Objective: To investigate the continuous humidification tube insertion depth of endotracheal intubation and the flow rate of the wetting effect. Methods: From October 2008 to May 2010, among 132 patients of oral and m...Objective: To investigate the continuous humidification tube insertion depth of endotracheal intubation and the flow rate of the wetting effect. Methods: From October 2008 to May 2010, among 132 patients of oral and maxillofacial surgery with tracheal intubation, continuous infusion can be adjusted to the wet method;according to the wet pipe, insertion depth of the flow rate is divided into four groups, by four different depths and velocities of the wetting effect, to be analyzed. Results: B group was significantly lower than other groups satisfied with indicators of four significantly different effects of humidification. Conclusion: When continuous humidification tube insertion depth of endotracheal intubation is 10 - 12 cm, and flow rate is 15 - 20 ml/h, the wetting effect will achieve greater satisfaction.展开更多
Aims Nectar is one of the most common floral rewards offered to pol-linators by plants.Depending on the plant species,nectar is offered openly or in tubes of various lengths restricting accessibility of this resource ...Aims Nectar is one of the most common floral rewards offered to pol-linators by plants.Depending on the plant species,nectar is offered openly or in tubes of various lengths restricting accessibility of this resource for flower visitors with short mouthparts.if attract-ing pollinators that match floral morphology increases pollination efficiency,flowers could profit from signaling nectar-tube depth to pollinators.Since flower colors are important signals in plant-pol-linator communication,we investigated whether and which differ-ent chromatic or achromatic aspects of flower color might indicate nectar-tube depth or whether flower colors facilitate the differen-tiation between flowers with long nectar tubes by means of high chromatic uniqueness.Methods To this end,we collected flower reflectance spectra of 135 grassland plant species.We analyzed flower colors as raw reflectance spectra in principal component analysis(PCA)and in the color space of honeybees.Important Findings The correlation between flower colors and tube depths was weak.From the bee’s point of view,blue flowers had on average deeper tubes than green,blue-green and UV-green flowers potentially allow-ing insects to predict tube depths based on blue color.Spectral purity did not correlate with nectar-tube depth,nor did the chromatic uniqueness of flower colors in the honeybee color space.Dominant wavelength showed a significant but very weak correlation with tube depth.The achromatic green contrast decreased with increasing tube depth as did brightness;thus deep tubes were less conspicuous than shallow tubes.Chromatic components resulting from PCA did not or only slightly correlate with tube depth.Our results illustrate that flower colors may have a certain potential to indicate tube depth,i.e.nectar accessibility,from a bee’s perspective.展开更多
In this paper, the mechanical behavior and buckling failure of SUS304 stainless steel tubes with different local sharp-notched depths subjected to cyclic bending were experimentally investigated. It can be seen that t...In this paper, the mechanical behavior and buckling failure of SUS304 stainless steel tubes with different local sharp-notched depths subjected to cyclic bending were experimentally investigated. It can be seen that the experimental moment-curvature relationship exhibits cyclic hardening and becomes a steady loop after a few cycles. However, the experimental ovalization-curvature relationship exhibits an increasing and ratcheting manner with the number of the bending cycles. In addition, higher notch depth of a tube leads to a more severe unsymmetrical trend of the ovalization-curvature relationship. It has been observed that the notch depth has almost no influence on the moment-curvature relationship. But, it has a strong influence on the ovalization-curvature relationship. Finally, the theoretical model proposed by Kyriakides and Shaw [1] was used in this study for simulating the controlled curvature-number of cycles to produce buckling relationship. Through comparison with the experimental data, the theoretical model can properly simulate the experimental展开更多
Background: Accurate determination of the optimal insertion depth of a pediatric endotracheal tube (ETT) is quite important. The aim of this study was to create an easily available formula that can be used to determin...Background: Accurate determination of the optimal insertion depth of a pediatric endotracheal tube (ETT) is quite important. The aim of this study was to create an easily available formula that can be used to determine the optimal insertion depth for a cuffed ETT even without depth marking with clear definitions of the upper and lower limits for the tip of ETT in the trachea in clinical practice. Methods: Eighty children under 12 years of age were enrolled. The depth marking of the cuffed ETT was placed at the vocal cords and both lungs were then auscultated using a stethoscope. The upper limit was radiographically defined as the position of the tip of the cuffed ETT being between the clavicles. The lower limit was defined as a distance of 5 mm above the carina. The relationship between the insertion depth and patient characteristics was analyzed to create a formula for optimal ETT insertion depth. Results: Sixty-nine ETTs were optimally placed in the trachea. There were good correlations between the optimal insertion depth of ETTs and patients characteristics (height (R = 0.92);BSA (R = 0.92);weight (R = 0.91);age (R = 0.88)). Using these patient characteristics, we created the following three formulas for calculation of the optimal insertion depth for pediatric cuffed ETTs: insertion depth (cm) = height (cm)/11 + 5.5, weight (kg)/3 + 9.5 or 11 + 3/4 × age (years). The rates of appropriate tube placement of both pediatric cuffed ETTs were 87.5% (Hi-Contour) and 85.0% (Microcuff). Conclusions: Our formula and graphs may be easy to determine the optimal insertion depth of cuffed ETT even without depth marking in clinical practice.展开更多
Introduction: Endotracheal suction plays a crucial role in the management of mechanically ventilated patients. This study aims to evaluate the clinical effectiveness and safety of suction tubes with markings in mechan...Introduction: Endotracheal suction plays a crucial role in the management of mechanically ventilated patients. This study aims to evaluate the clinical effectiveness and safety of suction tubes with markings in mechanically ventilated pediatric patients. Materials and Methods: A randomized assignment was carried out on a cohort of 52 pediatric patients who underwent mechanical ventilation in the Pediatric Intensive Care Unit at the Third Affiliated Hospital of Sun Yat-sen University, covering the period from January 2022 to December 2022. These patients were divided into two groups: an improved group (n = 26) utilizing marked suction tubes, and a regular group (n = 26) employing conventional suction tubes. The objective of our study was to evaluate the clinical effectiveness of marked suction tubes. Results: The effects of the improved group on the vital signs of children undergoing mechanical ventilation were small and statistically significant compared with the regular group (p < 0.05). Additionally, the improved group exhibited a reduced frequency of sputum suction, shorter mechanical ventilation duration, and fewer days of hospitalization in the PICU compared to the regular group during the ventilation period. Notably, the difference in the duration of PICU hospitalization was statistically significant (p < 0.05). Moreover, the incidence of adverse reactions in the improved group was notably lower, with statistically significant differences observed in airway mucous membrane damage and irritating cough when compared to the regular group (p < 0.05). Conclusion: The utilization of marked suction tubes provides clinical nurses with clear guidance for performing suctioning with ease, efficiency and safety. Consequently, advocating for the widespread implementation of marked suction tubes in clinical practice is a commendable pursuit.展开更多
Background: Surveys of pediatric endotracheal tube (ETT) management previously reported that specialists in pediatric anesthesia and intensive care medicine preferred to use uncuffed ETTs for children younger than 8 t...Background: Surveys of pediatric endotracheal tube (ETT) management previously reported that specialists in pediatric anesthesia and intensive care medicine preferred to use uncuffed ETTs for children younger than 8 to 10 years of age. The aim of this study was to reveal the most recent attitudes and clinical practices of pediatric ETT management in Japan. Methods: The attitudes and clinical practices of pediatric ETT management were investigated using the data sheets of each institution and each patient. The data sheets contained information on patient characteristics and type of hospital, surgical procedures, devices used for intubation, and ETT information including types, size, depth, intracuff pressure (ICP), interval of ICP measurement, laryngeal packing, ETT exchange, airway complications, and reintubations. Results: The response rate of this survey was 66.7%. More than half of children older than 2 years of age were intubated with cuffed ETTs;83.5% of cuffed ETTs were used with the cuffs inflated, and ICP was measured in 80.7% of cuffed ETTs. More than half of ICP measurements were only taken at the time of intubation. Post-extubation stridor was rarely observed in cuffed (0.4%) or uncuffed ETTs (1.2%). The pediatric ETT management questionnaire revealed age-based size selection, differences in pressure of air leakage between cuffed (15 - 20 cmH2O) and uncuffed ETTs (20 - 30 cmH2O) of different sizes, the depthmarking method of insertion length. Continuous measurement of ICP was not common. Conclusion: This study revealed widespread use of cuffed ETTs in children older than 2 years of age, rarely occurrence of post-extubation stridor, inflation of cuffs, and practice of ICP measurement.展开更多
文摘Objective: To investigate the continuous humidification tube insertion depth of endotracheal intubation and the flow rate of the wetting effect. Methods: From October 2008 to May 2010, among 132 patients of oral and maxillofacial surgery with tracheal intubation, continuous infusion can be adjusted to the wet method;according to the wet pipe, insertion depth of the flow rate is divided into four groups, by four different depths and velocities of the wetting effect, to be analyzed. Results: B group was significantly lower than other groups satisfied with indicators of four significantly different effects of humidification. Conclusion: When continuous humidification tube insertion depth of endotracheal intubation is 10 - 12 cm, and flow rate is 15 - 20 ml/h, the wetting effect will achieve greater satisfaction.
基金The work has been funded by the DFG Priority Program 1374‘Infrastructure-Biodiversity-Exploratories’(Scha1008/5-1)by the FAZIT-Stiftung.
文摘Aims Nectar is one of the most common floral rewards offered to pol-linators by plants.Depending on the plant species,nectar is offered openly or in tubes of various lengths restricting accessibility of this resource for flower visitors with short mouthparts.if attract-ing pollinators that match floral morphology increases pollination efficiency,flowers could profit from signaling nectar-tube depth to pollinators.Since flower colors are important signals in plant-pol-linator communication,we investigated whether and which differ-ent chromatic or achromatic aspects of flower color might indicate nectar-tube depth or whether flower colors facilitate the differen-tiation between flowers with long nectar tubes by means of high chromatic uniqueness.Methods To this end,we collected flower reflectance spectra of 135 grassland plant species.We analyzed flower colors as raw reflectance spectra in principal component analysis(PCA)and in the color space of honeybees.Important Findings The correlation between flower colors and tube depths was weak.From the bee’s point of view,blue flowers had on average deeper tubes than green,blue-green and UV-green flowers potentially allow-ing insects to predict tube depths based on blue color.Spectral purity did not correlate with nectar-tube depth,nor did the chromatic uniqueness of flower colors in the honeybee color space.Dominant wavelength showed a significant but very weak correlation with tube depth.The achromatic green contrast decreased with increasing tube depth as did brightness;thus deep tubes were less conspicuous than shallow tubes.Chromatic components resulting from PCA did not or only slightly correlate with tube depth.Our results illustrate that flower colors may have a certain potential to indicate tube depth,i.e.nectar accessibility,from a bee’s perspective.
文摘In this paper, the mechanical behavior and buckling failure of SUS304 stainless steel tubes with different local sharp-notched depths subjected to cyclic bending were experimentally investigated. It can be seen that the experimental moment-curvature relationship exhibits cyclic hardening and becomes a steady loop after a few cycles. However, the experimental ovalization-curvature relationship exhibits an increasing and ratcheting manner with the number of the bending cycles. In addition, higher notch depth of a tube leads to a more severe unsymmetrical trend of the ovalization-curvature relationship. It has been observed that the notch depth has almost no influence on the moment-curvature relationship. But, it has a strong influence on the ovalization-curvature relationship. Finally, the theoretical model proposed by Kyriakides and Shaw [1] was used in this study for simulating the controlled curvature-number of cycles to produce buckling relationship. Through comparison with the experimental data, the theoretical model can properly simulate the experimental
文摘Background: Accurate determination of the optimal insertion depth of a pediatric endotracheal tube (ETT) is quite important. The aim of this study was to create an easily available formula that can be used to determine the optimal insertion depth for a cuffed ETT even without depth marking with clear definitions of the upper and lower limits for the tip of ETT in the trachea in clinical practice. Methods: Eighty children under 12 years of age were enrolled. The depth marking of the cuffed ETT was placed at the vocal cords and both lungs were then auscultated using a stethoscope. The upper limit was radiographically defined as the position of the tip of the cuffed ETT being between the clavicles. The lower limit was defined as a distance of 5 mm above the carina. The relationship between the insertion depth and patient characteristics was analyzed to create a formula for optimal ETT insertion depth. Results: Sixty-nine ETTs were optimally placed in the trachea. There were good correlations between the optimal insertion depth of ETTs and patients characteristics (height (R = 0.92);BSA (R = 0.92);weight (R = 0.91);age (R = 0.88)). Using these patient characteristics, we created the following three formulas for calculation of the optimal insertion depth for pediatric cuffed ETTs: insertion depth (cm) = height (cm)/11 + 5.5, weight (kg)/3 + 9.5 or 11 + 3/4 × age (years). The rates of appropriate tube placement of both pediatric cuffed ETTs were 87.5% (Hi-Contour) and 85.0% (Microcuff). Conclusions: Our formula and graphs may be easy to determine the optimal insertion depth of cuffed ETT even without depth marking in clinical practice.
文摘Introduction: Endotracheal suction plays a crucial role in the management of mechanically ventilated patients. This study aims to evaluate the clinical effectiveness and safety of suction tubes with markings in mechanically ventilated pediatric patients. Materials and Methods: A randomized assignment was carried out on a cohort of 52 pediatric patients who underwent mechanical ventilation in the Pediatric Intensive Care Unit at the Third Affiliated Hospital of Sun Yat-sen University, covering the period from January 2022 to December 2022. These patients were divided into two groups: an improved group (n = 26) utilizing marked suction tubes, and a regular group (n = 26) employing conventional suction tubes. The objective of our study was to evaluate the clinical effectiveness of marked suction tubes. Results: The effects of the improved group on the vital signs of children undergoing mechanical ventilation were small and statistically significant compared with the regular group (p < 0.05). Additionally, the improved group exhibited a reduced frequency of sputum suction, shorter mechanical ventilation duration, and fewer days of hospitalization in the PICU compared to the regular group during the ventilation period. Notably, the difference in the duration of PICU hospitalization was statistically significant (p < 0.05). Moreover, the incidence of adverse reactions in the improved group was notably lower, with statistically significant differences observed in airway mucous membrane damage and irritating cough when compared to the regular group (p < 0.05). Conclusion: The utilization of marked suction tubes provides clinical nurses with clear guidance for performing suctioning with ease, efficiency and safety. Consequently, advocating for the widespread implementation of marked suction tubes in clinical practice is a commendable pursuit.
文摘Background: Surveys of pediatric endotracheal tube (ETT) management previously reported that specialists in pediatric anesthesia and intensive care medicine preferred to use uncuffed ETTs for children younger than 8 to 10 years of age. The aim of this study was to reveal the most recent attitudes and clinical practices of pediatric ETT management in Japan. Methods: The attitudes and clinical practices of pediatric ETT management were investigated using the data sheets of each institution and each patient. The data sheets contained information on patient characteristics and type of hospital, surgical procedures, devices used for intubation, and ETT information including types, size, depth, intracuff pressure (ICP), interval of ICP measurement, laryngeal packing, ETT exchange, airway complications, and reintubations. Results: The response rate of this survey was 66.7%. More than half of children older than 2 years of age were intubated with cuffed ETTs;83.5% of cuffed ETTs were used with the cuffs inflated, and ICP was measured in 80.7% of cuffed ETTs. More than half of ICP measurements were only taken at the time of intubation. Post-extubation stridor was rarely observed in cuffed (0.4%) or uncuffed ETTs (1.2%). The pediatric ETT management questionnaire revealed age-based size selection, differences in pressure of air leakage between cuffed (15 - 20 cmH2O) and uncuffed ETTs (20 - 30 cmH2O) of different sizes, the depthmarking method of insertion length. Continuous measurement of ICP was not common. Conclusion: This study revealed widespread use of cuffed ETTs in children older than 2 years of age, rarely occurrence of post-extubation stridor, inflation of cuffs, and practice of ICP measurement.
