Artificial Lung Ventilator Working in the Hyperbaric Chamber

2006 ◽  
Author(s):  
Milan Stork ◽  
Jiri Ruzicka
Keyword(s):  
Artificial Lung ◽  
Hyperbaric Chamber ◽  
Lung Ventilator

scholarly journals Developing Algorithms and Programs for an Artificial Lung Ventilator

2020 ◽  
Vol 18 (3) ◽  
pp. 4
Author(s):  
I. I. Artamonov ◽  
M. A. Al Akkad
Keyword(s):  
Artificial Lung ◽  
Lung Ventilator

Описаны алгоритмы и программы для аппарата искусственной вентиляции легких, которые обеспечивают различные режимы работы аппарата. Работа является актуальной в условиях пандемии COVID-19 в связи с возросшим спросом на данные устройства.Цель исследования – разработка программного комплекса для микроконтроллера STM32L151ZDTx-LQFP144, используемого на переносном аппарате ИВЛ Axion A-IVL-E-03 и обеспечивающего работу в различных режимах вентиляции, графическое отображение динамики дыхания на дисплее и подачу оператору голосовых подсказок и световых сигналов во время работы. Разработанные алгоритмы также предназначены для управления периферийными устройствами и контроля правильности их работы, разрешения аварийных ситуаций с помощью дисплея, голосовых подсказок и световой индикации. Кроме того, в качестве инструмента, который позволяет врачу понять важное взаимодействие между входными параметрами пациента (частота, давление в дыхательных путях и степень вдоха) и клинически важными параметрами (дыхательный объем, средний объем минутной вентиляции), предложены математические модели вентиляции легких с контролируемым давлением. Реализация данных математических моделей показала их применимость для симуляции данных сложных процессов. Разработан удобный и интуитивно понятный графический пользовательский интерфейс.В статье также приводится сравнение существующих аналогов с предложенными разработками. 

Progressive Early Rehabilitation Program Applied to Patients with Acute Cerebrovascular Accident

2020 ◽  
Vol 25 (3) ◽  
pp. 17-25 ◽  
Author(s):  
G. R. Ramazanov ◽  
L. B. Zavaliy ◽  
L. L. Semenov ◽  
S. A. Abudeev ◽  
A. O. Ptitsyn ◽  
...  
Keyword(s):  
Cerebrovascular Accident ◽  
Lung Ventilation ◽  
Rehabilitation Program ◽  
Artificial Lung ◽  
Early Rehabilitation ◽  
Gravity Gradient ◽  
Acute Cerebrovascular Accident ◽  
Artificial Lung Ventilation ◽  
Bed Days ◽  
Severity Of The Disease

Abstract. Early rehabilitation (ER) of patients with acute cerebrovascular accident (ACA) is one of the priority tasks of the vascular centers; the issue of increasing the volume of rehabilitation measures in the resuscitation and intensive care units (ICU) is relevant. Objective. To evaluate the safety and effectiveness of the progressive ER program in patients with ACA. Material and research methods. The study included 129 patients with ACA in ICU. Each patient of the main group (MGr, n = 61) underwent progressive ER: at least 4–5 vertical adjustments per day, passive mode Kinesiotherapy 49 ± 9.3 minutes, a double load of physiotherapy exercises, preventive physiotherapy; the total time of classes reached 240 minutes per day. In the comparison group (СGr, n = 68), standard ER was performed no more than 120 minutes per day. The groups are comparable by sex, age, severity of the disease and comorbidity. The severity of ACA, the gravity gradient, patient mobility, functional status, degree of dependence, and the presence of complications were evaluated. Results. During a month of work with the MGr, 102 ICU bed-days, 94 days of the artificial lung ventilation use, p < 0.05 were saved. Mortality in MGr decreased -— 8 patients (13.1%) versus 14 (20.6%) in CGr (p < 0.05). In patients within CGr, pulmonary thromboembolism developed in 8.8%, in MGr – in 3.3%. The severity of the apoplectic attack decreased ( by 28% in MGr, and by 20% in CGr ), mobility increased. Comparing the modalities of post resuscitationsyndrome in MGr, it was noted that the score decreased by 2 times from 6 [5; 6] to 3 [2.3; 3.3], but it has not changed in the CGr. Patients in the MGr were 2-–3 days earlier adapted to the vertical adjustment. Conclusions. The progressive ER program in ICU is safe, effective, realisable, and allows reducing the number of bed-days in ICU, the number of days of the artificial lung ventilation use, complications, and mortality in comparison with standard medical care.

Abdominal decompression illness following repetitive diving: a case report and review of the literature

2019 ◽  
pp. 211-215
Author(s):  
Peter Beale ◽  
Levi Kitchen ◽  
W.R. Graf ◽  
M.E. Fenton ◽  
Keyword(s):  
Case Report ◽  
The Body ◽  
Decompression Illness ◽  
Review Of The Literature ◽  
Hyperbaric Chamber ◽  
Foreign National ◽  
Biochemical Effects ◽  
Elapsed Time ◽  
Nitrogen Bubbles ◽  
Abdominal Decompression

The complete pathophysiology of decompression illness is not yet fully understood. What is known is that the longer a diver breathes pressurized air at depth, the more likely nitrogen bubbles are to form once the diver returns to surface [1]. These bubbles have varying mechanical, embolic and biochemical effects on the body. The symptoms produced can be as mild as joint pain or as significant as severe neurologic dysfunction, cardiopulmonary collapse or death. Once clinically diagnosed, decompression illness must be treated rapidly with recompression therapy in a hyperbaric chamber. This case report involves a middle-aged male foreign national who completed three dives, all of which incurred significant bottom time (defined as: “the total elapsed time from the time the diver leaves the surface to the time he/she leaves the bottom)” [2]. The patient began to develop severe abdominal and back pain within 15 minutes of surfacing from his final dive. This case is unique, as his presentation was very concerning for other medical catastrophes that had to be quickly ruled out, prior to establishing the diagnosis of severe decompression illness. After emergency department resuscitation, labs and imaging were obtained; abdominal decompression illness was confirmed by CT, revealing a significant abdominal venous gas burden.

A Hyperbaric Chamber for Observation of Cell Cultures at Pressure

1987 ◽  
Vol 14 (3) ◽  
pp. 158-160
Author(s):  
J. Jenssen ◽  
G. Bolstad ◽  
T. Syversen
Keyword(s):  
Phase Contrast ◽  
Video Recording ◽  
Time Lapse ◽  
Pressure Effects ◽  
Chamber System ◽  
Hyperbaric Chamber ◽  
Stainless Steel Tubing ◽  
Injection Pump ◽  
Pharmacological Studies ◽  
Steel Tubing

A chamber system has been constructed for the study of hydrostatic and gas pressure effects on cells in culture. The chamber is fitted with a phase contrast light microscope allowing direct observation and video recording of the cells at pressure. Cell differentiation over a period of hours to days may thus be recorded and taped from as many as 24 cell samples in the same experiment, using a time-lapse recording technique. Solutions may be introduced and removed through stainless steel tubing via an injection pump, thus providing the additional possibility of biochemical and pharmacological studies.

scholarly journals Validation of iterative CT reconstruction by inter and intra observer performance assessment of artificial lung foci

2020 ◽  
Vol 6 (3) ◽  
pp. 534-537
Author(s):  
Britta König ◽  
Nika Guberina ◽  
Hilmar Kühl ◽  
Waldemar Zylka
Keyword(s):  
Low Dose ◽  
Lung Cancer Screening ◽  
Artificial Lung ◽  
Observer Performance ◽  
Subjective Perception ◽  
Ct Reconstruction ◽  
Perfect Agreement ◽  
Observer Reliability ◽  
Iterative Ct Reconstruction ◽  
Extension Ring

AbstractWe investigate the suitability of statistical and model-based iterative reconstruction (IR) algorithm strengths and their influence on image quality and diagnostic performance in low-dose computer tomography (CT) protocols for lung-cancer screening procedures. We evaluate the inter- and intra-observer performance for the assessment of iterative CT reconstruction. Artificial lung foci shaped as spheres and spicules made from material with calibrated Hounsfield units were pressed within layered granules in lung lobes of an anthropomorphic phantom. Adaptively, a soft-tissue- and fat- extension ring were attached. The phantom with foci was scanned using standard high contrast, low-dose and ultra lowdose protocols. For reconstruction the IR algorithm ADMIRE at four different strength levels were used. Two ranking tests and Friedman statistics were performed. Fleiss k and modified Cohen’s kneywere used to quantify inter- and intra-observer performance. In conjunction with the standard lung kernel BL75 radiologists evaluated medium to high IR strength, with preference to S4, as suitable for lung foci detection. When varying reconstruction kernels the ranking became more random than with varying phantom diameter. The inter-observer reliability shows poor to slight agreement expressed by k<0 and k=0-0.20 . For the intra-observer reliability non- agreement with kney=0-0.20and moderate agreement with kney=0.60-0.79 for the first ranking test, and almost perfect agreement with kney>0.90 for the second ranking test was observed. In conclusion, our validation suggests radiological preference of medium to high iteration strengths, especially S4, for lung foci detection. An investigation of the correlation between diagnostic experience and the subjective perception of IR reconstructed CT images still needs to be investigated.

scholarly journals Decompression sickness risk in rats by microbial removal of dissolved gas

1998 ◽  
Vol 275 (3) ◽  
pp. R677-R682 ◽  
Author(s):  
Susan R. Kayar ◽  
Terry L. Miller ◽  
Meyer J. Wolin ◽  
Eugenia O. Aukhert ◽  
Milton J. Axley ◽  
...  
Keyword(s):  
Gas Chromatography ◽  
High Pressures ◽  
Decompression Sickness ◽  
Body Burden ◽  
The Body ◽  
Dissolved Gas ◽  
Hyperbaric Chamber ◽  
Methanobrevibacter Smithii ◽  
Water Rate ◽  
Microbial Removal

We present a method for reducing the risk of decompression sickness (DCS) in rats exposed to high pressures of H2. Suspensions of the human colonic microbe Methanobrevibacter smithii were introduced via a colonic cannula into the large intestines of the rats. While the rats breathed H2in a hyperbaric chamber, the microbe metabolized some of the H2diffusing into the intestine, converting H2and CO2to methane and water. Rate of release of methane from the rats, which was monitored by gas chromatography, varied with chamber H2pressure. This rate was higher during decompression than during compression, suggesting that during decompression the microbe was metabolizing H2stored in the rats’ tissues. Rats treated with M. smithii had a 25% (5 of 20) incidence of DCS, which was significantly lower ( P < 0.01) than the 56% (28 of 50) incidence of untreated controls, brought on by a standardized compression and decompression sequence. Thus using a microbe in the intestine to remove an estimated 5% of the body burden of H2reduced DCS risk by more than one-half. This method of biochemical decompression may potentially facilitate human diving.

Sign in / Sign up

Export Citation Format

Share Document