• 제목/요약/키워드: Mouth to mouth ventilation

검색결과 16건 처리시간 0.026초

입-입 인공호흡(Mouth-to-mouth ventilation)을 위한 감염방지 도구의 병원성 세균 여과 효과 (Effect of a pathogenic bacteria filtration instrument for infection prevention during mouth-to-mouth ventilation)

  • 심규식;김은미
    • 한국응급구조학회지
    • /
    • 제20권3호
    • /
    • pp.49-56
    • /
    • 2016
  • Purpose: The purpose of this study was to investigate the effect of a pathogenic bacteria filtration instrument for infection prevention during mouth-to-mouth ventilation. Methods: Two kinds of face shields were used for the study. One rescuer blew the filter through a bag valve mask and the filter was then cultured for bacteria. The mask was tested both on the front and back side. Results: Two kinds of face shields including the KF shield and CM shield were tested. The KF shield has received national certification and it prevented transmission of bacterial infection but the CM shield showed the opposite result and did not prevent bacterial transmission. Pathogenic bacteria were found on the back of the CM shield. Conclusion: A certified face shield is very important to prevent bacterial transmission. Face shields should be demonstrated and used by paramedic students.

2인구조자 심폐소생술 시 환기방법에 따른 가슴압박 중단시간의 비교: 일개 대학병원 간호사를 대상으로 (Comparison of compression pause time between different rescue ventilation maneuvers in two-rescuer cardiopulmonary resuscitation)

  • 현광록;문준동
    • 한국응급구조학회지
    • /
    • 제19권2호
    • /
    • pp.7-17
    • /
    • 2015
  • Purpose: This study aimed to compare the effects of rescue ventilation maneuvers on the quality of two-rescuer cardiopulmonary resuscitation (CPR). Methods: We implemented mouth to mouth (MMV), mouth to pocket mask (MPV) and bag-valve mask ventilation (BMV) maneuvers. Each team of two-nurses was randomized to perform three consecutive sessions of two-rescuer CPR by using three artificial ventilation maneuvers. Results: The subjects were 26 teams of nurses (female: 96.2%, male: 3.8%, age: 26.6 years). Failed ventilation was more frequent in BMV ($2.23{\pm}2.21$, p <.001) than MMV ($0.31{\pm}0.74$) and MPV ($0.38{\pm}0.64$). BMV had more compressions per minute ($93.7{\pm}5.7$) than MMV ($87.0{\pm}7.2$, p = .001) and shorter total compression pause time ($46.1{\pm}5.8sec$) and compression pause fraction ($23.3{\pm}2.2%$) than MMV ($54.8{\pm}10.3sec$, p = .001, $25.5{\pm}3.5%$, p = .001, respectively) and MPV ($53.1{\pm}7.1sec$, p =. 006 and $25.8{\pm}2.6%$, p = .006, respectively). Conclusion: In our simulation study, BMV reduced the compression pause time and increased the number of compressions per minute, thus indicating CPR provided to patients was effective. However, considering the high rate of ventilation failure, we recommend periodic training.

심폐소생술 교육용 페이스 쉴드의 병원성 세균 차단 효과 (Effect of a CPR Educational Face Shield on Pathogenic Bacteria Protection)

  • 김은미;심규식;노상균
    • 한국화재소방학회논문지
    • /
    • 제30권6호
    • /
    • pp.137-141
    • /
    • 2016
  • 심폐소생술에서 인공호흡은 환자와 구조자간 또는 심폐소생술 교육생들 간의 교차 감염 가능성이 높으나, 감염방지 도구인 페이스 쉴드(face shield)의 병원성 세균 여과 성능에 대한 연구 자료는 매우 부족하다. 따라서 본 연구는 인공호흡용 페이스 쉴드의 병원성 세균 여과 성능을 비교하여 전염성 질환으로부터 심폐소생술 교육생과 병원 전 구조자의 안전을 확보하기 위해 시행되었다. 대상 쉴드는 국내 심폐소생술 교육기관에서 일반적으로 사용되고 있는 FA shield와 CM shield 2종을 임의로 선정하였다. 실험방법은 실제 교육생이 입으로 불어넣은 필터에서 채취한 세균을 대상 필터에 각각 도말한 후 백밸브마스크(Bag valve mask, BVM)로 환기하여 필터의 앞면과 뒷면의 세균 검출 유무를 확인하였다. 그 결과 FA Shield는 병원성 세균 여과 성능이 있는 것으로 확인되었으나, CM Shield는 병원성 세균 여과 성능이 없는 것으로 나타났다. 결론적으로 안전한 인공호흡을 위해서는 국내에서 판매되는 페이스 쉴드의 전반적 성능 평가와 페이스 쉴드의 여과 성능 기준이 제시되어야 할 것으로 판단된다.

실내 공기질 개선을 위한 ICT 융복합형 플라즈마 폐열 환기 시스템 (ICT Fusion Type Plasma Waste Heat Ventilation System for Improvement of Indoor Air Quality)

  • 김응곤
    • 한국전자통신학회논문지
    • /
    • 제14권6호
    • /
    • pp.1215-1220
    • /
    • 2019
  • 현재 구제역의 발생과 AI로 인한 손해를 모두 본 부담하고 있다. 또한 축산업에서 악취에 대한 민원은 끊임없이 제기되고 있으며 앞으로 더 발생할 것으로 판단되고 있다. 본 논문에서는 축사 및 계사, 돈사 등과 같은 밀폐형 시설물들의 실내 공기질을 개선하고 질병 등을 예방하여 농가의 소득을 증대 시키는 것에 목적을 두었다. 환기 유닛 자리에 설치할 저온 플라즈마 폐열 환기 장치를 개발하고 내부에 넣을 열 교환 소자 및 저온 플라즈마 램프, 밸러스트를 규격화 하여 강화된 공기청정 기능을 갖도록 하였다. 또한, ICT를 접목하여 기존의 기상 시스템, 유동팬, 기타 시설 장비들과의 연동이 가능하고 농가들로 하여금 실시간으로 모니터링이 되도록 새로운 통제 시스템을 개발하고자 한다.

Effects of Asymmetric Airway Inertance on Mean Lung Volume During High Frequency Ventilation(HFV)

  • Cha, Eun-Jong
    • 대한의용생체공학회:의공학회지
    • /
    • 제11권2호
    • /
    • pp.203-208
    • /
    • 1990
  • A possible asymmetry in airway inertance was modeled based on previously reported radiographic visualization data of the airway wall fluctuation in intact dogs. Effects of asymmetric Inertance on mean lung volume during high frequency ventilation (HFV) were evaluated in terms of mean inertive pressure drop across the airways. It was found that a negligible inertlve pressure drop was expected ($<1{\;}cmH_20$) in normal subjects, while a sig- nificant rise in mean alveolar pressure compared to mean mouth pressure by approximately $3{\;}cmH_20$ was resulted for about 40% airway fluctuation representing bronchoconstriction state by Histamine induction. These results demonstrate that asymmetric Inertance could lead patients with airway diseases to a significant lung hyperinflation (LHI), and bronchodilation treatment is recommended prior to applying HFV to prevent those patients from a possible barotrauma.

  • PDF

감정반응(PAD) 요인이 문화예술 웹사이트 서비스에서의 만족과 구전을 통해 충성도에 미치는 영향 (An Empirical Study Applying the PAD Factors to Loyalty of Culture and Arts Website Service)

  • 백헌;권두순;이재범;김진화
    • 경영정보학연구
    • /
    • 제14권1호
    • /
    • pp.105-128
    • /
    • 2012
  • 인터넷을 활용한 문화예술 관련 정보를 제공하는 영역중 하나인 문화예술 웹사이트(Culture and Arts Website)는 연극, 음악, 미술, 건축, 디자인, 영상, 문학 등 예술장르에 속하는 정보를 제공하는 웹사이트이다. 이 웹사이트는 문화예술 분야에 관심이 높아지면서 시장 규모가 확대되고 있으며, 각 문화예술 분야에서 고객이 원하는 맞춤형 콘텐츠를 제공하고 있다. 이를 통해 문화예술 웹사이트 개발자는 이 웹사이트를 문화예술에 대한 인식을 높이고 발전시키기 위한 미디어로 인식하고 있으며, 시대의 흐름과 고객의 욕구에 맞는 문화예술 웹사이트 서비스 활용도와 다양한 비즈니스 모델 개발에 박차를 가하고 있다. 본 연구는 국내 웹사이트 이용자들의 문화예술 웹사이트 서비스 영향요인들에 대해 파악하고 이들 요인이 만족과 구전이 충성도에 어떠한 영향을 미치는지 분석하고자 한다. 본 연구는 만족과 구전을 기반으로 문화예술 웹사이트 서비스 이용자의 충성도에 영향을 미칠 것으로 예상되는 인간의 감정을 강조한 감정반응(PAD: Pleasure, Arousal, Dominance) 이론의 주요 변수들을 적용한 연구모형을 제시하였다. 본 연구의 연구모형을 실증적으로 검증하기 위해 문화예술 웹사이트를 이용한 경험이 있는 서울 소재 S대학생들을 대상으로 설문조사를 실시하였다. 분석결과 첫째, 문화예술 웹사이트에서 즐거움과 지배에 관련된 감정을 경험하게 되면 웹사이트를 만족하게 되고 충성도까지 이어질 수 있는 것으로 나타났다. 둘째, 문화예술 웹사이트에서 경험한 환기와 관련된 감정은 웹사이트 만족과 구전을 통해 충성도에 영향을 미치지 않는 것으로 나타났다. 셋째, 감정반응의 세 가지 요인 모두 구전을 통해 충성도에 영향을 미치지 않는 것으로 나타났다.

  • PDF

Pulmonary and Cutaneous Evaporative Water Losses in Sahiwal and Sahiwal × Holstein Cattle During Solar Exposure

  • Aggarwal, Anjuli;Upadhyay, R.C.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제10권3호
    • /
    • pp.318-323
    • /
    • 1997
  • In order to assess the effect of solar exposure on pulmonary functions and evaporative losses from skin and pulmonary surfaces, in six healthy Sahiwal (S) and six Sahiwal ${\times}$ Holstein ($S{\times}H$) cattle were exposed to direct sun during summer. Breed differences were observed during exposure. Increase in sweating rate was higher in crossbreds (222%) than in Sahiwal (125%). Pre-exposure (ambient temperature, $32.6{\pm}0.85^\circ}C$, solar radiation, $0.9cal\;cm^{-2}min^{-1}$) evaporative loss from skin accounted for about 90% of the losses and remaining losses were contributed by pulmonary surfaces in Sahiwal. The contribution of evaporation through skin increased to 92% (ambient temperature $39.4{\pm}0.68^\circ}C$, solar radiation, $1.35cal\;cm^{-2}min^{-1}$). In crossbreds 80% of the evaporative losses were through skin before exposure which increased to 87% after exposure to solar radiations. Rectal temperature increase was higher in crossbreds ($1.5^{\circ}C$) than in Sahiwal ($0.8^{\circ}C$). With the increase in pulmonary evaporative losses, respiratory frequency increased to 2 fold in Sahiwal and pulmonary ventilation increased 1.6 times the resting value in Sahiwal due to solar exposure. In $S{\times}H$ crossbreds the respiratory frequency increased 3.5 times and pulmonary ventilation increased only to 1.8 times due to decrease in tidal volume. There was about 2 fold increase in alveolar ventilation in both the breeds, the increase in dead space ventilation was more in crossbreds than in Sahiwal. Behavioral symptoms exhibited by animals after exposure were profuse salivation, open mouth panting, tongue protrusion and general restlessness.

많은 양을 음독한 급성 amitraz 살충제 중독 1례 (A Case of Amitraz Insecticide Intoxication after Ingestion of Large Amount)

  • 서주현;노형근
    • 대한임상독성학회지
    • /
    • 제6권1호
    • /
    • pp.52-56
    • /
    • 2008
  • Amitraz is used as farm-animal insecticide. Its side effects in humans are related to its pharmacological activity on alpha 2-adrenergic receptors. The case describes a previously healthy 46-year-old woman who intentionally ingested approximately 250mL of liquid amitraz. She presented with vomiting, altered mental status, miosis, dry mouth, hypopnea, metabolic and respiratory acidosis, hypotension, hypothermia, polyuria, metabolic acidosis, elevated serum aminotransferase and abdominal distension. Supportive treatments including mechanical ventilation, hydration, dopamine infusion, bicarbonate infusion and gastric decompression resulted in improvement. By hospital day 3, she recovered with resolution of abdominal distension. It is paramount to recognize amitraz poisoning when a pesticide-intoxicated patient presets with signs and symptoms consistent with organophosphate intoxicated patients but with greater alpha 2-adrenergic related symptoms such as decreased bowel motility and xerostomia.

  • PDF

Sevoflurane 흡입진정에서 어려운 기도관리를 위한 LMA 활용 (Use of Laryngeal Mask Airway in Sevoflurane Sedation for the Difficult Airway)

  • 유태민;도레미;송영균;김승오
    • 대한치과마취과학회지
    • /
    • 제12권4호
    • /
    • pp.235-241
    • /
    • 2012
  • Although sevoflurane sedation have the advantage of the reduction of anxiety and pain relief, difficult airway is attributed to increased agitation, tachycardia, desaturation, ventilation difficulty, sedation failure. In the sedation for dental treatment, we should pay more attention to the airway management because dental procedures take place in the mouth of airway unlike any other area. The layngeal mask airway (LMA) has become commonly used device for airway management during anesthesia for relatively short procedures, such as minor oral surgery and dental procedures. It can be inserted without use of a larygoscope and muscle relexants, and insertion is easy to achieve and generally takes less time than endotracheal intubation. The LMA is an excellent barrier against aspiration of saliva, blood within the surgical field but should not be used in patients at risk of aspiration In this study, we reported that after a failure of airway management in inhalation sedation, we performed the short-emergency dental treatment successfully, using a laryngeal mask.

Practical modeling of cigarette ventilation rate

  • Kim, Young-Hoh;Lee, Moon-Yong;Rhee, Kyu-Seo;Lee, Dong-Wook
    • 한국연초학회지
    • /
    • 제21권2호
    • /
    • pp.109-118
    • /
    • 1999
  • A model predicted describing the effect of cigarette making materials on the level of filter ventilation was developed and evaluated. The developed model was expressed in terms of a linear and quadratic relationship which was validated with experimental measurements for different porosity of plug wrap and tipping paper, unencapsulated pressure drop of filter plug and cigarette column and vent position. Forty-six experimental frequencies were determined as a result of using three levels with five factors Box-Behnken design and analyzed by the multiple regression analysis with backward stepwise in STATISTICA/PC under restricted conditions. The four factors, except filter pressure drop variable, were statistically significant at the level of 0.05 but most of all linear by linear interactions were comparatively lower significant. By the analysis of linear and quadratic regression coefficient, filter ventilation of the cigarette was affected by porosity of plugwrap (5.87, -4.25), porosity of tip paper (5.68, -1.00), vent position (-3.87, 3.08), tobacco column pressure drop (2.56, 0.66), and filter pressure drop (1.50, 0.58) in the decreasing order. It should be emphasized that the major conclusion of this study was not that any particular parameter was linear or quadratic on any limit scale, but that there were highly significant relationships among factors involving linear, quadratic and their interaction and perhaps even linearity between and within factors. While, there is also quite strong evidence that vent position from mouth end and cigarette making materials are reverse relationship on this experimental model. On the basis of the result, it can be concluded that the porosity of the plug wrap and tipping paper has a marked effect on degree of filter ventilation rate. The F-value of plug wrap and tipping paper porosity among five factors were 39.2 and 36.8 respectively with P-value of 0.000 indicating higher significant for both factors. According to the analysis of variance, the model fitted for filter ventilation was significant at 5% confidence level and the coefficient of determination ($R^2$=0.84) was the proportion to variability in the data well fitted for by the model.

  • PDF