scholarly journals AIR ENTRAINMENT VISUALIZED ON TRANSTHORACIC ECHOCARDIOGRAM IN A COVID-19 ECMO PATIENT

2021 ◽  
Vol 77 (18) ◽  
pp. 2208
Author(s):  
Aaron Kunamalla ◽  
Melissa Tracy ◽  
Deborah Tabachnick ◽  
Dinesh Kalra
2012 ◽  
Vol 15 (5) ◽  
pp. 286
Author(s):  
Jan Droste ◽  
Heidar Zafarani Zadeh ◽  
Mohammed Arif ◽  
Ian Craig ◽  
A K Thakur

<p>A patient presented with recurrent syncope due to transient severe hypotension. The patient's history, physical examination, and initial baseline investigation did not suggest a cardiovascular cause. After fluid resuscitation, a raised jugular venous pulse was noted. Bedside transthoracic echocardiogram showed a pericardial effusion and a proximally dilated aorta. Computed tomography of the thorax confirmed these findings and also demonstrated an intramural hematoma of the proximal aortic wall.</p><p>The patient was transferred to a cardiothoracic center, where he was at first treated medically. He then developed sudden cardiogenic shock due to pericardial tamponade and was successfully operated on.</p><p>It is important to recognize an acute intramural hematoma of the proximal aortic wall as a cardiothoracic emergency. This condition can present atypically, but nevertheless warrants urgent surgical intervention, equal to type A aortic dissection. Echocardiography can help in making the diagnosis.</p>


1997 ◽  
Author(s):  
U. Hegde ◽  
D. Stocker ◽  
M. Bahadori ◽  
D. Stocker ◽  
M. Bahadori ◽  
...  

2020 ◽  
Vol 781 (6) ◽  
pp. 18-26
Author(s):  
K.V. SHULDYAKOV ◽  
◽  
B.Ya. TROFIMOV ◽  
L.Ya. KRAMAR ◽  
◽  
...  
Keyword(s):  

Fuel ◽  
2020 ◽  
Vol 276 ◽  
pp. 117941
Author(s):  
Veronica M. Kimmerly ◽  
Ali S. Rangwala

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jingying Lu ◽  
Xiaolong Cheng ◽  
Zhenhua Wang ◽  
Ran Li ◽  
Jingjie Feng ◽  
...  

AbstractTotal dissolved gas (TDG) supersaturation, which occurs during dam spilling, may result in fish bubble disease and mortality. Many studies have been conducted to identify the factors pertaining to TDG generation, such as the spilling discharge and tailwater depth. Additionally, the energy dissipation efficiency should be considered due to its effect on the air entrainment, which influences the TDG generation process. According to the TDG field observations of 49 cases at Dagangshan and Xiluodu hydropower stations, the TDG was positively related to the energy dissipation efficiency, tailwater depth and discharge per unit width. A correlation between the generated TDG level and these factors was established. The empirical equations proposed by the USACE were calibrated, and the TDG level estimation performance was compared with the established correlation for 25 spillage cases at seven other dams. Among the considered cases, the standard error of the TDG estimation considering the energy dissipation efficiency was 5.7%, and those for the correlations obtained using the USACE equations were 13.0% and 10.0%. The findings indicated that the energy dissipation efficiency considerably influenced the TDG level, and its consideration helped enhance the precision of the TDG estimation. Finally, the generality of this approach and future work were discussed.


2020 ◽  
Vol 11 (1) ◽  
pp. 267
Author(s):  
Han-Tang Lin ◽  
Yunn-Horng Guu ◽  
Wei-Hsuan Hsu

Global warming, climate change, and ever-increasing energy demand are among the pressing challenges currently facing humanity. Particularly, indoor air conditioning, a major source of energy consumption, requires immediate improvement to prevent energy crises. In this study, various airfoil profiles were applied to create a window-type convection device that entrains air to improve convection between indoor and outdoor airflows and adjust the indoor temperature. How the geometric structure of the convection device affects its air entrainment performance was investigated on the basis of various airfoil profiles and outlet slit sizes of the airflow multiplier. The airfoil profiles were designed according to the 4-digit series developed by the National Advisory Committee for Aeronautics. The results revealed that airfoil thickness, airfoil camber, and air outlet slit size affected the mass flow rate of the convection device. Overall, the mass flow rate at the outlet of the convection device was more than 10 times greater than at the inlet, demonstrating the potential of the device to improve air convection. To validate these simulated results, the wind-deflector plate was processed using the NACA4424 airfoil with a 1.2 mm slit, and various operating voltages were applied to the convection device to measure the resulting wind speeds and calculate the corresponding mass flow rates. The experimental and simulated results were similar, with a mean error of <7%, indicating that the airfoil-shaped wind-deflector plate substantially improved air entrainment of the convection device to the goal of reduced energy consumption and carbon emissions.


2021 ◽  
Vol 77 (18) ◽  
pp. 1117
Author(s):  
Garrett A. Welle ◽  
Bassim El-Sabawi ◽  
Jeremy Thaden ◽  
Kevin Greason ◽  
Kyle Klarich ◽  
...  

2011 ◽  
Vol 39 (6) ◽  
pp. 1103-1110 ◽  
Author(s):  
J. E. Ritchie ◽  
A. B. Williams ◽  
C. Gerard ◽  
H. Hockey

In this study, we evaluated the performance of a humidified nasal high-flow system (Optiflow™, Fisher and Paykel Healthcare) by measuring delivered FiO2 and airway pressures. Oxygraphy, capnography and measurement of airway pressures were performed through a hypopharyngeal catheter in healthy volunteers receiving Optiflow™ humidified nasal high flow therapy at rest and with exercise. The study was conducted in a non-clinical experimental setting. Ten healthy volunteers completed the study after giving informed written consent. Participants received a delivered oxygen fraction of 0.60 with gas flow rates of 10, 20, 30, 40 and 50 l/minute in random order. FiO2, FEO2, FECO2 and airway pressures were measured. Calculation of FiO2 from FEO2 and FECO2 was later performed. Calculated FiO2 approached 0.60 as gas flow rates increased above 30 l/minute during nose breathing at rest. High peak inspiratory flow rates with exercise were associated with increased air entrainment. Hypopharyngeal pressure increased with increasing delivered gas flow rate. At 50 l/minute the system delivered a mean airway pressure of up to 7.1 cmH2O. We believe that the high gas flow rates delivered by this system enable an accurate inspired oxygen fraction to be delivered. The positive mean airway pressure created by the high flow increases the efficacy of this system and may serve as a bridge to formal positive pressure systems.


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