• Tuberculosis and Respiratory Diseases
• /
• v.68 no.2
• /
• pp.62-66
• /
• 2010

Background: Extracorporeal membrane oxygenation (ECMO) during severe acute respiratory failure helps to recover the pulmonary function. This study evaluated our experience with veno-venous ECMO in adult patients with acute respiratory failure. Methods: From January 2007 to July 2009, ECMO was used on 54 patients. Of these 54 patients, 7 were placed on veno-venous ECMO for acute respiratory failure. The indications of ECMO were based on the lung dysfunction measured as a $PaO_2/FiO_2$ ratio <100 mm Hg on $FiO_2$ of 1.0, or an arterial blood gas pH <7.25 due to hypercapnia despite the optimal treatment. $EBS^{(R)}$, $Bio-pump^{(R)}$, and Centrifugal Rotaflow $pump^{(R)}$ were used and all cannulations were performed percutaneously via both femoral veins. When the lung function was improved, an attempt was made to wean on ECMO at moderate ventilator settings followed by decannulation. Results: Five of the 7 patients were male and the mean age was $46.3{\pm}18.3$. The causes of acute respiratory failure were 3 cases of pneumonia, 2 near-drownings, 1 pulmonary hemorrhage due to acute hepatic failure and 1 mercury vapor poisoning. The mean support time of ECMO was $17.3{\pm}13.7$ days. Of the 7 patients implanted with ECMO, 5 patients (71%) were weaned off ECMO and 3 patients (43%) survived to hospital discharge after a mean 89.6 hospital days. Conclusion: The early use of ECMO for acute respiratory failure in adults due to any cause is a good therapeutic option for those unresponsive to the optimal conventional treatments.

• Journal of Chest Surgery
• /
• v.44 no.1
• /
• pp.9-17
• /
• 2011

Background: A peripheral extracorporeal membrane oxygenator (p-ECMO) has been developed to support patients who are dying due to a serious cardiopulmonary condition. This analysis was planned to define the clinical situation in which the patient benefits most from a p-ECMO. Material and Methods: Between June 2007 and Aug 2009, a total of 41 adult patients used the p-ECMO. There were 23 males and 18 females (mean age $54.4{\pm}15.1$ years). All patients had very unstable vital signs with hypoxia and complex cardiac problems. We divided the patients into 4 groups. In the first group, a p-ECMO was used as a bridge to cardiac operation. In the second group, patients did not have the opportunity to undergo any cardiac procedures; nevertheless, they were treated with a p-ECMO. In the third group, patients mostly had difficulty in weaning from CPB (cardiopulmonary bypass) after cardiac operation. The fourth group suffered from many complications, such as pneumonia, bleeding, infections, and LV dysfunction with underlying cardiac problems. All cannulations were performed by the Seldinger technique or cutting down the femoral vessel. A long venous cannula of $DLP^{(R)}$ (Medtronic Inc, Minneapolis, MN) or $RMI^{(R)}$ (Edwards Lifesciences LLC, Irvine, CA) was used together with a 17~21 Fr arterial cannula and a 21 Fr venous cannula. As a bypass pump, a Capiox emergency bypass system ($EBS^{(R)}$; Terumo, Tokyo, Japan) was used. We attempted to maintain a flow rate of $2.4{\sim}3.0\;L/min/m^2$ and an activated clotting time (ACT) of around 180 seconds. Results: Nine patients survived by the use of the p-ECMO. Ten patients were weaned from a p-ECMO but they did not survive, and the remainder had no chance to be weaned from the p-ECMO. The best clinical situation to apply the p-ECMO was to use it as a bridge to cardiac operation and for weaning from CPB after cardiac operation. Conclusion: Various clinical results were derived by p-ECMO according to the clinical situation. For the best results, early adoption of the p-ECMO for anatomical correction appears important.

• Journal of Chest Surgery
• /
• v.53 no.6
• /
• pp.368-374
• /
• 2020

Background: The extracorporeal ventricular assist device (e-VAD) system is designed for left ventricular support using a permanent life support console. This study aimed to determine the impact of temporary e-VAD implantation bridging on posttransplant outcomes. Methods: We reviewed the clinical records of 6 patients with the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) profile 1, awaiting heart transplantation, who were provided with temporary e-VAD from 2018 to 2019. The circuit comprised a single centrifugal pump without an oxygenator. The e-VAD inflow cannula was inserted into the apex of the left ventricle, and the outflow cannula was positioned in the ascending aorta. The median follow-up duration was 8.4±6.9 months. Results: After e-VAD implantation, lactate dehydrogenase levels significantly decreased, and Sequential Organ Failure Assessment scores significantly improved. Bedside rehabilitation was possible in 5 patients. After a mean e-VAD support duration of 14.5±17.3 days, all patients were successfully bridged to transplantation. After transplantation, 5 patients survived for at least 6 months. Conclusion: e-VAD may reverse end-organ dysfunction and improve outcomes in INTERMACS I heart transplant patients.

• Proceedings of the Korean Society of Propulsion Engineers Conference
• /
• 2009.05a
• /
• pp.253-256
• /
• 2009

In the micro turbojet engine less than 350kw power class, it is not easy to find out the good atomization fuel injector with good spray quality. However conceptually, rotating fuel injection system can give high atomization quality by only the centrifugal force of a high speed rotating shaft of the engine without high-pressure fuel pump. With this motivation, we manufactured very small rotating fuel injector of 40 mm diameter and performed under a variety of injection orifices. We measured droplet size, velocity and spray distribution by the PDPA(Phase Doppler Particle Analyzer) system. Also spray was visualized by using high speed camera. From the test results, we could understand that the length of liquid column from the injection orifice is mainly controlled by the rotational speeds. Furthermore, droplet size(SMD) is decreased with the rotational speeds and is influenced by the diameter of the injection orifice and liquid film thickness.

• Transactions of the Korean Society of Mechanical Engineers B
• /
• v.21 no.9
• /
• pp.1207-1217
• /
• 1997

The present work experimentally investigated the effects of mass flux, heat flux, inlet quality on the heat transfer performance inside the U-bend of smooth and microfin tube using R-22 and R-407C refrigerants. The parameters were 200 and 400 kg/m$^{2}$ s for mass flux, 6 and 12 kw/m$^{2}$ for heat flux, 0.1 and 0.2 for inlet quality under the pressure of 0.65 MPa. The apparatus consisted of the test section of four straight sections and three U-bends, preheater, condenser, refrigerant pump, mass flow meter etc. The average heat transfer coefficient at the downstream straight section after U-bend was affected by U-bend due to the centrifugal force and mixing of two-phase flow in the U-bend. The average heat transfer coefficient at the U-bend was 4 ~ 33 % higher than that at the straight section. The average heat transfer coefficients were affected in the order of mass flux, heat flux and inlet quality. The average heat transfer coefficients in the microfin tube were lager by 19 ~ 49% and 33 ~ 69% than that in the smooth tube at the straight section and at the U-bend separately. The average heat transfer coefficients for R-407C were larger by 33 ~ 41% and 17 ~ 29% than that for R-22 in the smooth tube and the microfin tube separately.

• Journal of Chest Surgery
• /
• v.37 no.1
• /
• pp.108-111
• /
• 2004

Reoperation on the recurrent aortic aneurysm adjuvent to sternum remains a challenging problem in regard to the risk of the massive hemorrhage at the time of resternotomy resulting from inadvertent entry into the aneurysmal sac. The cardiopulmonary bypass technique of femoral cannulation and deep hypothermic circulatory arrest can provide a safe resternotomy. The left ventricle is likely to distend due to lack of contraction with ventricular fibrillation during core cooling. To prevent ventricular distention during core cooling, sufficient venous drainage is mandatory, We report a technique in which deep hypothermic circulatory arrest is achieved before resternotomy without left ventricular distention by active venous drainage using centrifugal pump.

• Magazine of the Korean Society of Agricultural Engineers
• /
• v.18 no.4
• /
• pp.4209-4217
• /
• 1976

The purpose of this thesis is to search for the determination method of pumping rates in the existing tube wells for irrigation. Pumping tests were carried out for the twelve test tube wells which were selected in the provinces of Kyounggi, Kangwon, Chungbuk and Chungnam. The depths, static water levels, pumping levels, drawdowns and yields of tube wells were measured in the pumping tests, and a centrifugal pump with 3 inches diameter, a 5 HP motor and a 90$^{\circ}$ V-notch were used in the pumping tests. The average coefficient of transmissibility calculated by Chow's and Jacob's methods is 0.0336 square meter per second, and the average pumping rate calculated by Thiem's, Smreker's, Brinkhaus' and Theis' formulae, is 919 cubic meter per day, Therefore, the ground water storage in the test areas is comparatively abundant. Correlation between pumping rates and depths of tube wells is not in existence. Also, correlation between pumping rates and the thickness of aquifer is not found in this experiment. This shows that the depths of some tube wells are deep and their thicknesses of aquifer are thick, but their ground water storages are poor, and that the depths of some tube wells are shallow and their thicknesses of aquifer are thin, but their ground water storages are abundant. It seems that the test tube wells are influenced by the peculiar characteristics that the ground water in the test areas is free ground water in alluvium layer closely related with surface water. As drawdown increases, pumping rate decreases, and as the coefficient of transmissibility increases, pumping rate also increases. Namely, there are negative correlation between pumping rate and drawdown, and positive correlation between pumping rate and the coefficient of transmissibility. Judging from the results of the pumping tests in these tests areas, the pumping rate calculated by the formula, {{{{ { Q}_{m } =Q { ( { { S}_{ m} } over { TRIANGLE S } )}^{ { 2} over {3 } } }}}} used traditionally, is likely to be higher than real pumping rates. The formula, {{{{ { Q}_{m } =Q { { H}^{ 2} } over { (2H- TRIANGLE S) TRIANGLE S} }}}} derived from Thiem's theory, is looked upon as the reasonable one to detemine pumping rates in the existing tube wells for irrigation.

• Journal of Soil and Groundwater Environment
• /
• v.19 no.6
• /
• pp.80-90
• /
• 2014

The laboratory and field studies were conducted to identify an optimal injection concentration of nanoscale zero-valent iron particles (NZVI) and to evaluate the applicability of NZVI-based reactive zone technology to the site contaminated with trichloroethylene (TCE) DNAPL (Dense Non-Aqueous Phase Liquid). The laboratory test found an optimal injection concentration of NZVI of 5 g/L that could remove more than 95% of 0.15 mM TCE within 20 days. Eleven test wells were installed at the aquifer that was mainly composed of alluvial and weathered soils at a strong oxic condition with dissolved oxygen concentration of 3.50 mg/L and oxidation-reduction potential of 301 mV. NZVI of total 30 kg were successfully injected using a centrifugal pump. After 60 days from the NZVI injection, 86.2% of the TCE initially present in the groundwater was removed and the mass of TCE removed was 405 g. Nonchlorinated products such as ethane and ethene were detected in the groundwater samples. Based on the increased chloride ion concentration at the site, the mass of TCE removed was estimated to be 1.52 kg. This implied the presence of DNAPL TCE which contributed to a higher estimate of TCE removal than that based on the TCE concentration change.

• Journal of Chest Surgery
• /
• v.38 no.1 s.246
• /
• pp.13-22
• /
• 2005

It has been known that pulsatile flow is physiologic and more favorable to tissue perfusion than nonpulsatile flow. The purpose of this study is to directly compare the effect of pulsatile versus nonpulsatile blood flow to renal tissue perfusion in extracorporeal circulation by using a tissue perfusion measurement system. Material and Method: Total cardiopulmonary bypass circuit was constructed to twelve Yorkshire swines, weighing 20$\~ $30 kg. Animals were randomly assigned to group 1 (n=6, non pulsatile centrifugal pump) or group 2 (n=6, pulsatile T-PLS pump). A probe of the tissue perfusion measurement system $(QFlow^{TM}-500)$ was inserted into the renal pa­renchymal tissue. Extracorporeal circulation was maintained for an hour at a pump flow of 2 L/min after aortic cross-clamping. Tissue perfusion flow of the kidney was measured at baseline (before bypass) and every 10 minutes after bypass. Serologic parameters were collected at baseline and 60 minutes after bypass. Result: Baseline parameters were not different between the groups. Renal tissue perfusion flow was substantially higher in the pulsatile group throughout the bypass (ranged 48.5$\~$ 64 in group 1 vs. 65.8$\~$88.3 mL/min/100 g in group 2, p=0.026$\~$ 0.45) The difference was significant at 30 minutes bypass $(47.5{\pm}18.3\;in\;group\;1\;vs.\;83.4{\pm}28.5$ mL/min/100 g in group 2, p=0.026). Serologic parameters including plasma free hemoglobin, blood urea nitrogen, and creatinine showed no differences between the groups at 60 minutes after bypass (p=NS). Conclusion: Pulsatile flow is more beneficial to tissue perfusion of the kidney in short-term extracorporeal circulation. Further study is suggested to observe the effects to other vital organs or long-term significance.

• Journal of Chest Surgery
• /
• v.38 no.2 s.247
• /
• pp.101-109
• /
• 2005

Background: In sudden cardiac arrest, the effective maintenance of coronary artery blood flow is of paramount importance for myocardial preservation as well as cardiac recovery and patient survival. The purpose of this study was to directly compare the effects of pulsatile and non-pulsatile circulation to coronary artery flow and myocardial preservation in cardiac arrest condition. Material and Method: A cardiopulmonary bypass circuit was constructed in a ventricular fibrillation model using fourteen Yorkshire swine weighing $25\~35$ kg each. The animals were randomly assigned to group I (n=7, non-pulsatile centrifugal pump) or group II (n=7, pulsatile T-PLS pump). Extra-corporeal circulation was maintained for two hours at a pump flow of 2 L/min. The left anterior descending coronary artery flow was measured with an ultrasonic coronary artery flow measurement system at baseline (before bypass) and at every 20 minutes after bypass. Serologic parameters were collected simultaneously at baseline, 1 hour, and 2 hours after bypass in the coronary sinus venous blood. The Mann-Whitney U test of STATISTICA 6.0 was used to determine intergroup significances using a p value of < 0.05. Result: The resistance index of the coronary artery was lower in group II and the difference was significant at 40 min, 80 min, 100 min and 120 min (p < 0.05). The mean velocity of the coronary artery was higher in group II throughout the study, and the difference was significant from 20 min after starting the pump (p < 0.05). The coronary artery blood flow was higher in group II throughout the study, and the difference was significant from 40 min to 120 min (p < 0.05) except at 80 min. Serologic parameters showed no differences between the groups at 1 hour and 2 hours after bypass in the coronary sinus blood. Conclusion: In cardiac arrest condition, pulsatile extracorporeal circulation provides more blood flow, higher flow velocity and less resistance to coronary artery than non-pulsatile circulation.