Constant Ventricular Drainage: Pitfalls and Variables Technical Note

Neurosurgery ◽  
1984 ◽  
Vol 15 (1) ◽  
pp. 117-119
Author(s):  
Michael J. Rosner ◽  
Dorothee Hayes ◽  
Marcia Clark

Abstract After observing the erratic performance of a commercially available ventricular drainage system, we examined the hydrostatic pressure exerted by the system as a function of the volume of fluid within the drainage bag (at a constant height). Initially, 3 to 4 cm more than the expected 27 cm of height was required to achieve a drainage pressure of 20 mm Hg. As the volume of fluid increased, there was an initial precipitous fall from the 20 mm Hg preset pressure to 14 to 16 mm Hg; this pressure differential increased as the volume of drained fluid increased. Removal of air from the drainage bag resulted in an additional decrement in the observed hydrostatic pressure. These decrements in pressure were not apparent with another commercially available bag used commonly for ventricular drainage. We therefore recommend that, if ventricular drainage is to be accomplished against a constant hydrostatic pressure head, the system should be configured so that the actual hydrostatic pressure against which drainage occurs can be measured quickly and easily. The system should be checked at frequent intervals as the ventricular drainage bag fills. We note additional pitfalls in use of constant ventricular drainage and suggest solutions.

Author(s):  
Dorota Brzezinska ◽  
Marcin Fryda

The following technical note demonstrates full-scale staircase test results of the pressure differential system improvement method described by Fryda et al. in 2021. It is a continuation of experimental research on the impact of the escape route’s leakages on the pressure differential systems for staircases. Based on the lab experiments, it has been found that an additional throttle of the leak implemented in the pressure differential system improves its effectiveness and allows it to be more precisely adjusted to the required overpressure. The results presented in this article have confirmed this hypothesis and provided the opportunity to apply for new patent solutions of a special throttle of the leak control and pressure regulating system. The proposed new leakage-based improvements could increase the efficiency of existing systems based on proportional-integral-derivative controller and could also be installed in new buildings.


1968 ◽  
Vol 49 (3) ◽  
pp. 583-602
Author(s):  
G. M. HUGHES ◽  
C. M. BALLINTIJN

1. An account is given of the main skeletal elements and muscles involved in the respiratory movements of the dragonet, Callionymus lyra. 2. Using electromyographic techniques it has been shown that the muscles chiefly involved in rapid ejection of water out of the opercular slit are the adductor mandibulae, protractor hyoideus, and hyohyoideus. During the expansion phase of the cycle, which is about six times the duration of the contraction phase, the levator hyomandibulae and sternohyoideus are active, though in some cases the latter only comes in at higher levels of pumping. 3. Changes in volume flow across the gills have been produced by either (a) altering the hydrostatic pressure gradient (Δp) across the system, or (b) altering the oxygen or carbon dioxide content of the water inspired by the fish. With (a), the volume flow decreases linearly at a rate of about 30 ml./min./cm. H2O static pressure head until an inflexion is reached in the curve at which rate of flow decreases and is normally when Δp is zero. That the relative increase in flow rate with negative Δp's is due to the activity of the fish pumping against the adverse pressure gradient has been confirmed by electromyogram recordings during such experiments. With (b), it was possible to demonstrate a clear relationship between stroke volume and the level of electrical activity as measured by the height of the integrated electromyogram. The integrated EMG increases more than linearly with increasing stroke volume during PO2 changes, but this relationship seems to be more nearly linear during changes in CO2 concentration. 4. The respiratory frequency is scarcely affected by changes in flow produced by altering the hydrostatic pressure gradient, but following a decrease in PO2 or an increase in CO2 there is a significant fall in frequency which accompanies the increased electromyogram. The time course of these changes during recovery from a decrease in PO2 or an increase in PCOCO2 suggests that the gas tensions of the inspired water are detected by receptors on the gills and thus influence the electromyogram activity, but the frequency change observed is due to a change in the blood affecting receptors in the brain.


1979 ◽  
Vol 7 (12) ◽  
pp. 556-558 ◽  
Author(s):  
RICHARD L. SAUNDERS ◽  
THOMAS A. LYONS

2019 ◽  
Author(s):  
Gianfranco Urciuoli ◽  
Luca Comegna ◽  
Marianna Pirone ◽  
Luciano Picarelli

Abstract. Slope stabilization through drainage trenches is a classic approach in geotechnical engineering. Considering the low hydraulic conductivity of the soils in which this measure is usually adopted, a major constraint to the use of trenches is the time required to obtain a significant pore pressure decrease, here called “time lag”. In fact, especially when the slope safety factor is small, the use of drainage trenches may be a chancy approach due to the probability that slope deformations will damage the system well before it will become fully operative. However, this paper shows that the presence of persistent pervious natural soil layers in the slope can provide a significant benefit by increasing drainage efficiency and reducing time lag. As a matter of fact, any pervious layer that is intercepted by trenches may operate as part of the global hydraulic system, reducing the drainage paths. A simplified approach to design a drainage system accounting for the presence of a persistent pervious layer is proposed. This approach, which can exploit solutions available in literature for parallel drainage trenches, has been validated by numerical analyses.


1934 ◽  
Vol 10 (1) ◽  
pp. 36-72 ◽  
Author(s):  
J. H. Sutherland ◽  
H. Wyatt Johnston ◽  
O. Maass

The rate of penetration of water through heartwood, pressure and temperature remaining constant, shows an initial fairly rapid decrease followed by a gradual decrease to a constant rate. With unseasoned sapwood, the rate of penetration increases to a maximum, after which it slowly decreases. With seasoned sapwood the rate decreases with elapsed time. Pre-soaking for periods up to seven days does not affect the equilibrium rate of penetration. The initial rate is lower with pre-soaked than with air-dry wood. Pre-soaking does not hasten the attainment of an equilibrium rate. Rate of penetration is fairly constant for heartwood specimens of the same kind taken from the same transverse section of a tree. Unseasoned sapwood is more than 200 times as permeable as heartwood from the same tree. White spruce, black spruce and red pine heartwoods show about the same penetrability at low pressures. At higher pressures red pine becomes much more permeable than white spruce at the same pressure. The same is true of cedar, tamarack and balsam. Unseasoned sapwoods show increasing penetrability in the order hemlock, balsam, red pine, white spruce. Observed apparent penetration radially and tangentially through heartwood is less than 9% of that in the longitudinal direction. (Water actually penetrating was in no case greater than 1% of that penetrating longitudinally in the same time through a specimen of the same thickness.) In sap-wood the rate of radial and tangential penetration is less than 2% of that in the longitudinal direction. Tangential penetration of white spruce sapwood is probably greater than radial penetration. Rate of longitudinal penetration increases with decrease in thickness of specimen. A very great increase in rate is noted after the thickness becomes less than one fibre length. This is suggested as a method of obtaining an approximation to the average fibre length. Rate is not inversely proportional to thickness, but decreases more rapidly with increasing thickness owing to loss of pressure head in passing pit membranes. Rate of penetration increases with increase in pressure differential. The rate is proportional to pressure (or slightly greater) in white spruce. The rate increases much more rapidly than proportionately with balsam, tamarack, cedar and red pine. This is due to bulging of thin pit membranes and consequent enlargement of perforations. Magnitudes of pressure and back pressure have no effect on rate of penetration, or time to reach an equilibrium rate, if pressure differential remains constant. Penetrability is not altered permanently by the application of pressure. Rate of penetration increases with temperature. Temperatures above 70 °C. have a permanent effect on the penetrability. Intensive drying of wood increases its penetrability.Sucrose solutions cause a decrease in rate of penetration greater than that expected from viscosity considerations. Molar sodium hydroxide increases the permeability of heartwood specimens of greater than one fibre length, and decreases that of sapwood and very thin sections of heartwood. Molar hydrochloric acid decreases the rate of penetration through heartwood, but has little effect on that through sapwood. Gases penetrate seasoned heartwood and sapwood easily. Pre-soaked heartwood strongly resists penetration by gases. Short lengths of unseasoned or pre-soaked sapwood are fairly easily penetrated by gases. All the evidence points to the absence of any valve action on the part of pit membrane tori.A new theory has been advanced to account for the phenomena ordinarily ascribed to valve action, and also to explain those observations which could not be explained satisfactorily as due to torus valves.


2000 ◽  
Vol 92 (3) ◽  
pp. 490-492 ◽  
Author(s):  
Masahiro Shin ◽  
Tetsuhiro Nishihara ◽  
Shigeo Iai ◽  
Tsuneyoshi Eguchi

✓ The introduction of magnetic resonance (MR) imaging to the field of neuroimaging has allowed detection of various lesions that cause aqueductal stenosis. The authors report the case of a 3-year-old boy in whom a benign ventricular cyst developed in the aqueduct. The patient became drowsy after having complained of headache and vomiting; MR imaging revealed mild triventricular dilation and a normal-sized fourth ventricle. Repeated MR imaging performed 1 week later revealed an aqueductal cyst that had markedly enlarged during the intervening period. An external ventricular drainage system was installed, but recovery of consciousness in the child was unsatisfactory and a new bilateral internuclear ophthalmoplegia developed. Fenestration of the cyst wall and placement of a ventriculocisternostomy in the third ventricle were performed simultaneously by using a flexible neuroendoscope. By 2 weeks postsurgery, the patient's neurological symptoms had completely resolved. This case illustrates that simple rerouting of ventricular cerebrospinal fluid (CSF) can aggravate the symptoms of this rare lesion by causing severe compression of periaqueductal structures by a cyst that maintains a high intracystic pressure. Endoscopic surgery was an excellent choice of treatment to achieve both cyst fenestration and normalization of intracranial CSF pressure by creating a ventriculocisternostomy.


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