• Title/Summary/Keyword: ventilator

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Prevalence and Related Risk Factors of Delirium in Intensive Care Units as Detected by the CAM-ICU (CAM-ICU로 평가한 중환자실의 섬망 발생률과 섬망 발생 위험요인)

  • Choi, Su Jung;Cho, Yong Ae
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.406-416
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    • 2014
  • Purpose: Screening of delirium using delirium assessment tools could promote delirium detection, however, there is lack of report about regular delirium assessment in Korea. This study was intended to describe the prevalence and related risk factors of delirium in intensive care unit (ICU). Methods: The Confusion Assessment Method for the ICU (CAM-ICU) data which were evaluated by nurses in ICUs was obtained through retrospective chart review. Data were analyzed using descriptive statistics, Chi-square test, t-test, Mann-Whitney U test, and stepwise logistic regression. Results: Delirium was evaluated in 125 patients. The incidence rate of delirium was 27.2% with a high prevalence of hypoactive delirium compared to hyperactive delirium (61.8 vs. 38.2%). Those with delirium were older, had hypertension, stayed longer in hospital, receiving ventilator support, had more number of catheters, had low serum protein and albumin level. Delirium incidence also varied according to diagnosis. Age, diagnosis of gastrointestinal disease, and application of ventilator were the significant risk factors for the incidence of delirium. Conclusion: Routine delirium screening is important for early detection of delirium. Identification of high-risk group and running delirium prevention programs could improve early recognition of delirium in ICU.

The Effect on Indoor Air Quality Improvement by Ventilation Rate in Newly Built Apartment (환기량 변화에 따른 신축공동주택의 실내공기질 개선효과 검토)

  • Choi Seok-Yong;Kim Sang-Hee;Yee Jung-Jae
    • 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.

A Design of High-Frequency Oscillatory Ventilator Using Phase Lock Loop system (위상동기루프 방식을 이용한 고빈도 진동환기 장치의 설계)

  • Lee, Sang-Hag;Jeong, Dong-Gyo;Lee, Joon-Ha;Lee, Kwan-Ho;Kim, Young-Jo;Chung, Jae-Chun;Lee, Hyun-Woo;Lee, Suck-Kang;Lee, Tae-Sug
    • Journal of Yeungnam Medical Science
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    • v.6 no.2
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    • pp.217-222
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    • 1989
  • In this study, high frequency oscillatory ventilator was designed and constructed. Using designed by phase-lock loop system, in order to accurately and easily treat both the outlet volume and rpm. A system has been designed and is being evaluated using CD4046A PLL IC. We use this PLL IC for the purpose of motor controls. The device consists of PLL system, pumping mechanism, piston, cylinder, and special crank shaft are required. This system characteristics were as follows : 1) Frequency : 20-1800rpm. 2) Outlet air volume : 1-50cc.

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Energy Saving by Combination of Element Technologies of Zero-Energy House (제로에너지 주택용 요소기술 조합에 따른 에너지절감에 관한 연구)

  • Shin, Hyun-Cheol;Jang, Gun-Eik
    • KIEAE Journal
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    • v.15 no.4
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    • pp.77-84
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    • 2015
  • Purpose: In 2008, As the green growth policy was presented, Green Building is made any effort to propagation. In this paper, the respective technologies that are able to considerably reduce the energy demands for heating, cooling, hot-water, lighting and ventilation among the variety of technologies were selected. Method: Design factors such as (1) External insulation, (2) Triple glazing window, (3) LED lighting, (4) External venetian blind, (5) Geothermal and (6) Heat recovery ventilator were derived. In addition, energy saving effects in terms of energy demand, energy consumption and energy cost were investigated using EnergyPlus, building energy analysis tool. Result : The results were as follows. (1) It can be seen that high insulated triple glazing window, heat recovery ventilator and external insulation technology is excellent for energy demand. (2) Unlike energy demand, saving effect of energy consumption and energy cost was shown in order of Geothermal > Triple Window > Heat recovery Ventilation> Insulation> LED Lighting > EVB Blind.

A Comparison of the Opened Versus Closed-System of Suctioning -In Oxygen Saturation, Vital Signs and Suction Time- (개방형 흡인술과 폐쇄형 흡인술이 인공호흡기 사용 중환자의 산소포화도와 활력징후에 미치는 효과)

  • Seo, Min-Sook;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.21 no.2
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    • pp.141-154
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    • 2009
  • Purpose: The purpose of this study was to compare the difference of change in oxygen saturation, vital signs and suction time taken for the suctioning during endotracheal suctioning performed with closed suction system and with opened suction system. Methods: Data were collected from 31 adult patients with ventilator treatment who were admitted to a university hospital in Seoul and the collection period was from July 1 to November 15, 2005. Oxygen saturation, heart rate, respiration rate and mean arterial pressure were collected immediately prior to the suctioning intervention, during and 1 and 5 minutes after the suctioning from opened suction system and closed suction system. Results: 1) The difference in oxygen saturation was statistically significant in recovery time for oxygen saturation to return to baseline values after suctioning was significantly rapid on closed suction system (p<.05). 2) The difference in heart rate, respiration rate and mean arterial pressure was statistically insignificant 3) The suction time was shorter in closed suction system. Conclusion: Closed suction system is more efficient, as compared with the open suction system in the ventilator treatment.

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Energy Saving Effect of ERV(Energy Recovery Ventilator) with Economizer Cycle - Focused on the School Buildings - (Economizer cycle을 채용한 전열교환형 환기시스템의 에너지 절감 효과 분석 -국내 학교를 대상으로-)

  • Kim, Joo-Wook;Park, Jae-Hyung;Song, Doo-Sam;Chu, Euy-Sung;Kwon, Young-Chul
    • Proceedings of the SAREK Conference
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    • 2009.06a
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    • pp.695-700
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    • 2009
  • Maintaining an IAQ with fresh in school building is very important because the good IAQ can be possible to improve the academic performance. Since school buildings are very dense and require a lot of fresh air, the need for ERV(Energy Recovery Ventilator) has become obvious. While opening a window does provide ventilation, the building's heat and humidity will then be lost in the winter and gained in the summer, both of which are undesirable for the indoor climate and for energy efficiency. ERV technology offers an optimal solution: fresh air, better climate control and energy efficiency. However, when the outdoor air condition is favorable to control the indoor environment such as spring and autum in Korea, heat exchange in ERV would rather increase the cooling load than diminish. Economizer cycle control which using the outdoor air in controlling the indoor thermal environment has many benefit in terms of energy saving and IAQ control. In this study, the ERV with economizer cycle control will be suggested. And then the system control characteristics and energy saving effect will be analyzed through the TRSNSYS Simulation.

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Improvement for Natural Ventilation Flow inside a Large Factory Building Using Louver-t ype Ventilator (루버를 이용한 대형공장 내부 자 연환기유동 개선에 관한 연구)

  • Kang, Jong-Hoon;Lee, Sang-Joon
    • 한국전산유체공학회:학술대회논문집
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    • 2008.03b
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    • pp.705-706
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    • 2008
  • When heat generated inside a large factory building is not discharged due to a stagnant flow, the working environment of workers becomes worse and the cooling of high-temperature products such as hot-rolling coils is delayed. To investigate the natural ventilation inside a large factory building, experimental studies were carried out using wind-tunnel tests. The scale-down factory building models were placed in an atmospheric boundary layer (ABL) and the mean and fluctuating velocity fields were measured using a particle image velocimetry (PIV) technique. For the prototype factory model, the outdoor air is only entrained into the factory building through the one-third open windward wall, and stagnant flow is formed in the rear part of the target area. In order to improve the indoor ventilation environment of the factory building, three different louver-type ventilators were attached at the upper one-third open windward wall of the factory model. Among the three louver ventilators tested in this study, the ventilator model #3 with the outer louver (${\theta}_o$ = 90$^{\circ}$) and the inner louver (${\theta}_i$ = -70$^{\circ}$) was found to improve the natural ventilation inside the factory building model effectively. The flow rate of the entrained air was increased with aligning the outer louver blades with the oncoming wind and guiding the entrained air down to the ground surface with elongated inner louver blades.

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Change of End-tidal PCS During Cardiopulmonary Bypass (체외순환시 호기말 이산화탄소압의 변화)

  • 오중환
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1399-1403
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    • 1992
  • The evaluation of the effectivess of ongoing cardiopulmonary resucitation efforts is dependent on the commonly used methods, such as the presence of femoral or carotid artery pulsations, arterial blood gas determinations, peripheral arterial pressure and intracardiac pressure monitoring. But recent studies suggest that end-tidal carbon dioxide tension serves as a non-invasive measurement of pulmonary blood flow and therefore cardiac output under constant ventilation. A prospective clinical study was done to determine whether end-tidal carbon dioxide monitoring in open heart surgery under cardiopulmonary bypass could be used as a prognostic indicator of bypass weaning. We monitored end-tidal PCO2 values continuously during cardiopulmonary bypass in 30 patients. "Ohmeda 5210 CO-2 monitor" under infrared absorption method were incorperated into the ventilator circuit by means of a side point adaptor between endotracheal tube and ventilator tubing. 18 patients[Group I ] were res-ucitated from partial bypass followed by aorta cross clamp off and 12 patients[Group II ] from aorta cross clamp off followed by partial bypass. But there was no difference between two groups[p>0.05]. The value of end-tidal carbon dioxide tension during ventricular fibrillation or nearly arrest state was 6.6$\pm$2.9 mmHg, and at the time of spontaneous beating was 19.3$\pm$5.6 mmHg[Mean$\pm$Standard deviation], In conclusion end-tidal carbon dioxide tension monitoring provides clinically useful, continous, noninvasive and supplementary prognostic indicator during cardiopulmonary bypass weaning procedures.rocedures.

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