Percutaneous Transtracheal Ventilation: Resuscitation Bags Do Not Provide Adequate Ventilation

2006 ◽  
Vol 21 (6) ◽  
pp. 431-435 ◽  
Author(s):  
Edmond A. Hooker ◽  
Daniel F. Danzl ◽  
Daniel O'Brien ◽  
Michael Presley ◽  
Ginger Whitaker ◽  
...  
Keyword(s):  
Tidal Volume ◽  
Flow Rate ◽  
Oxygen Supply ◽  
Jet Ventilation ◽  
Intravenous Catheter ◽  
Flow Rates ◽  
Transtracheal Ventilation ◽  
Adequate Ventilation ◽  
Pediatric Resuscitation ◽  
Adults And Children

AbstractIntroduction:Percutaneous, transtracheal jet ventilation (percutaneous transtracheal jet ventilation) is an effective way to ventilate both adults and children. However, some authors suggest that a resuscitation bag can be utilized to ventilate through a cannula placed into the trachea.Hypothesis:Percutaneous transtracheal ventilation (percutaneous transtracheal ventilation) through a 14-gauge catheter is ineffective when attempted using a resuscitation bag.Methods:Eight insufflation methods were studied. A 14-gauge intravenous catheter was attached to an adult resuscitation bag, a pediatric resuscitation bag, wall-source (wall) oxygen, portable-tank oxygen with a regulator, and a jet ventilator (JV) at two flow rates. The resuscitation bags were connected to the 14-gauge catheter using a 7 mm adult endotracheal tube adaptor connected to a 3 cc syringe barrel. The wall and tank oxygen were connected to he 14-gauge catheter using a three-way stopcock. The wall oxygen was tested with the regulator set at 15 liters per minute (LPM) and with the regulator wide open. The tank was tested with the regulator set at 15 and 25 LPM. The JV was connected directly to the 14-gauge catheter using JV tubing supplied by the manufacturer. Flow was measured using an Ohmeda 5420 Volume Monitor. A total of 30 measurements were taken, each during four seconds of insufflation, and the results averaged (milliliters (ml) per second (sec)) for each device.Results:Flow rates obtained using both resuscitation bags, tank oxygen, and regulated wall oxygen were extremely low (adult 215 ±20 ml/sec; pediatric 195 ±19 ml/sec; tank 358 ±13 ml/sec; wall at 15 l/min 346 ±20 ml/sec). Flow rates of 1,394 ±13 ml were obtained using wall oxygen with the regulator wide open. Using the JV with the regulator set at 50 pounds per square inch (psi), a flow rate of 1,759 ±40 was obtained.These were the only two methods that produced flow rates high enough to provide an adequate tidal volume to an adult.Conclusions:Resuscitation bags should not be used to ventilate adult patients through a 14-gauge, transtracheal catheter. Jet ventilation is needed when percutaneous transtracheal ventilation is attempted. If jet ventilation is attempted using oxygen supply tubing, it must be connected to an unregulated oxygen source of at least 50 psi.

scholarly journals Cellular Nutrition in Complex Three-Dimensional Scaffolds: A Comparison between Experiments and Computer Simulations

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Claudia Bergemann ◽  
Patrick Elter ◽  
Regina Lange ◽  
Volker Weißmann ◽  
Harald Hansmann ◽  
...  
Keyword(s):  
Shear Stress ◽  
Cell Viability ◽  
Computer Simulations ◽  
Flow Rate ◽  
Oxygen Supply ◽  
Three Dimensional ◽  
Flow Rates ◽  
The Core ◽  
Local Oxygen

Studies on bone cell ingrowth into synthetic, porous three-dimensional (3D) implants showed difficulties arising from impaired cellular proliferation and differentiation in the core region of these scaffolds with increasing scaffold volumein vitro. Therefore, we developed anin vitroperfusion cell culture module, which allows the analysis of cells in the interior of scaffolds under different medium flow rates. For each flow rate the cell viability was measured and compared with results from computer simulations that predict the local oxygen supply and shear stress inside the scaffold based on the finite element method. We found that the local cell viability correlates with the local oxygen concentration and the local shear stress. On the one hand the oxygen supply of the cells in the core becomes optimal with a higher perfusion flow. On the other hand shear stress caused by high flow rates impedes cell vitality, especially at the surface of the scaffold. Our results demonstrate that both parameters must be considered to derive an optimal nutrient flow rate.

A small electrolytically driven infusion pump

1965 ◽  
Vol 20 (4) ◽  
pp. 793-795
Author(s):  
A. Baumgarten ◽  
C. C. Curtain
Keyword(s):  
Flow Rate ◽  
Electrolyte Solution ◽  
Human Subjects ◽  
Infusion Pump ◽  
Power Source ◽  
The Body ◽  
Platinum Electrodes ◽  
Intravenous Catheter ◽  
Flow Rates ◽  
Polyurethane Sponge

An electrolytically driven infusion pump has been constructed in which the pressure of gas generated by electrolysis is used to propel the infusate at controllable flow rates. The unit has over-all dimensions of 12.5 x 4.0 cm and consists of a chamber containing the electrolyte solution in a polyurethane sponge inserted between platinum electrodes and a chamber containing a mercury battery which serves as the power source. The infusate is contained in 4.5-mm diameter polythene tubing wound about the body of the pump. A small polythene valve inserted between the tubing and an intravenous catheter prevents reflux of blood. The pump has a capacity of up to 25 ml and a flow rate of 0.5—25 ml/hr. It can operate in any position and is designed for use in human subjects and unrestrained animals. portable infusion pump; self-contained infusion pump; nonmechanical pump Submitted on November 9, 1964

Hydraulic model of a water cooling system in a chemical plant

1988 ◽  
Vol 53 (4) ◽  
pp. 788-806
Author(s):  
Miloslav Hošťálek ◽  
Jiří Výborný ◽  
František Madron
Keyword(s):  
Flow Rate ◽  
Cooling System ◽  
Cooling Water ◽  
Graph Algorithm ◽  
Automatic Generation ◽  
Hydraulic Calculation ◽  
Return Flow ◽  
Flow Rates ◽  
Pressure Losses ◽  
Controlled Flow

Steady state hydraulic calculation has been described of an extensive pipeline network based on a new graph algorithm for setting up and decomposition of balance equations of the model. The parameters of the model are characteristics of individual sections of the network (pumps, pipes, and heat exchangers with armatures). In case of sections with controlled flow rate (variable characteristic), or sections with measured flow rate, the flow rates are direct inputs. The interactions of the network with the surroundings are accounted for by appropriate sources and sinks of individual nodes. The result of the calculation is the knowledge of all flow rates and pressure losses in the network. Automatic generation of the model equations utilizes an efficient (vector) fixing of the network topology and predominantly logical, not numerical operations based on the graph theory. The calculation proper utilizes a modification of the model by the method of linearization of characteristics, while the properties of the modified set of equations permit further decrease of the requirements on the computer. The described approach is suitable for the solution of practical problems even on lower category personal computers. The calculations are illustrated on an example of a simple network with uncontrolled and controlled flow rates of cooling water while one of the sections of the network is also a gravitational return flow of the cooling water.

scholarly journals Geometrical Optimization of a Venturi-Type Microbubble Generator Using CFD Simulation and Experimental Measurements

Designs ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 4
Author(s):  
Dillon Alexander Wilson ◽  
Kul Pun ◽  
Poo Balan Ganesan ◽  
Faik Hamad
Keyword(s):  
Water Flow ◽  
Flow Rate ◽  
Cfd Simulation ◽  
Air Flow ◽  
Bubble Diameter ◽  
Diameter Ratio ◽  
Experimental Measurements ◽  
Cfd Model ◽  
Flow Rates ◽  
Throat Diameter

Microbubble generators are of considerable importance to a range of scientific fields from use in aquaculture and engineering to medical applications. This is due to the fact the amount of sea life in the water is proportional to the amount of oxygen in it. In this paper, experimental measurements and computational Fluid Dynamics (CFD) simulation are performed for three water flow rates and three with three different air flow rates. The experimental data presented in the paper are used to validate the CFD model. Then, the CFD model is used to study the effect of diverging angle and throat length/throat diameter ratio on the size of the microbubble produced by the Venturi-type microbubble generator. The experimental results showed that increasing water flow rate and reducing the air flow rate produces smaller microbubbles. The prediction from the CFD results indicated that throat length/throat diameter ratio and diffuser divergent angle have a small effect on bubble diameter distribution and average bubble diameter for the range of the throat water velocities used in this study.

scholarly journals Comparison of different models to calculate the viscosity of biogas and biomethane in order to accurately measure flow rates for conformity assessment

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Karine Arrhenius ◽  
Oliver Büker
Keyword(s):  
Binary Mixtures ◽  
Flow Rate ◽  
Correction Method ◽  
Gas Mixtures ◽  
Conformity Assessment ◽  
Flow Rates ◽  
Unknown Composition

AbstractThe study presents an optimised method to correct flow rates measured with a LFE flowmeter pre-set on methane while used for gas mixtures of unknown composition at the time of the measurement. The method requires the correction of the flow rate using a factor based on the viscosity of the gas mixtures once the composition is accurately known. The method has several different possible applications inclusive for the sampling of biogas and biomethane onto sorbent tubes for conformity assessment for the determination of siloxanes, terpenes and VOC in general. Five models for the calculation of the viscosity of the gas mixtures were compared and the models were used for ten binary mixtures and four multi-component mixtures. The results of the evaluation of the different models showed that the correction method using the viscosity of the mixtures calculated with the model of Reichenberg and Carr showed the smallest biases for binary mixtures. For multi-component mixtures, the best results were obtained when using the models of Lucas and Carr.

Assessment of the Use of Humidified Nasal Cannulas for Oxygen Therapy in Patients with Epistaxis

ORL ◽  
2021 ◽  
pp. 1-5
Author(s):  
Jingjing Liu ◽  
Tengfang Chen ◽  
Zhenggang Lv ◽  
Dezhong Wu
Keyword(s):  
Flow Rate ◽  
Oxygen Therapy ◽  
Preliminary Investigation ◽  
Nasal Cannula ◽  
Low Flow ◽  
Antiplatelet Drugs ◽  
Flow Rates ◽  
The Past ◽  
Oxygen Inhalation ◽  
Significant Difference

<b><i>Introduction:</i></b> In China, nasal cannula oxygen therapy is typically humidified. However, it is difficult to decide whether to suspend nasal cannula oxygen inhalation after the nosebleed has temporarily stopped. Therefore, we conducted a preliminary investigation on whether the use of humidified nasal cannulas in our hospital increases the incidence of epistaxis. <b><i>Methods:</i></b> We conducted a survey of 176,058 inpatients in our hospital and other city branches of our hospital over the past 3 years and obtained information concerning their use of humidified nasal cannulas for oxygen inhalation, nonhumidified nasal cannulas, anticoagulant and antiplatelet drugs, and oxygen inhalation flow rates. This information was compared with the data collected at consultation for epistaxis during these 3 years. <b><i>Results:</i></b> No significant difference was found between inpatients with humidified nasal cannulas and those without nasal cannula oxygen therapy in the incidence of consultations due to epistaxis (χ<sup>2</sup> = 1.007, <i>p</i> &#x3e; 0.05). The same trend was observed among hospitalized patients using anticoagulant and antiplatelet drugs (χ<sup>2</sup> = 2.082, <i>p</i> &#x3e; 0.05). Among the patients with an inhaled oxygen flow rate ≥5 L/min, the incidence of ear-nose-throat (ENT) consultations due to epistaxis was 0. No statistically significant difference was found between inpatients with a humidified oxygen inhalation flow rate &#x3c;5 L/min and those without nasal cannula oxygen therapy in the incidence of ENT consultations due to epistaxis (χ<sup>2</sup> = 0.838, <i>p</i> &#x3e; 0.05). A statistically significant difference was observed in the incidence of ENT consultations due to epistaxis between the low-flow nonhumidified nasal cannula and nonnasal cannula oxygen inhalation groups (χ<sup>2</sup> = 18.428, <i>p</i> &#x3c; 0.001). The same trend was observed between the 2 groups of low-flow humidified and low-flow nonhumidified nasal cannula oxygen inhalation (χ<sup>2</sup> = 26.194, <i>p</i> &#x3c; 0.001). <b><i>Discussion/Conclusion:</i></b> Neither high-flow humidified nasal cannula oxygen inhalation nor low-flow humidified nasal cannula oxygen inhalation will increase the incidence of recurrent or serious epistaxis complications; the same trend was observed for patients who use anticoagulant and antiplatelet drugs. Humidification during low-flow nasal cannula oxygen inhalation can prevent severe and repeated epistaxis to a certain extent.

scholarly journals Net-exergetic, hydraulic and thermal optimization of coaxial heat exchangers using fixed flow conditions instead of fixed flow rates

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Tobias Blanke ◽  
Markus Hagenkamp ◽  
Bernd Döring ◽  
Joachim Göttsche ◽  
Vitali Reger ◽  
...  
Keyword(s):  
Reynolds Number ◽  
Laminar Flow ◽  
Mass Flow ◽  
Flow Rate ◽  
Heat Exchangers ◽  
Circular Ring ◽  
Flow Conditions ◽  
Flow Rates ◽  
Mass Flow Rates ◽  
Pipe Radius

AbstractPrevious studies optimized the dimensions of coaxial heat exchangers using constant mass flow rates as a boundary condition. They show a thermal optimal circular ring width of nearly zero. Hydraulically optimal is an inner to outer pipe radius ratio of 0.65 for turbulent and 0.68 for laminar flow types. In contrast, in this study, flow conditions in the circular ring are kept constant (a set of fixed Reynolds numbers) during optimization. This approach ensures fixed flow conditions and prevents inappropriately high or low mass flow rates. The optimization is carried out for three objectives: Maximum energy gain, minimum hydraulic effort and eventually optimum net-exergy balance. The optimization changes the inner pipe radius and mass flow rate but not the Reynolds number of the circular ring. The thermal calculations base on Hellström’s borehole resistance and the hydraulic optimization on individually calculated linear loss of head coefficients. Increasing the inner pipe radius results in decreased hydraulic losses in the inner pipe but increased losses in the circular ring. The net-exergy difference is a key performance indicator and combines thermal and hydraulic calculations. It is the difference between thermal exergy flux and hydraulic effort. The Reynolds number in the circular ring is instead of the mass flow rate constant during all optimizations. The result from a thermal perspective is an optimal width of the circular ring of nearly zero. The hydraulically optimal inner pipe radius is 54% of the outer pipe radius for laminar flow and 60% for turbulent flow scenarios. Net-exergetic optimization shows a predominant influence of hydraulic losses, especially for small temperature gains. The exact result depends on the earth’s thermal properties and the flow type. Conclusively, coaxial geothermal probes’ design should focus on the hydraulic optimum and take the thermal optimum as a secondary criterion due to the dominating hydraulics.

scholarly journals Effects of Sprinkler Flow Rate on Physiological, Behavioral and Production Responses of Nili Ravi Buffaloes during Subtropical Summer

Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 339
Author(s):  
Musa Bah ◽  
Muhammad Afzal Rashid ◽  
Khalid Javed ◽  
Talat Naseer Pasha ◽  
Muhammad Qamer Shahid
Keyword(s):  
Heat Stress ◽  
Milk Yield ◽  
Flow Rate ◽  
Rectal Temperature ◽  
Latin Square ◽  
Flow Rates ◽  
Group Water ◽  
Humidity Index ◽  
Daily Milk Yield ◽  
Daily Milk

Water buffaloes wallow in water to combat heat stress during summer. With the decreasing reservoirs for wallowing, the farmers use sprinklers to cool the buffaloes in Pakistan. These sprinklers use a large quantity of groundwater, which is becoming scarce. The objective of the current study was to determine the effect of different sprinkler flow rates on the physiological, behavioral, and production responses of Nili Ravi buffaloes during summer. Eighteen buffaloes were randomly subjected to three sprinkler flow rate treatments in a double replicated 3 × 3 Latin square design. The flow rates were 0.8, 1.25, and 2.0 L/min. During the study, the average afternoon temperature humidity index was 84.6. The 1.25 and 2.0 L/min groups had significantly lower rectal temperature and respiratory rates than the 0.8 L/min group. Water intake was significantly higher in the 0.8 L/min group. Daily milk yield was higher in the 1.25 and 2.0 L/min groups than in the 0.8 L/min group. These results suggested that the sprinkler flow rates > 0.8 L/min effectively cooled the buffaloes. The sprinkler flow rate of 1.25 L/min appeared to be more efficient, as it used 37.5% less water compared to the 2.0 L/min.

scholarly journals Laser-Doppler Velocimetry Measurements Inside a Backward Curved Centrifugal Fan

2001 ◽  
Vol 7 (3) ◽  
pp. 173-181
Author(s):  
Tong-Miin Liou ◽  
Meng-Yu Chen
Keyword(s):  
Flow Rate ◽  
Turbulence Intensity ◽  
Laser Doppler Velocimetry ◽  
Reverse Flow ◽  
Flow Region ◽  
Design Flow ◽  
Laser Doppler ◽  
Centrifugal Fan ◽  
Doppler Velocimetry ◽  
Flow Rates

Laser-Doppler velocimetry (LDV) measurements are presented of relative mean velocity and turbulence intensity components inside the impeller passage of a centrifugal fan with twelve backward curved blades at design, under-design, and over-design flow rates. Additional LDV measurements were also performed at the volute outlet to examine the uniformity of the outlet flow for the three selected flow rates. Complementary flow visualization results in the tongue region are further presented. It is found that the number of characteristic flow regions and the average turbulence level increase with decreasing air flow rate. For the case of under-design flow rate, there are a through-flow region on the suction side, a reverse flow region on the pressure side, and a shear layer region in between. The corresponding average turbulence intensity is as high as 9.1% of blade tip velocity.

Simultaneous Measuring Method for Both Volumetric Flow Rates of Air-Water Mixture Using a Turbine Flowmeter

1996 ◽  
Vol 118 (1) ◽  
pp. 29-35 ◽  
Author(s):  
K. Minemura ◽  
K. Egashira ◽  
K. Ihara ◽  
H. Furuta ◽  
K. Yamamoto
Keyword(s):  
Pressure Drop ◽  
Flow Rate ◽  
Volumetric Flow Rate ◽  
Oil Field ◽  
Liquid Density ◽  
Water Mixture ◽  
Rotor Speed ◽  
Flow Rates ◽  
Field Development ◽  
Turbine Flowmeter

A turbine flowmeter is employed in this study in connection with offshore oil field development, in order to measure simultaneously both the volumetric flow rates of air-water two-phase mixture. Though a conventional turbine flowmeter is generally used to measure the single-phase volumetric flow rate by obtaining the rotational rotor speed, the method proposed additionally reads the pressure drop across the meter. After the pressure drop and rotor speed measured are correlated as functions of the volumetric flow ratio of the air to the whole fluid and the total volumetric flow rate, both the flow rates are iteratively evaluated with the functions on the premise that the liquid density is known. The evaluated flow rates are confirmed to have adequate accuracy, and thus the applicability of the method to oil fields.

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