• Title/Summary/Keyword: Ventilation volume

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Comparison of chest compression and ventilation volume using LUCAS and manual in virtual reality-based ambulance simulation -A manikin study- (가상실현 기반 구급차에서 루카스와 수기에 의한 가슴압박과 인공호흡 비교 -마네킨 연구-)

  • Lee, Jae-Gook;Kim, Jin-Su;Roh, Sang-Gyun
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.3
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    • pp.67-76
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    • 2018
  • Purpose: The purpose of this study was to evaluate the quality of chest compressions and ventilation when using an mechanical device(LUCAS) and 2-men manual cardiopulmonary resuscitation(CPR) performed on a minikin, as well as to propose a more effective CPR method during transit. Methods: Data were collected by LUCAS and manual virtual reality based ambulance simulation. Analysis was performed using SPSS software 12.0. The average and standard deviation of chest compression depth and ventilation were analyzed using descriptive statistics and t-test. Results: In the virtual reality based LUCAS and manual CPR results, LUCAS showed better chest compression and lower incomplete chest release than manual CPR. During CPR with a chest compression-ventilation ratio of 30:2 in virtual reality ventilation with bag-valve mask was able to deliver an adequate volume of breathing. Conclusion: It is suggested that rescuers on ambulance may consider using LUCAS as an alternative to high-quality chest compression during transit.

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.

Comparative Analysis of Tidal Volume and Airway Pressure with a Bag-valve Mask using RespiTrainer (RespiTrainer를 활용한 백-밸브마스크 환기에서 일회호흡량과 기도압 비교 연구)

  • Shin, So-Yeon;Lee, Jae-Gook;Roh, Sang-Gyun
    • Fire Science and Engineering
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    • v.28 no.6
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    • pp.76-81
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    • 2014
  • The purpose of this study was to comparative analysis of tidal volume and airway pressure after one-rescuer BVM, two-rescuer BVM, advanced airway devices with a Bag-valve mask using RespiTrainer. The data were obtained from June 2 to 10 in 2014. The collected data were analyzed using the SPSS WIN 18.0 program. The results showed that BVM ventilation using the endotracheal intubation produced higher mean tidal volume $497{\pm}78mL$, Two-rescuer ventilation $479{\pm}91mL$ One-rescuer ventilation $386{\pm}59mL$, King LTS-D $365{\pm}05mL$, Laryngeal mask airway (LMA) $351{\pm}35mL$. Peak airway pressure was higher in BVM ventilation using the endotracheal intubation. As a result, the study confirmed that the BVM Ventilation by endotracheal intubation and Two-rescuer BVM ventilation to one third the bag depth squeeze method is appropriate.

An economic evaluation of heat exchanger for heat recovery ventilation (폐열회수환기를 위한 열교환장치의 경제성 평가)

  • Park, Yong-Hyo;Lee, Sang-Bum
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2008.11a
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    • pp.241-244
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    • 2008
  • Recently, The high Air-Tightness and high heat insulation for building construction cause a ventilation air volume deficiency. Also, Worldwide high energy price is strongly urging to economize the air conditioning energy. Therefore Heat Recovery Ventilation is used for the satisfaction of ventilation air volume and building energy saving. Accordingly, this study dose the heat exchanger performance evaluation and economic efficiency evaluation of Heat Recovery Ventilation. And, we wish to make a basic study about HRV System application of HVAC System and Multi System Air-conditioning.

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Comparison of Regression Models for Estimating Ventilation Rate of Mechanically Ventilated Swine Farm (강제환기식 돈사의 환기량 추정을 위한 회귀모델의 비교)

  • Jo, Gwanggon;Ha, Taehwan;Yoon, Sanghoo;Jang, Yuna;Jung, Minwoong
    • Journal of The Korean Society of Agricultural Engineers
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    • v.62 no.1
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    • pp.61-70
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    • 2020
  • To estimate the ventilation volume of mechanically ventilated swine farms, various regression models were applied, and errors were compared to select the regression model that can best simulate actual data. Linear regression, linear spline, polynomial regression (degrees 2 and 3), logistic curve, generalized additive model (GAM), and gompertz curve were compared. Overfitting models were excluded even when the error rate was small. The evaluation criteria were root mean square error (RMSE) and mean absolute percentage error (MAPE). The evaluation results indicated that degree 3 exhibited the lowest error rate; however, an overestimation contradiction was observed in a certain section. The logistic curve was the most stable and superior to all the models. In the estimation of ventilation volume by all of the models, the estimated ventilation volume of the logistic curve was the smallest except for the model with a large error rate and the overestimated model.

Assesment of Indoor Radon Gas Concentration Change of College (대학의 실내 라돈가스 농도의 변화 평가)

  • Park, Hoon-Hee;Jeong, Euihwan;Kim, Hak-Jae;Lee, Juyoung;Lyu, Kwang Yeul
    • Journal of radiological science and technology
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    • v.40 no.1
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    • pp.127-134
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    • 2017
  • The purpose of this study was to assess the impact by comparing the concentration of indoor radon and look for ways to lower the concentration of indoor radon gas measurements of three variables, the year of completion, volume of the building and ventilation. Measurement target is six classrooms on the sixth floor of building that was constructed in 1973 and was extended in 2011. Selected classroom's volume is different. Four classrooms were selected to compare the radon concentration in accordance with the year of completion, Classrooms that is same year of completion were selected to compare the radon concentration in accordance with the volume, six classroom was performed closure and ventilation to compare radon concentration according to ventilation. Radon concentrations in accordance with the year of building completion showed a high concentration of radon in a building recently built. Also, Radon concentration in volume is high the smaller the volume. Radon concentration change according to ventilation showed a reduction of about 80% when the ventilation than during closing. Especially, The radon concentrations were high detected while the recently year of building completion and the smaller volume. Ventilation of the three variables is considered that can be expected to exposure reduction effect by radon affecting the greatest radon concentration reduction.

Effects of small tidal volume and positive end-expiratory pressure on oxygenation in pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation

  • Byun, Sung Hye;Lee, So Young;Jung, Jin Yong
    • Journal of Yeungnam Medical Science
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    • v.35 no.2
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    • pp.165-170
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    • 2018
  • Background: The purpose of this study was to investigate whether tidal volume (TV) of 8 mL/kg without positive end-expiratory pressure (PEEP) and TV of 6 mL/kg with or without PEEP in pressure-controlled ventilation-volume guaranteed (PCV-VG) mode can maintain arterial oxygenation and decrease inspiratory airway pressure effectively during one-lung ventilation (OLV). Methods: The study enrolled 27 patients undergoing thoracic surgery. All patients were ventilated with PCV-VG mode. During OLV, patients were initially ventilated with TV 8 mL/kg (group TV8) without PEEP. Ventilation was subsequently changed to TV 6 mL/kg with PEEP ($5cmH_2O$; group TV6+PEEP) or without (group TV6) in random sequence. Peak inspiratory pressure ($P_{peak}$), mean airway pressure ($P_{mean}$), and arterial blood gas analysis were measured 30 min after changing ventilator settings. Ventilation was then changed once more to add or eliminate PEEP ($5cmH_2O$), while maintaining TV 6 mL/kg. Thirty min after changing ventilator settings, the same parameters were measured once more. Results: The $P_{peak}$ was significantly lower in group TV6 ($19.3{\pm}3.3cmH_2O$) than in group TV8 ($21.8{\pm}3.1cmH_2O$) and group TV6+PEEP ($20.1{\pm}3.4cmH_2O$). $PaO_2$ was significantly higher in group TV8 ($242.5{\pm}111.4mmHg$) than in group TV6 ($202.1{\pm}101.3mmHg$) (p=0.044). There was no significant difference in $PaO_2$ between group TV8 and group TV6+PEEP ($226.8{\pm}121.1mmHg$). However, three patients in group TV6 were dropped from the study because $PaO_2$ was lower than 80 mmHg after ventilation. Conclusion: It is postulated that TV 8 mL/kg without PEEP or TV 6 mL/kg with $5cmH_2O$ PEEP in PCV-VG mode during OLV can safely maintain adequate oxygenation.

Assistant device development and effects for promotion of bag-valve-mask ventilation (백-밸브-마스크 환기증진을 위한 보조기구 개발 및 효과)

  • Kwon, Chan-Yang;Lee, In-Soo
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.1
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    • pp.49-59
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    • 2018
  • Purpose: The purpose of this study was to develop an assistant device for the promotion of bag-valve-mask ventilation based on a non-equivalent control group pre-test and post-test design. Methods: The experimental tool was a mask assistance device developed by the researchers. Data were analyzed using SPSS 21.0 with the cardiopulmonary resuscitation (CPR) evaluation program from August 18 to 30, 2016. The research tools included general, hand-related, and ventilation-related characteristics. Results: Before and after using the mask assistance device, the tidal volume increased by 64 mL (p<.001) from 461.76 mL to 525.86 mL. The tidal volume for control was 477.86 mL, and there was a statistical difference (p<.05). The ventilation frequency in device users was 10 times per minute for a total of 20 ventilations with before 10.65 after 10 times, and that of the control group was before 10.36 times after 10 times; there was no difference in both groups(p>.05). The accuracy of the assistance device was $81.72{\pm}30.86%$, which was a very high value. However, the accuracy of ventilation in the control group with no assistance device was $18.97{\pm}32.44%$, which was a very low accuracy rate. Conclusion: This study's results suggested utilizing the newly-developed mask assistance device in CPR, and showed increases in tidal volume and accuracy of ventilation using the bag-valve-mask ventilation equipment. The general and hand-related characteristics did not have any effect, so the use of the device proved to increase the efficacy in all users.

Comparative study on effects of volume-controlled ventilation and pressure-limited ventilation for neonatal respiratory distress syndrome (신생아 호흡곤란 증후군에서 volume-controlled ventilation과 pressure-limited ventilation의 효과에 관한 비교연구)

  • Kim, Jae Jin;Hwang, Mun Jung;Lee, Sang Geel
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.21-27
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    • 2010
  • Purpose : In contrast with traditional time-cycled, pressure-limited ventilation, during volume-controlled ventilation, a nearly constant tidal volume is delivered with reducing volutrauma and the episodes of hypoxemia. The aim of this study was to compare the efficacy of pressure-regulated, volume controlled ventilation (PRVC) to Synchronized intermittent mandatory ventilation (SIMV) in VLBW infants with respiratory distress syndrome (RDS).Methods : 34 very low birth weight (VLBW) infants who had RDS were randomized to receive either PRVC or SIMV with surfactant administration : PRVC group (n=14) and SIMV group (n=20). We compared peak inspiratory pressure (PIP), duration of mechanical ventilation, and complications associated with ventilation, respectively with medical records. Results : There were no statistical differences in clinical characteristics between the groups. After surfactant administration, PIP was significantly lower during PRVC ventilation for 48hrs and accumulatevive value of decreased PIP was higher during PRVC ventilation for 24hrs (P<0.05). Duration of ventilation and incidence of complications was no significant difference. Conclusion : PRVC is the mode in which the smallest level of PIP required to deliver the preset tidal volume in VLBW infants with RDS, adaptively responding to compliance change in lung after surfactant replacement.

The Safety Assessment for Ventilation Facilities of Underground Power Plant (지하 발전소 환기설비에 대한 안전성 평가)

  • Ko, Won-Kyoung;Kang, Seung Kyu;Jeong, Young-Dae;Kim, Young Gu
    • 한국연소학회:학술대회논문집
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    • 2014.11a
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    • pp.331-332
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    • 2014
  • Underground power plant is required the strict safety management and safety assessment. Because it is the high risk of explosion by characteristic of enclosed space. In case gas leak of enclosed space, the ventilation facilities is very important in order to prevent explosion by the maintain less than the LEL(lower explosive limit). Thus, Through a safety assessment of ventilation volume is to reduce the risk for ventilation facilities in Underground power plant.

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