Improved Patient Safety Due to Catheter-Based Gas Bubble Removal During TURBT

Author(s):  
Holger Fritzsche ◽  
Elmer Jeto Gomes Ataide ◽  
Axel Boese ◽  
Michael Friebe

TURBT (transurethral resection of bladder tumor) is a standard treatment for bladder cancer. Gas bubble formation is caused by the heating of the RF-electrode from the resectoscope, which causes visual impairments and can also lead to explosive gas formation. The purpose of this work is to find a proper technical solution for removing the air bubbles and toxic gases during electro-resection thereby providing patient safety as well as better operating comfort for surgeons. A continuously controlled irrigation system and catheter based simultaneous suction system was designed, implemented and tested, with an average removal rate of 70% of the air bubbles and gases that appeared inside the urinary bladder. The setup was tested using a dedicated phantom.

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Sloan W. Rush ◽  
Philip Cofoid ◽  
Ryan B. Rush

Purpose. To report the incidence and outcomes of anterior chamber gas bubble formation during femtosecond laser flap creation for laser-assisted in situ keratomileusis (LASIK).Methods. The charts of 2,886 consecutive eyes that underwent femtosecond LASIK from May 2011 through August 2014 were retrospectively reviewed. The incidence, preoperative characteristics, intraoperative details, and postoperative outcomes were analyzed in subjects developing anterior chamber gas bubble formation during the procedure.Results. A total of 4 cases (0.14%) developed anterior chamber gas bubble formation during femtosecond laser flap creation. In all four cases, the excimer laser was unable to successfully track the pupil immediately following the anterior chamber bubble formation, temporarily postponing the completion of the procedure. There was an ethnicity predilection of anterior chamber gas formation toward Asians (p=0.0055). An uncorrected visual acuity of 20/20 was ultimately achieved in all four cases without further complications.Conclusions. Anterior chamber gas bubble formation during femtosecond laser flap creation for LASIK is an uncommon event that typically results in a delay in treatment completion; nevertheless, it does influence final positive visual outcome.


2018 ◽  
Author(s):  
Dirk de Beer ◽  
Volker Meyer ◽  
Judith Klatt ◽  
Tong Li

AbstractUsing microsensors O2concentrations were measured in photosynthetically active microbial mats of up to 3 mM, corresponding to a partial pressure of 3 bar. This could damage mats by internal gas formation, and be inhibitory by formation of reactive oxygen species (ROS) and reduced effectivity of RuBisCo. The reliability of the electrochemical microsensors was checked by creating elevated O2concentrations in a water volume placed inside a pressure tank. A microsensor mounted with the tip in the gassed water bath showed a response linearly proportional to 5.5 mM corresponding to 4 bar pure O2pressure. After release of the pressure the O2concentration reduced quickly to 2.5 mM, then stabilized and subsequently reduced slowly over 14 hours to approximately 2 mM. We concluded that the very high O2concentrations measured in phototrophic microbial mats are real and O2oversaturation in mats is a stable phenomenon. As consequence of high O2concentrations, net production of H2O2occurred. The accumulation was, however, limited to the respiratory zone under the photosynthetic layer. Despite the high gas pressure inside mats, no disruption of the mat structure was apparent by bubble formation inside the mats,and bubbles were only observed at mat surfaces. Additions of H2O2to high concentrations in the water column were efficiently removed in the photosynthetically active zone. As the removal rate was linearly proportional to the H2O2influx, this removal occurred possibly not enzymatically but by abiotic processes. Phototrophic microorganisms can produce O2at high rates under strongly elevated O2levels, despite the decreased efficiency due to the unfavorable kinetics of RuBisCo and energy costs for protection. Under non-limiting light conditions, this apparent dilemma is, however, not disadvantageous.ImportanceBiofilms are often used in photobioreactors for production of biomass, food or specialty chemistry. Photosynthesis rates can be limited by high O2levels or high O2/CO2ratios which are especially enhanced in biofilms and mats, due to mass transfer limitations. High O2may lead to reactive O2species (ROS) and reduce the efficiency of RuBisCo. Moreover, gas formation may destabilize their structure. Here we show that extremely high levels of O2are possible in mats and biofilms without ebullition, and while maintaining very high photosynthetic activity.


2019 ◽  
Vol 123 (17) ◽  
pp. 10849-10856 ◽  
Author(s):  
Alberto Battistel ◽  
Christopher R. Dennison ◽  
Andreas Lesch ◽  
Hubert H. Girault

2014 ◽  
Vol 8 (3) ◽  
pp. 1019-1029 ◽  
Author(s):  
J. Zhou ◽  
J.-L. Tison ◽  
G. Carnat ◽  
N.-X. Geilfus ◽  
B. Delille

Abstract. We report on methane (CH4) dynamics in landfast sea ice, brine and under-ice seawater at Barrow in 2009. The CH4 concentrations in under-ice water ranged from 25.9 to 116.4 nmol L−1sw, indicating a supersaturation of 700 to 3100% relative to the atmosphere. In comparison, the CH4 concentrations in sea ice ranged from 3.4 to 17.2 nmol L−1ice and the deduced CH4 concentrations in brine from 13.2 to 677.7 nmol L−1brine. We investigated the processes underlying the difference in CH4 concentrations between sea ice, brine and under-ice water and suggest that biological controls on the storage of CH4 in ice were minor in comparison to the physical controls. Two physical processes regulated the storage of CH4 in our landfast ice samples: bubble formation within the ice and sea ice permeability. Gas bubble formation due to brine concentration and solubility decrease favoured the accumulation of CH4 in the ice at the beginning of ice growth. CH4 retention in sea ice was then twice as efficient as that of salt; this also explains the overall higher CH4 concentrations in brine than in the under-ice water. As sea ice thickened, gas bubble formation became less efficient, CH4 was then mainly trapped in the dissolved state. The increase of sea ice permeability during ice melt marked the end of CH4 storage.


1983 ◽  
Vol 78 (9) ◽  
pp. 5795-5799 ◽  
Author(s):  
Ho‐Young Kwak ◽  
Ronald L. Panton

2008 ◽  
Vol 24 (8) ◽  
pp. 850-851 ◽  
Author(s):  
Takeshi Ide ◽  
George D. Kymionis ◽  
David A. Goldman ◽  
Sonia H. Yoo ◽  
Terrence P. O’Brien

2005 ◽  
Vol 52 (4) ◽  
pp. 9-17 ◽  
Author(s):  
S. Caffaz ◽  
R. Canziani ◽  
C. Lubello ◽  
D. Santianni

In recent years a completely autotrophic nitrogen removal process based on Anammox biomass has been tested in a few European countries in order to treat anaerobic supernatant and to increase the COD/N ratio in municipal wastewater. This work reports experimental results on a possible technical solution to upgrade the S. Colombano treatment plant which treats wastewater from the Florentine urban area. The idea is to use 50% of the volume of the anaerobic digester in order to treat external sewage sludge (as septic tank sludge) together with waste activated sludge and to treat the resulting effluent on a SHARON-ANAMMOX process in order to remove nitrogen from the anaerobic supernatant. Anaerobic co-digestion, tested in a 200 L pilot plant, enables low cost treatment of septic tank sludge and increases biogas production; however, it also increases the nitrogen load re-circulated to the WWTP, where nitrogen removal efficiency is already low (<50%), due to the low COD/N ratio, which limits predenitrification efficiency. Experimental results from a SHARON process tested in a lab-scale pilot plant show that nitrite oxidising bacteria are washed-out and steady nitrite production can be achieved at retention times in the range 1–1.5 days, at 35 °C. In a lab-scale SBR reactor, coupled with a nitration bioreactor, maximum specific nitrogen removal rate under nitrite-limiting conditions (with doubling time equal to about 26 days at 35 °C) was equal to 0.22 kgN/kgSSV/d, about 44 times the rate measured in inoculum Anammox sludge. Finally, a cost analysis of the proposed upgrade is reported.


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