Ventilation strategies for healthy indoors in hospitals

2022 ◽  
pp. 273-287
Author(s):  
Predrag Ilić ◽  
Dragana Nešković Markić ◽  
Ljiljana Stojanović Bjelić ◽  
Zia Ur Rahman Farooqi
Keyword(s):  
Ventilation Strategies

Assessing the effect of night ventilation on PCM performance in high-rise residential buildings

2019 ◽  
Vol 43 (3) ◽  
pp. 229-249 ◽  
Author(s):  
Shahrzad Soudian ◽  
Umberto Berardi
Keyword(s):  
Thermal Energy ◽  
Phase Change Materials ◽  
Positive Impact ◽  
Residential Buildings ◽  
Solidification Rate ◽  
Operative Temperature ◽  
High Rise ◽  
Ventilation Strategies ◽  
Night Ventilation ◽  
The Impact

This article investigates the possibility to enhance the use of latent heat thermal energy storage (LHTES) as an energy retrofit measure by night ventilation strategies. For this scope, phase change materials (PCMs) are integrated into wall and ceiling surfaces of high-rise residential buildings with highly glazed facades that experience high indoor diurnal temperatures. In particular, this article investigates the effect of night ventilation on the performance of the PCMs, namely, the daily discharge of the thermal energy stored by PCMs. Following previous experimental tests that have shown the efficacy of LHTES in temperate climates, a system comprising two PCM layers with melting temperatures selected for a year-around LHTES was considered. To quantify the effectiveness of different night ventilation strategies to enhance the potential of this composite PCM system, simulations in EnergyPlusTM were performed. The ventilation flow rate, set point temperature, and operation period were the main tested parameters. The performance of the PCMs in relation to the variables was evaluated based on indoor operative temperature and cooling energy use variations in Toronto and New York in the summer. The solidification of the PCMs was analyzed based on the amount of night ventilation needed in each climate condition. The results quantify the positive impact of combining PCMs with night ventilation on cooling energy reductions and operative temperature regulation of the following days. In particular, the results indicate higher benefits obtainable with PCMs coupled with night ventilation in the context of Toronto, since this city experiences higher daily temperature fluctuations. The impact of night ventilation design variables on the solidification rate of the PCMs varied based on each parameter leading to different compromises based on the PCM and climate characteristics.

scholarly journals Management of Intraoperative Mechanical Ventilation to Prevent Postoperative Complications after General Anesthesia: A Narrative Review

2021 ◽  
Vol 10 (12) ◽  
pp. 2656
Author(s):  
Alberto Fogagnolo ◽  
Federica Montanaro ◽  
Lou’i Al-Husinat ◽  
Cecilia Turrini ◽  
Michela Rauseo ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Tidal Volume ◽  
Pulmonary Complications ◽  
Point Of View ◽  
Whole Body ◽  
Positive End Expiratory Pressure ◽  
Ventilation Strategies ◽  
Harmful Effects ◽  
Ventilation Induced Lung Injury ◽  
Different Levels

Mechanical ventilation (MV) is still necessary in many surgical procedures; nonetheless, intraoperative MV is not free from harmful effects. Protective ventilation strategies, which include the combination of low tidal volume and adequate positive end expiratory pressure (PEEP) levels, are usually adopted to minimize the ventilation-induced lung injury and to avoid post-operative pulmonary complications (PPCs). Even so, volutrauma and atelectrauma may co-exist at different levels of tidal volume and PEEP, and therefore, the physiological response to the MV settings should be monitored in each patient. A personalized perioperative approach is gaining relevance in the field of intraoperative MV; in particular, many efforts have been made to individualize PEEP, giving more emphasis on physiological and functional status to the whole body. In this review, we summarized the latest findings about the optimization of PEEP and intraoperative MV in different surgical settings. Starting from a physiological point of view, we described how to approach the individualized MV and monitor the effects of MV on lung function.

Association of Ventilation during Initial Trauma Resuscitation for Traumatic Brain Injury and Post-Traumatic Outcomes: A Systematic Review

2021 ◽  
pp. 1-6
Author(s):  
Mary Beth Howard ◽  
Nichole McCollum ◽  
Emily C. Alberto ◽  
Hannah Kotler ◽  
Mary E. Mottla ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Trauma Resuscitation ◽  
Cerebral Herniation ◽  
Full Text Review ◽  
Post Traumatic ◽  
Ventilation Strategies ◽  
End Tidal

Abstract Objectives: In the absence of evidence of acute cerebral herniation, normal ventilation is recommended for patients with traumatic brain injury (TBI). Despite this recommendation, ventilation strategies vary during the initial management of patients with TBI and may impact outcome. The goal of this systematic review was to define the best evidence-based practice of ventilation management during the initial resuscitation period. Methods: A literature search of PubMed, CINAHL, and SCOPUS identified studies from 2009 through 2019 addressing the effects of ventilation during the initial post-trauma resuscitation on patient outcomes. Results: The initial search yielded 899 articles, from which 13 were relevant and selected for full-text review. Six of the 13 articles met the inclusion criteria, all of which reported on patients with TBI. Either end-tidal carbon dioxide (ETCO2) or partial pressure carbon dioxide (PCO2) were the independent variables associated with mortality. Decreased rates of mortality were reported in patients with normal PCO2 or ETCO2. Conclusions: Normoventilation, as measured by ETCO2 or PCO2, is associated with decreased mortality in patients with TBI. Preventing hyperventilation or hypoventilation in patients with TBI during the early resuscitation phase could improve outcome after TBI.

scholarly journals Window operation behaviour and indoor air quality during lockdown: A monitoring-based simulation-assisted study in London

2021 ◽  
pp. 014362442110177
Author(s):  
Farhang Tahmasebi ◽  
Yan Wang ◽  
Elizabeth Cooper ◽  
Daniel Godoy Shimizu ◽  
Samuel Stamp ◽  
...  
Keyword(s):  
Air Quality ◽  
Indoor Air Quality ◽  
Indoor Air ◽  
Energy Demand ◽  
Natural Ventilation ◽  
Probabilistic Models ◽  
Performance Model ◽  
Outdoor Environment ◽  
Ventilation Strategies ◽  
The Impact

The Covid-19 outbreak has resulted in new patterns of home occupancy, the implications of which for indoor air quality (IAQ) and energy use are not well-known. In this context, the present study investigates 8 flats in London to uncover if during a lockdown, (a) IAQ in the monitored flats deteriorated, (b) the patterns of window operation by occupants changed, and (c) more effective ventilation patterns could enhance IAQ without significant increases in heating energy demand. To this end, one-year’s worth of monitored data on indoor and outdoor environment along with occupant use of windows has been used to analyse the impact of lockdown on IAQ and infer probabilistic models of window operation behaviour. Moreover, using on-site CO2 data, monitored occupancy and operation of windows, the team has calibrated a thermal performance model of one of the flats to investigate the implications of alternative ventilation strategies. The results suggest that despite the extended occupancy during lockdown, occupants relied less on natural ventilation, which led to an increase of median CO2 concentration by up to 300 ppm. However, simple natural ventilation patterns or use of mechanical ventilation with heat recovery proves to be very effective to maintain acceptable IAQ. Practical application: This study provides evidence on the deterioration of indoor air quality resulting from homeworking during imposed lockdowns. It also tests and recommends specific ventilation strategies to maintain acceptable indoor air quality at home despite the extended occupancy hours.

scholarly journals Sustainable Ventilation Strategies for a Medium-Sized Space with Regional Effect

2021 ◽  
Vol 13 (9) ◽  
pp. 4651
Author(s):  
Ming-Lun Alan Fong
Keyword(s):  
Life Cycle ◽  
Life Cycle Cost ◽  
Co2 Emission ◽  
High Efficiency ◽  
Regional Climate ◽  
Cost Effective ◽  
Regional Effect ◽  
Climate Conditions ◽  
Ventilation Strategies ◽  
Set Up

The analysis of ventilation strategies is fundamentally affected by regional climate conditions and local cost databases, in terms of energy consumption, CO2 emission and cost-effective analysis. A systematic approach is covered in this paper to estimate a local economic and environmental impact on a medium-sized space located in two regions during supply-and-installation and operation phases. Three ventilation strategies, including mixing ventilation (MV), displacement ventilation (DV) and stratum ventilation (SV) were applied to medium-sized air-conditioned space with this approach. The trend of the results for three ventilation systems in the life cycle assessment (LCA) and life cycle cost (LCC) analysis is SV < DV < MV. The result of CO2 emission and regional LCC shows that SV is the lowest one in both regional studies. In comparison with the Hong Kong Special Administrative Region (HKSAR) during 20 Service years, the case analysis demonstrates that the percentage differences in LCC analysis of MV, DV & SV in Guangdong are less than 20.5%, 19.4% and 18.82% respectively. Their CO2 emission of MV, DV and SV in Guangdong are more than HKSAR in 10.69%, 11.22% and 12.05%, respectively. The present study could provide information about regional effects in the LCA and LCC analysis of three ventilation strategies emissions, and thereby help set up models for decision-making on high efficiency and cost-effective ventilation strategy plans.

Assessing ventilation strategies in a school with observed indoor air problems

Facilities ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ulrika Uotila ◽  
Arto Saari ◽  
Juha-Matti Kalevi Junnonen ◽  
Lari Eskola
Keyword(s):  
Decision Making ◽  
Air Quality ◽  
Indoor Air Quality ◽  
Indoor Air ◽  
Final Decision ◽  
Target Number ◽  
Content Type ◽  
Existing Building ◽  
Ventilation Strategies

Purpose Poor indoor air quality in schools is a worldwide challenge that poses health risks to pupils and teachers. A possible response to this problem is to modify ventilation. Therefore, the purpose of this paper is to pilot a process of generating alternatives for ventilation redesign, in an early project phase, for a school to be refurbished. Here, severe problems in indoor air quality have been found in the school. Design/methodology/approach Ventilation redesign is investigated in a case study of a school, in which four alternative ventilation strategies are generated and evaluated. The analysis is mainly based on the data gathered from project meetings, site visits and the documents provided by ventilation and condition assessment consultants. Findings Four potential strategies to redesign ventilation in the case school are provided for decision-making in refurbishment in the early project phase. Moreover, the research presents several features to be considered when planning the ventilation strategy of an existing school, including the risk of alterations in air pressure through structures; the target number of pupils in classrooms; implementing and operating costs; and the size of the space that ventilation equipment requires. Research limitations/implications As this study focusses on the early project phase, it provides viewpoints to assist decision-making, but the final decision requires still more accurate calculations and simulations. Originality/value This study demonstrates the decision-making process of ventilation redesign of a school with indoor air problems and provides a set of features to be considered. Hence, it may be beneficial for building owners and municipal authorities who are engaged in planning a refurbishment of an existing building.

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