scholarly journals PENGEMBANGAN PLATFORM ONLINE SIMULASI VIRTUAL PENGUJIAN DAN KALIBRASI VENTILATOR BERBASIS BROWSER

2021 ◽  
Vol 3 (2) ◽  
pp. 245-256
Author(s):  
Tata Yunita Ovtaria ◽  
Apriliani Apriliani ◽  
Indah Rahma Dhona ◽  
Rino Ferdian Surakusumah
Keyword(s):  
Tidal Volume ◽  
Gas Flow ◽  
Minute Volume ◽  
Breath Rate ◽  
Expiration Time

Ventilator merupakan alat kesehatan yang paling dibutuhkan di masa pandemi ini. Berbagai institusi telah berusaha mengembangkan ventilator, akan tetapi banyak yang terkendala dengan hasil pengujian dan kalibrasinya yang tidak sesuai. Hal ini dikarenakan ketidaktahuan terhadap metode pengujian dan kalibrasi ventilator yang sesuai standar. Oleh karena itu, dikembangkanlah platform Platform Online Simulasi Virtual Pengujian dan Kalibrasi Ventilator Berbasis Browser. Platform ini kedepannya akan digunakan oleh institusi pengembang ventilator untuk melakukan pembelajaran dan meningkatkan kompetensi melalui pelatihan terkait pengujian dan kalibrasi ventilator. Penelitian ini dibatasi dengan menggunakan beberapa ruang lingkup pengujian yaitu tidal volume, minute volume, breath rate, I:E ratio, PEEP, inspiration time, dan Expiration time. Tahapan metode penelitian yang akan dilakukan mulai dari studi literatur, produk, library, algoritma, pengumpulan data ventilator dan gas flow analyzer, dilanjutkan dengan desain sistem, antarmuka pengguna, dan elemen visual, kemudian dilakukan pengembangan sistem dan antarmuka pengguna, lalu dilakukan pengujian fungsi, dan pengalaman pengguna. Hasil pengujian menunjukan seluruh fungsi 100% terlaksana dengan baik dan pengalaman pengguna 38% menunjukkan setuju dengan kriteria pengalaman pengguna yang terdiri dari Daya Tarik, Efisiensi, Perspicuity, Ketergantungan, Stimulasi, Novelty, Kepercayaan, Estetika, Adaptabilitas, Kegunaan, Penggunaan Intuitif, Nilai, Konten yang Dapat Dipercaya, Kualitas Isi, Haptics, dan Akustik

THE INFLUENCE OF FRESH GAS FLOW AND I/E RATIO ON TIDAL VOLUME AND PaCO2 IN ANESTHETIZED PATIENTS

1988 ◽  
Vol 67 (Supplement) ◽  
pp. 195
Author(s):  
M S Scheller ◽  
B L Jones ◽  
J L Benumof
Keyword(s):  
Tidal Volume ◽  
Gas Flow

scholarly journals Split ventilation with pressure regulators for patient-specific tidal volumes

2020 ◽  
Author(s):  
Lakshminarayan “Ram” Srinivasan ◽  
Chris A. Rishel ◽  
Barrett J. Larson ◽  
Juhwan Yoo ◽  
Ned M. Shelton
Keyword(s):  
Tidal Volume ◽  
Gas Flow ◽  
Patient Management ◽  
Patient Specific ◽  
Resource Constrained ◽  
Mechanical Ventilators ◽  
Pressure Regulator ◽  
Safety Testing ◽  
Progression Of Disease ◽  
Multiple Patients

AbstractAs a measure of last resort during the COVID-19 pandemic, single mechanical ventilators have been repurposed to support multiple patients. In existing split-ventilator configurations using FDA-approved tubing adaptors, each patient receives the same inspiratory pressure, requiring careful matching of patients to avoid barotrauma. Progression of disease may cause tidal volumes to diverge from desired targets, and routine interventions (eg. suctioning) in one patient may adversely affect other patients. To overcome these limitations, we demonstrate a split-ventilator configuration that enables individualized patient management by incorporating a commonly available pressure regulator used for gas appliances. We validate this method by achieving various combinations of tidal volume in each of two synthetic lungs using a standard ventilator machine in combination with two gas flow analyzers. With further safety testing and instrumentation, pressure regulators may represent a viable path to substantially augment the capacity for ventilation in resource-constrained settings.

scholarly journals RESPIRATORY AND SYMPTOMATIC IMPACT OF ASCITES RELIEF BY PARACENTESIS IN PATIENTS WITH HEPATIC CIRRHOSIS

2020 ◽  
Vol 57 (1) ◽  
pp. 64-68
Author(s):  
Verônica Lourenço WITTMER ◽  
Rozy Tozetti LIMA ◽  
Michele Coutinho MAIA ◽  
Halina DUARTE ◽  
Flávia Marini PARO
Keyword(s):  
Liver Cirrhosis ◽  
Tidal Volume ◽  
Hepatic Cirrhosis ◽  
Blood Pressure Reduction ◽  
Vital Signs ◽  
Meld Score ◽  
Minute Volume ◽  
Respiratory Pattern ◽  
Peripheral Oxygen Saturation ◽  
The Impact

ABSTRACT BACKGROUND: Liver cirrhosis is a highly prevalent disease that, at an advanced stage, usually causes ascites and associated respiratory changes. However, there are few studies evaluating and quantifying the impact of ascites and its relief through paracentesis on lung function and symptoms such as fatigue and dyspnea in cirrhotic patients. OBJECTIVE: To assess and quantify the impact of acute reduction of ascitic volume on respiratory parameters, fatigue and dyspnea symptoms in patients with hepatic cirrhosis, as well as to investigate possible correlations between these parameters. METHODS: Thirty patients with hepatic cirrhosis and ascites who underwent the following pre and post paracentesis evaluations: vital signs, respiratory pattern, thoracoabdominal mobility (cirtometry), pulmonary function (ventilometry), degree of dyspnea (numerical scale) and fatigue level (visual analog scale). RESULTS: There was a higher prevalence of patients classified as CHILD B and the mean MELD score was 14.73±5.75. The comparison of pre and post paracentesis parameters evidenced after paracentesis: increase of predominantly abdominal breathing pattern, improvement of ventilatory variables, increase of the differences obtained in axillary and abdominal cirtometry, reduction of dyspnea and fatigue level, blood pressure reduction and increased peripheral oxygen saturation. Positive correlations found: xiphoid with axillary cirtometry, degree of dyspnea with fatigue level, tidal volume with minute volume, Child “C” with higher MELD score, volume drained in paracentesis with higher MELD score and with Child “C”. We also observed a negative correlation between tidal volume and respiratory rate. CONCLUSION: Since ascites drainage in patients with liver cirrhosis improves pulmonary volumes and thoracic expansion as well as reduces symptoms such as fatigue and dyspnea, we can conclude that ascites have a negative respiratory and symptomatological impact in these patients.

The Effect of Posture on Ventilation and Lung Mechanics in Preterm and Light-for-Date Infants

PEDIATRICS ◽  
1979 ◽  
Vol 64 (4) ◽  
pp. 429-432 ◽  
Author(s):  
Alastair A. Hutchison ◽  
Keith R. Ross ◽  
George Russell
Keyword(s):  
Tidal Volume ◽  
Prone Position ◽  
Supine Position ◽  
Work Of Breathing ◽  
Newborn Infants ◽  
Lateral Position ◽  
Minute Volume ◽  
Lung Mechanics ◽  
Total Work ◽  
Preterm Group

The effect of right lateral, supine, and prone postures on ventilation and lung mechanics was studied in 23 healthy newborn infants, ten preterm and 13 term, "light-for-date." In the preterm group, tidal volume, minute volume, elastic work, inspiratory viscous work, total viscous work, and the total work of breathing were significantly greater in the prone position than in the supine position. Results obtained in the lateral position did not differ significantly from those in the prone or supine positions. Posture did not significantly affect tidal volume or lung mechanics in the light-for-date infants. The prone position is suggested to be the optimum nursing posture for healthy preterm infants.

Fresh Gas Flow Rate and I:E Ratio Affect Tidal Volume in Anaesthesia Ventilators

1989 ◽  
pp. 72-80
Author(s):  
J. A. Aldrete ◽  
A. J. Adolph ◽  
L. M. Hanna ◽  
H. A. Farag ◽  
M. Ghaemmaghami
Keyword(s):  
Tidal Volume ◽  
Flow Rate ◽  
Gas Flow ◽  
Gas Flow Rate

Integration of chemoreceptor stimuli by caudal pontile and rostral medullary sites

1976 ◽  
Vol 41 (5) ◽  
pp. 612-622 ◽  
Author(s):  
W. M. St John ◽  
S. C. Wang
Keyword(s):  
Tidal Volume ◽  
Minute Volume ◽  
Respiratory Frequency ◽  
Primary Role ◽  
Frequency Responses ◽  
Radiofrequency Lesions ◽  
Pneumotaxic Center ◽  
Definition Of ◽  
Decerebrate Cats ◽  
Paco2 Level

Ventilatory regulation by pontile pneumotaxic and apneustic centers and by rostral medullary sites was evaluated in intercollicular decerebrate cats. Following pneumotaxic center ablation, PAco2 was significantly elevated.Moreover, in response to hypercapina or hypoxia, frequency responses were significantly diminished whereas tidal volume responses were unchanged or elevated. Interruption of apneustic center function by caudal pontile transection or radiofrequency lesions in the caudal pons and/or rostral medulla resulted in significant decreases of tidal volume responses and significant elevations of frequency responses to both hypercapnia and hypoxia. Neither minute volume responses nor the PAco2 level was altered. It is concluded that the apneustic center exercises a primary role in the brainstem definitionof tidal volume responses for both peripheral and central chemoreceptor afferent stimuli. The apneustic center is also considered to exert an impoetant function in the definition of respiratory frequency. A medially placed pathway in the rostral medulla is proposed to interconnect the apneustic center with the medullary respiratory nuclei.

Anesthesia alters the pattern of aerosol retention in hamsters

1983 ◽  
Vol 54 (1) ◽  
pp. 37-44 ◽  
Author(s):  
T. D. Sweeney ◽  
J. D. Brain ◽  
S. LeMott
Keyword(s):  
General Anesthesia ◽  
Tidal Volume ◽  
Total Lung Capacity ◽  
Minute Volume ◽  
Consistent Pattern ◽  
O2 Consumption ◽  
Pentobarbital Sodium ◽  
Lung Capacity ◽  
Syrian Golden Hamsters ◽  
Evenness Index

General anesthesia was used to produce nonventilated areas of the lung, and aerosol inhalation was used to locate these areas, assuming that no aerosol deposits in a nonventilated region. Male Syrian golden hamsters were anesthetized with pentobarbital sodium (90 mg/kg), which reduced respiratory frequency, tidal volume, minute volume, and O2 consumption to 61, 41, 24, and 36%, respectively, of the corresponding awake levels. Awake and anesthetized hamsters were exposed to the aerosol for 30 min; then the lungs were excised, dried at total lung capacity, sliced into sections, and dissected into pieces. Autoradiographs were made of slices, and the activity and weight of pieces were determined. The evenness index (EI), a measure of the uniformity of retention, was calculated for each piece. With complete uniformity of retention, all EI's would be 1.0. In awake animals, only 0.2% (by wt) of the lungs had little or no retention (EI's less than 0.20). More particles deposited in the apex than in the base of the lungs. General anesthesia for extended periods of time with no deep breaths alters ventilation and therefore the distribution of aerosol retention. Many regions of the lungs in the anesthetized animals received few or no particles (11.6% of lungs had EI less than 0.20); however, no consistent pattern was observed in the location of these areas from animal to animal. The apex-to-base gradient for retention in these animals was also reversed. Radioactive aerosols can be used as probes to indicate the extent and distribution of nonventilated areas in the lungs.

Failure of tracheal distension to inhibit breathing in anesthetized dogs

1980 ◽  
Vol 48 (5) ◽  
pp. 794-798 ◽  
Author(s):  
T. C. Lloyd ◽  
J. A. Cooper
Keyword(s):  
Tidal Volume ◽  
Lung Volume ◽  
Potential Role ◽  
Minute Volume ◽  
Abdominal Compression ◽  
Frequency Increase ◽  
Before And After ◽  
Anesthetized Dogs ◽  
Spontaneously Breathing

Using anesthetized spontaneously breathing dogs, we compared the respiratory effects of tracheal distension with the effects of changes in lung volume before and after vagotomy. We used an endotracheal tube with a long cuff to distend the trachea to pressures of 10, 20, and 40 cmH2O. Lung volume increases were imposed by expiratory threshold loading, and volume was decreased by abdominal compression, both of which caused outward rib cage displacement. During expiratory loading, the tidal volume was unchanged but respiratory frequency and minute volume fell and an active expiratory effort appeared; whereas frequency and minute volume rose, but tidal volume fell during abdominal compression. Tracheal distension evoked no discernible change in breathing. Following vagotomy, tidal volume and minute volume fell, and frequency rose slightly, during expiratory loading but abdominal compression was without effect. After vagotomy, 40 cmH2O tracheal distension caused a slight frequency increase. We concluded that the potential role of tracheal deformation in the reflex control of breathing is insignificant in comparison with the other airways.

Pulmonary mechanics during rapid mechanical ventilation in rabbits with saline-lavaged lungs

1986 ◽  
Vol 61 (4) ◽  
pp. 1431-1437 ◽  
Author(s):  
J. J. Perez Fontan ◽  
B. S. Turner ◽  
G. P. Heldt ◽  
G. A. Gregory
Keyword(s):  
Tidal Volume ◽  
Gas Flow ◽  
Transpulmonary Pressure ◽  
Inspiratory Flow ◽  
Pulmonary Mechanics ◽  
Mechanically Ventilated ◽  
Ventilatory Rate ◽  
Residual Capacity ◽  
Pressure Volume Relationship ◽  
Linear Ramp

Infants with respiratory failure are frequently mechanically ventilated at rates exceeding 60 breaths/min. We analyzed the effect of ventilatory rates of 30, 60, and 90 breaths/min (inspiratory times of 0.6, 0.3, and 0.2 s, respectively) on the pressure-flow relationships of the lungs of anesthetized paralyzed rabbits after saline lavage. Tidal volume and functional residual capacity were maintained constant. We computed effective inspiratory and expiratory resistance and compliance of the lungs by dividing changes in transpulmonary pressure into resistive and elastic components with a multiple linear regression. We found that mean pulmonary resistance was lower at higher ventilatory rates, while pulmonary compliance was independent of ventilatory rate. The transpulmonary pressure developed by the ventilator during inspiration approximated a linear ramp. Gas flow became constant and the pressure-volume relationship linear during the last portion of inspiration. Even at a ventilatory rate of 90 breaths/min, 28–56% of the tidal volume was delivered with a constant inspiratory flow. Our findings are consistent with the model of Bates et al. (J. Appl. Physiol. 58: 1840–1848, 1985), wherein the distribution of gas flow within the lungs depends predominantly on resistive factors while inspiratory flow is increasing, and on elastic factors while inspiratory flow is constant. This dynamic behavior of the surfactant-depleted lungs suggests that, even with very short inspiratory times, distribution of gas flow within the lungs is in large part determined by elastic factors. Unless the inspiratory time is further shortened, gas flow may be directed to areas of increased resistance, resulting in hyperinflation and barotrauma.

Ventilatory Responses to Exercise and to Carbon Dioxide in Mitral Stenosis before and after Valvulotomy: Causes of Tachypnoea

1978 ◽  
Vol 54 (1) ◽  
pp. 9-16 ◽  
Author(s):  
J. W. Reed ◽  
M. Ablett ◽  
J. E. Cotes
Keyword(s):  
Carbon Dioxide ◽  
Tidal Volume ◽  
Mitral Stenosis ◽  
Vital Capacity ◽  
Minute Ventilation ◽  
Residual Effect ◽  
Minute Volume ◽  
Cardiac Frequency ◽  
Control Subjects ◽  
Exercise Ventilation

1. The ventilation and cardiac frequency during progressive exercise and the respiratory responses to breathing carbon dioxide have been measured in 33 female patients with mitral stenosis and in 31 control subjects. Compared with the control subjects, the patients' exercise ventilation and cardiac frequency were increased; the exercise tidal volume at standard minute volume, the vital capacity and the ventilatory response to carbon dioxide were reduced. The extent to which the standardized tidal volume was lower during exercise than during breathing carbon dioxide was correlated with the severity of the stenosis, as gauged by the increase in exercise cardiac frequency above the level predicted from anthropometric measurements. 2. Twenty patients were studied postoperatively. In the 12 who showed clinical improvement the exercise ventilation and cardiac frequency were reduced and the exercise tidal volume at a given minute ventilation was increased. The latter change occurred despite a reduction in vital capacity, which was probably a residual effect of thoractomy. There was no significant change in the response to breathing carbon dioxide. No material change in function was observed in the patients whose condition was not improved by the operation. 3. It is suggested that in mitral stenosis the tachypnoea which occurs during exercise, whilst mainly a mechanical consequence of the reduced vital, capacity, is also partly due to pulmonary congestion stimulating intrapulmonary receptors.

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