scholarly journals High O2 Flow Rates Required to Achieve Acceptable FiO2 in CPAP-Treated Patients With Severe Covid-19: A Clinically Based Bench Study

2021 ◽  
Vol 57 (9) ◽  
pp. 607-610
Author(s):  
Marius Lebret ◽  
Emeline Fresnel ◽  
Guillaume Prieur ◽  
Jean Quieffin ◽  
Johan Dupuis ◽  
...  
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1987 ◽  
Vol 62 (6) ◽  
pp. 2201-2211 ◽  
Author(s):  
G. Warner ◽  
J. B. Skatrud ◽  
J. A. Dempsey

We studied the effect of hypoxia-induced unstable and periodic breathing on the incidence of obstructed breaths in nine subjects who varied widely in their increase in total pulmonary resistance (RL) during non-rapid-eye-movement (NREM) sleep. During normoxic NREM sleep, all subjects showed hypoventilation, augmented diaphragmatic electromyogram (EMGdi), and increased RL. This response varied: two subjects doubled their mean RL (range 6–9 cmH2O X l–1 X s); four moderate snorers increased RL four- to eightfold (RL = 16–48 cmH2O X l–1 X s); three heavy snorers showed high RL (31–89 cmH2O X l–1 X s) plus cyclical obstructive hypopnea as their predominant breathing pattern. In seven of nine subjects, hypoxia and coincident hypocapnia initially caused an irregular cyclical breathing pattern with obstructed breaths (RL greater than 50 cmH2O X l–1 X s). The incidence of obstructed breaths induced by unstable breathing was closely correlated with the level of RL experienced in the control condition of normoxic sleep (r = 0.91). The obstructed breaths had relatively high O2 saturation (90–96%) and markedly reduced EMGdi activity and peak flow rate (less than 0.2 l/s) compared with breaths immediately after the obstructed breaths, which showed lower O2 saturation (81–93%) and markedly augmented EMGdi and flow rates. After 3–6 cycles of obstructive hypopnea, periodic breathing occurred in most subjects. During periodic breathing in six of seven subjects, the incidence of obstructed or high-resistance breaths was decreased or eliminated since each central apneic period was followed by breath clusters characterized by very high EMGdi, very low RL, and high flow rates. The remaining subject showed a high incidence of obstructed breaths during all phases of normoxic and hypoxic sleep. These data show that hypoxia-induced instability in breathing pattern can cause obstructed breaths during sleep coincident with reduced motor output to inspiratory muscles. However, this obstruction is only manifested in subjects susceptible to upper airway atonicity and narrowing (such as snorers) and can be prevented in most cases if respiratory drive is permitted to reach sufficiently high levels (as during central apnea).


2015 ◽  
Vol 2 (1) ◽  
pp. 6-12
Author(s):  
Agus Sugiarta ◽  
Houtman P. Siregar ◽  
Dedy Loebis

Automation of process control in chemical plant is an inspiring application field of mechatronicengineering. In order to understand the complexity of the automation and its application requireknowledges of chemical engineering, mechatronic and other numerous interconnected studies.The background of this paper is an inherent problem of overheating due to lack of level controlsystem. The objective of this research is to control the dynamic process of desired level more tightlywhich is able to stabilize raw material supply into the chemical plant system.The chemical plant is operated within a wide range of feed compositions and flow rates whichmake the process control become difficult. This research uses modelling for efficiency reason andanalyzes the model by PID control algorithm along with its simulations by using Matlab.


2021 ◽  
Vol 42 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Donald P. Tashkin ◽  
Arkady Koltun ◽  
Róisín Wallace

Background: A generic combination of fluticasone propionate and salmeterol xinafoate inhalation powder in a premetered, multidose, nonreusable inhaler was recently approved. Objective: To assess the performance of the generic device. Methods: Findings from three studies with regard to device usability, function, and robustness were reviewed. Results: In a study to assess device function in patients and healthy volunteers, the generic device was successfully used by patients with asthma and chronic obstructive pulmonary disease who were either dry powder inhaler users or dry powder inhaler‐naive, even though they were not trained beyond being provided the instructions for use. In a study to measure inhaled flow rates generated by patients and healthy volunteers, the generic device consistently simulated the delivery of a full dose of drug, even to patients with severe respiratory disease and reduced inspiratory flow rates. Although the generic device had a slightly higher airflow resistance, this study demonstrated that this difference did not result in any clinically meaningful differences in terms of drug delivery. Pressure drop, a key parameter that drives the fluidization and aerosolization of the powder dose, was found to be comparable between the devices. In an open-label study, the generic device met all U.S. Food and Drug Administration specifications for device robustness after 21.5 days of twice-daily dosing via oral inhalation among 111 participants with asthma or chronic obstructive pulmonary disease. All inhalers tested demonstrated conformity with a pharmacopeia with respect to key quality parameters (assay, delivered dose uniformity, aerodynamic size distribution). There was no evidence of chemical degradation of the active ingredients, nor of microbial or water ingress into the powder, as a result of inhaler use.


1984 ◽  
Vol 19 (1) ◽  
pp. 87-100
Author(s):  
D. Prasad ◽  
J.G. Henry ◽  
P. Elefsiniotis

Abstract Laboratory studies were conducted to demonstrate the effectiveness of diffused aeration for the removal of ammonia from the effluent of an anaerobic filter treating leachate. The effects of pH, temperature and air flow on the process were studied. The coefficient of desorption of ammonia, KD for the anaerobic filter effluent (TKN 75 mg/L with NH3-N 88%) was determined at pH values of 9, 10 and 11, temperatures of 10, 15, 20, 30 and 35°C, and air flow rates of 50, 120, and 190 cm3/sec/L. Results indicated that nitrogen removal from the effluent of anaerobic filters by ammonia desorption was feasible. Removals exceeding 90% were obtained with 8 hours aeration at pH of 10, a temperature of 20°C, and an air flow rate of 190 cm3/sec/L. Ammonia desorption coefficients, KD, determined at other temperatures and air flow rates can be used to predict ammonia removals under a wide range of operating conditions.


1986 ◽  
Vol 21 (1) ◽  
pp. 50-57 ◽  
Author(s):  
D. R. Cullimore ◽  
N. Mansuy

Abstract A small diameter water well drilled in 1977 in the Town of Bulyea, Saskatchewan generated such a rapid plugging (biofouling) that by 1979 the flow rate was reduced by 59%. Heavy growths of non-specific iron bacteria were found in the water and biofouling projected to be the principal cause of the flow loss. Tyndallization (repeated pasteurizations) treatment was applied using a hot water recycling system installed above the well head. Using a displacement passive gravity direct injection of hot water at 82°C from a water heater into the well, a sequential elevation of water column temperatures occurred until bio-film dispersion occurred (pasteurization) at 45°C+. A recovery to original flow specifications was repeatedly obtained at time intervals ranging from 6 to 403 days. Between treatments, a recurrence of biofouling was noted with flow reductions of 0.06 – 0.07 1/min/day frequently being noted. The rate of plugging appeared to be affected by the previous sequence of pasteurization treatments. Tyndallization was found to satisfactorily control iron bacterial biofouling and maintain flow rates.


1986 ◽  
Vol 18 (4-5) ◽  
pp. 53-61 ◽  
Author(s):  
P. B. Birch ◽  
G. G. Forbes ◽  
N. J. Schofield

Early results from monitoring runoff suggest that the programme to reduce application of superphosphate to farmlands in surrounding catchments has been successful in reducing input of phosphorus to the eutrophic Peel-Harvey estuary. In the estuary this phosphorus fertilizes algae which grow in abundance and accumulate and pollute once clean beaches. The success of the programme has been judged from application of an empirical statistical model, which was derived from 6 years of data from the Harvey Estuary catchment prior to a major change in fertilizer practices in 1984. The model relates concentration of phosphorus with rate of flow and time of year. High phosphorus concentrations were associated with high flow rates and with flows early in the high runoff season (May-July). The model predicted that the distribution of flows in 1984 should have resulted in a flow-weighted concentration of phosphorus near the long-term average; the observed concentration was 25% below the long-term average. This means that the amount of phosphorus discharged into the Harvey Estuary could have been about 2 5% less than expected from the volume of runoff which occurred. However several more years of data are required to confirm this trend.


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