• Journal of Advanced Marine Engineering and Technology
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• 제37권8호
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• pp.969-976
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• 2013

본 연구의 목적은 개방회로 공기스쿠버와 표면공급 잠수체계의 제한사항을 개선하기 위해 테크니컬 잠수기술을 적용하는 방안을 제시하여 한국 해군의 해난구조 활동 효율성 향상에 도움이 되는 기초자료를 제공하기 위함이다. 연구방법으로는 기존의 개방회로 공기 스쿠버의 제한사항을 개선하기 위하여 테크니컬 잠수기술을 이론적으로 고찰하고 개방회로 공기 잠수와 나이트록스(Nitrox) 잠수, 재호흡기(Rebreather) 간 가용심도, 무감압 한계시간, 수중 체류 가능시간, 감압의 효율성 등을 미 해군 등 공신력 있는 기관의 기준에 따라 비교 분석하였다. 그 결과 보다 적합한 테크니컬 잠수기술의 도입 방안이 도출되었다. 본 연구의 결과는 일련의 제한사항이 따르나 장비도입 및 교육 등 그 적용에 따라 감압절차 및 해난구조 활동의 효율성 향상에 기여할 할 수 있을 것으로 판단된다.

• 대한임상독성학회지
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• 제17권2호
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• pp.102-107
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• 2019

Purpose: Acute carbon monoxide (CO) poisoning is one of the most common types of poisoning and a major health problem worldwide. Treatment options are limited to normobaric oxygen therapy, administered using a non-rebreather face mask or hyperbaric oxygen. Compared to conventional oxygen therapy, high-flow nasal cannula oxygen (HFNC) creates a positive pressure effect through high-flow rates. The purpose of this human pilot study is to determine the effects of HFNC on the rate of CO clearance from the blood, in patients with mild to moderate CO poisoning. Methods: CO-poisoned patients were administered 100% oxygen from HFNC (flow of 60 L/min). The fraction of COHb (fCOHb) was measured at 30-min intervals until it decreased to under 10%, and the half-life time of fCOHb (fCOHb t_1/2) was subsequently determined. Results: At the time of ED arrival, a total of 10 patients had fCOHb levels ≥10%, with 4 patients ranging between 10% and 50%. The mean rate of fCOHb elimination patterns exhibits logarithmic growth curves that initially increase quickly with time (HFNC equation, Y=0.3388*X+11.67). The mean fCOHbt_1/2 in the HFNC group was determined to be 48.5±12.4 minutes. Conclusion: In patients with mild to moderate CO poisoning, oxygen delivered via high flow nasal cannula is a safe and comfortable method to treat acute CO toxicity, and is effective in reducing the COHb half-life. Our results indicate HFNC to be a promising alternative method of delivering oxygen for CO toxicity. Validating the effectiveness of this method will require larger studies with clinical outcomes.