The main ridge of the Alps lays just crosses Austria. Therefore it is not surprising that most highways in Austria do have to pass through a lot of road tunnels. Among these tunnels, some of the world longest tunnels for vehicle traffic are found. For safety reasons today all long road tunnels are planed with two tubes. Two tubes allow one way traffic in each tube. In the case of one way traffi...

BACKGROUND Failure to wean can prolong ICU stay, increase complications associated with mechanical ventilation, and increase morbidity and mortality. The spontaneous breathing trial (SBT) is one method used to assess weaning. The aim of this study was to assess proportional assist ventilation plus (PAV+) as an SBT by comparing its applicability, safety, and efficacy with T-tube and pressure sup...

BACKGROUND: Percutaneous dilational tracheostomy is normally a bronchoscope-guided procedure. The insertion of a bronchoscope into an endotracheal tube (ETT) affects resistance, flow, and alveolar pressure. To improve airway management and ventilation during percutaneous tracheostomy, we developed a double lumen endotracheal tube (DLET). The aim of this in vitro study was to compare the linear ...

Introduction: Methane is one of the most widely used gases in industries with a high flammability potential. This study aimed to evaluate the efficiency of ventilation systems installed on methane valve pits based on hazardous areas classification. Material and Methods: This study was implemented in a steel industry in Qom Province in 2019. The tools used in this study were a DELTA OHM pitot t...

BACKGROUND Percutaneous dilational tracheostomy is normally a bronchoscope-guided procedure. The insertion of a bronchoscope into an endotracheal tube (ETT) affects resistance, flow, and alveolar pressure. To improve airway management and ventilation during percutaneous tracheostomy, we developed a double lumen endotracheal tube (DLET). The aim of this in vitro study was to compare the linear c...

BACKGROUND Tympanostomy tube insertion is one of the most commonly performed pediatric procedures in the United States. In an effort to reduce the incidence of postoperative otorrhea, many surgeons have traditionally recommended strict avoidance of water exposure to the ears. A number of studies have questioned the efficacy of such recommendations. Here we examine the evidence regarding water p...

abstract background: transtracheal jet ventilation is an alternative ventilatory approach in airway surgery. the purpose of this study was to compare respiratory efficacy of percutaneous transtracheal with endotracheal, low frequency jet ventilation during microlaryngeal surgery. methods: ninety asa class i-ii patients aged between 16 and 70 years undergoing elective microlaryngeal surgery were...

One-lung intubation (OLI) is among the most common complications of endotracheal intubation. None of the monitoring tools now available has proved effective for its early detection. In this study we investigated the efficacy of acoustic analysis for the detection of OLI. We collected lung sounds from 11 patients undergoing thoracic surgery requiring the placement of a double-lumen tube. Recordi...

A recent systematic review and meta-analysis shows that volume-targeted ventilation (VTV) compared with pressurelimited ventilation (PLV) reduce death and bronchopulmonary dysplasia, pneumothorax, hypocarbia and severe cranial ultrasound abnormalities. In this paper, we present published research and our experience with volume guarantee (VG) ventilation, a VTV mode available on the Dräger Babyl...