AIM To determine the efficacy of immediate, standardized, corrective audio feedback training as supplied by the voice advisory manikin (VAM) compared to high quality standardized instructor feedback training for the initial acquisition of 1-rescuer lay provider pediatric BLS skills. MATERIALS AND METHODS Lay care providers of hospitalized children 8-18 years were randomized to VAM (n=23) or s...

study are relevant, I believe that the design of the study was not adequate to answer these questions. First, all patients were on NM for w3 months and one patient even for 70 months, whereas they trained only for 1 day on FFM. In our centre (Dept of Pulmonary Diseases/ Home mechanical ventilation, University Hospital Groningen, Groningen, The Netherlands), patients routinely need more time (y7...

1. As Bufo marinus became progressively hypoxic over a period of 90 min, there was a rise in arterial pH, presumably brought about by hyperventilation. The alkalosis gradually disappeared when oxygen levels became very low. It is suggested that this is the result of a respiratory or a metabolic pH adjustment, or both. 2. Hypoxic animals developed a characteristic breathing pattern in which disc...

This study described the behavior of the swamp-dwelling African cyprinid Barbus neumayeri in response to laboratory acclimation to normoxic and hypoxic conditions to detect costs associated with hypoxia exposure. Behavioral observations were conducted every two weeks over a four-week acclimation period in both normoxic and hypoxic conditions, and feeding trials were conducted after six weeks of...

Existing railways can no longer meet transportation requirements, and it is an urgent need to expand old tunnels. However, the existence of ventilations shaft makes expansions face greater risks. This study analyzed tangential stress change trend during expansion process through field monitoring, numerical simulation was used analyze changes in displacement under different depths width–span rat...

Current recommendation for chest compressions in neonatal resuscitation is to use a coordinated 3:1 ratio of chest compressions to ventilations (C:V), interrupting every third compression to deliver an assisted ventilation. Despite this recommendation, the evidence is still unclear on the optimal C:V ratio for use in neonates. Our team has previously reported a novel technique of sustained infl...

To determine the effect of hyperpnea on the characteristics of periciliary liquid, we collected airway surface fluid (ASF) and measured its osmolarity in 11 normal people while they breathed dry, frigid air (-17 +/- 1.2 degrees C) at minute ventilations (VE) of 10, 40, and 80 l/min through a heat exchanger. The ASF was collected at the fifth tracheal ring by absorption onto filter paper pledget...

Only one in ten patients survives cardiac arrest (CA), underscoring the need to improve CA management. Isoflurane has shown cardio- and neuroprotective effects in animal models of ischemia-reperfusion injury. Therefore, the beneficial effect of isoflurane should be tested in an experimental CA model. We hypothesize that isoflurane anesthesia improves short-term outcome following resuscitation f...

Air leak syndrome includes pulmonary interstitial emphysema, pneumothorax, pneumomediastinum, pneumopericardium, pneumoperitoneum, subcutaneous emphysema, and systemic air embolism. The most common cause of air leak syndrome in neonates is inadequate mechanical ventilation of the fragile and immature lungs. The incidence of air leaks in newborns is inversely related to the birth weight of the i...