duct of SIA 196 code, ventilation distance is 10.2 km, So, ventilation distance can be longer if duct connection method is improved. So, we confirmed that the improvement of leakage ratio is key issue in the construction-phase ventilation of long subsea tunnel.

• Journal of the korean society of oceanography
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• v.32 no.1
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• pp.8-16
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• 1997

The ventilation theory developed by Luyten, Pedlosky and Stommel (1983) is applied to the East Sea to understand the general circulation pattern of the Intermediate Water, especially the ventilated circulation beneath the Tsushima Warm Current. The original model is slightly modified such that it takes the inflow-outflow of the Tsushima Current into consideration. Results of the model indicate that for sufficiently strong Ekman pumping, the Intermediate Water circulates cyclonically by ventilation. The Intermediate Water subducts beneath the Tsushima Warm Water through the western boundary layer. Off the western boundary layer, it turns northward, outcrops to the north by passing the polar front and continues to flow northward until it finally is absorbed by the northern boundary layer. This result seems to be compatible with some recent observations. Over the ventilated area, the transport of the Tsushima Current is negligible and most transport occurs in the shadow area where the Intermediate layer is motionless indicating that, over the deep motionless layer, the two-layered vertical structure under consideration becomes substantially single-layered.

• Journal of Dental Anesthesia and Pain Medicine
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• v.20 no.3
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• pp.161-163
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• 2020

Myringotomy and ventilation tube insertion are widely performed in pediatric patients with chronic otitis media. This procedure is performed under general anesthesia or sedation with local anesthesia infiltration in pediatric patients. In this case report, we report a case of transient facial paralysis in a pediatric patient who underwent myringotomy and ventilation tube insertion using sevoflurane inhalation and four-quadrant blocks with lidocaine.

• Air Cleaning Technology
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• v.10 no.3 s.38
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• pp.75-98
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• 1997

• Air Cleaning Technology
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• v.10 no.2 s.37
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• pp.76-98
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• 1997

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.18 no.8
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• pp.649-655
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• 2006

The recent indoor air quality problem in a newly-built apartment house is resulted from the improvement of airtightness performance and the use of the building material contained harmful chemical substances. As a result, these cause indoor air quality gradually to become worse and the harmful effect on occupant health called Sick House Syndrome. The most effective solution to improve the indoor air quality is to encourage the use of green building material. However, if the house is built with general building material, ventilation with outdoor air is alternative to dilute the pollutant concentration. The purpose of this re-search is to find optimum ventilation time in a newly-built apartment house at which the ventilatoris installed. It is found that the HCHO and toluene concentrations are remarkably decreased with the elapse of ventilation time and the concentration reduction rate is increased with increment of air change rate after one hour after operating the ventilator.

• Journal of Dental Anesthesia and Pain Medicine
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• v.17 no.4
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• pp.313-316
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• 2017

Mask ventilation, the first step in airway management, is a rescue technique when endotracheal intubation fails. Therefore, ordinary airway management for the induction of general anesthesia cannot be conducted in the situation of difficult mask ventilation (DMV). Here, we report a case of awake intubation in a patient with a huge orocutaneous fistula. A 58-year-old woman was scheduled to undergo a wide excision, reconstruction with a reconstruction plate, and supraomohyoid neck dissection on the left side and an anterolateral thigh flap due to a huge orocutaneous fistula that occurred after a previous mandibulectomy and flap surgery. During induction, DMV was predicted, and we planned an awake intubation. The patient was sedated with dexmedetomidine and remifentanil. She was intubated with a nasotracheal tube using a video laryngoscope, and spontaneous ventilation was maintained. This case demonstrates that awake intubation using a video laryngoscope can be as good as a fiberoptic scope.