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Rozprawy doktorskie na temat „Ventilator support”

Autor: Grafiati

Data publikacji: 2 czerwca 2025

Data aktualizacji: 31 lipca 2025

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1

Wang, Ang. "Hybrid modelling and decision support for ventilator management in intensive care units." Thesis, University of Sheffield, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.489681.

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Mechanical ventilation is a life-saving therapy for patient treatments in Intensive Care Units (ICUs). The management of mechanical ventilation is a very challenging task. It has long been recognised that a computer-based bedside decision support system is r desirable for optimal ventilator management in ICUs. In this thesis, a closed-loop adaptive model-based ventilator management decision support system is developed. A previously developed ventilated patient mathematical model is further improved and extended with respect to the model parameter estimation and the simulation of the patients a

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Thille, Arnaud. "Asynchronies patient-ventilateur au cours de la ventilation assistée." Phd thesis, Université Paris-Est, 2010. http://tel.archives-ouvertes.fr/tel-00667286.

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Des asynchronies patient-ventilateur sont fréquemment observées en ventilation assistée. Objectif : Déterminer l'incidence et les facteurs favorisants des asynchronies, venant du patient, du ventilateur ou des réglages, et préciser le réglage optimal du ventilateur. Méthodes : Nous avons évalué l'incidence des asynchronies avec une méthode simple et non invasive basée sur l'analyse des courbes du ventilateur. Chez les patients qui présentaient des efforts inefficaces, nous avons mesuré l'effort inspiratoire avec une sonde œsophagienne afin d'optimiser le réglage du ventilateur. Nous avons éval

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Fridh, Katarina, and Sofia Persson. "Att avsluta ventilatorsbehandling för personer med amyotrofisk lateralskleros : en kvalitativ intervjustudie som beskriver sjuksköterskors erfarenheter." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3416.

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Palliativ vård innebär att förbättra livskvalitet för personer med livshotande kronisk sjukdom och dess närstående. De fyra hörnstenar som den palliativa vården vilar på är symtomkontroll, kommunikation, teamarbete och närståendestöd. Sjuksköterskor inom palliativ vård har till uppgift att tillsammans med teamet förebygga, observera, behandla och lindra symtom för både patient och närstående. Amyotrofisk lateralskleros är en motorneuronsjukdom som påverkar kroppens alla muskler. Nedsatt andningsfunktionen hos personer med ALS leder till hypoventilation vilket kan behandlas med ventilatorstöd m

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Delisle, Stéphane. "L'asservissement de la ventilation mécanique à l'aide du déclenchement diaphragmatique permet une meilleure synchronisation patient/ventilateur et une meilleure architecture du sommeil chez les patients en sevrage ventilatoire." Thèse, Université de Sherbrooke, 2012. http://hdl.handle.net/11143/6643.

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La qualité du sommeil des patients en soins intensifs est mauvaise, avec une fragmentation du sommeil, une diminution de la phase de sommeil paradoxal et une redistribution des temps de sommeil durant la période diurne. Si le bruit semble une cause évidente, il ne rendrait compte que de 20% des perturbations du sommeil dans ce contexte (Freedman et al. 1999; Gabor et al. 2003). La ventilation mécanique apparaît comme une autre source d'altération de la qualité et de la quantité de sommeil chez les patients en soins intensifs (Meza et al. 1998; Cooper et al. 2000; Parthasarathy et Tobin, 2004;)

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Schmidt, Matthieu. "Substrats neurophysiologiques des interactions patient- ventilateur et des sensations respiratoires correspondantes." Thesis, Paris 6, 2014. http://www.theses.fr/2014PA066487/document.

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En ventilation assistée, l’inadéquation entre l’activité des muscles respiratoires du patient et l’assistance délivrée par le ventilateur se traduit par la survenue d’une dysharmonie patient-ventilateur potentiellement associée avec la survenue d’asynchronies patient-ventilateur et d’une dyspnée. Minimiser cette dysharmonie est un objectif majeur de la ventilation assistée. Le Neuro Asservissement de la Ventilation Assistée (NAVA) et la Ventilation Assistée Proportionnelle (PAV) sont deux nouveaux modes qui pourraient améliorer l’harmonie patient-ventilateur. Nous avons montré que,

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Tzavaras, Aris. "Intelligent decision support systems in ventilation management." Thesis, City University London, 2009. http://openaccess.city.ac.uk/12084/.

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Introduction: Intensive Care Unit (ICU) medical personnel, in an ongoing process termed ventilation management, utilize patient physiology and pathology data to define ventilator apparatus settings. Aims: The aim of the research is to develop and evaluate in comparison hybrid ventilation advisor systems, that could support ventilation management process, specific to lung pathology for patients ventilated in control mode. Methodology: A questionnaire was designed and circulated to Intensivists. Patient data, as defined by the questionnaire analysis, were collected and categorized into three lun

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Marjanovic, Nicolas. "Approche globale du support ventilatoire en médecine d'urgence." Thesis, Poitiers, 2020. http://theses.univ-poitiers.fr/64158/2020-Marjanovic-Nicolas-These.

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L’insuffisance respiratoire aiguë est un motif fréquent de consultation dans un service d’urgences. Le traitement de première intention repose sur l’oxygénothérapie conventionnelle. En cas d’échec ou d’emblée en cas d’urgence vitale immédiate, le recours à un support ventilatoire devient nécessaire. Les supports ventilatoires englobent l’oxygénothérapie à haut-débit nasal humidifiée (OHD) et la ventilation mécanique qui peut être invasive ou non-invasive. Les données concernant l’intérêt du support ventilatoire en médecine d’urgence sont issues pour l’essentiel de travaux conduits en réanimati

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Nemoto, Tadashi. "Automatic control of pressure support ventilation using fuzzy logic." Kyoto University, 2003. http://hdl.handle.net/2433/149372.

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Schmidt, Andreas. "Atmung mit Pressure-Support-Ventilation und Proportional-Assist-Ventilation bei gesunden Probanden mit gesteigerter Elastance." [S.l.] : [s.n.], 1999. http://www.sub.uni-hamburg.de/disse/559/Disse.pdf.

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Mallya, Prashant Moodabidri. "Pressure support ventilation or synchronised intermittent mandatory ventilation for weaning premature babies on mechanical ventilation : a multi centre randomised controlled trial." Thesis, University of Newcastle upon Tyne, 2017. http://hdl.handle.net/10443/3820.

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Mechanical ventilation is life saving as a respiratory support for preterm infants with respiratory distress syndrome. There is good evidence now that any form of volume-targeted modality of mechanical ventilation is superior over pressure-targeted modality to reduce chronic lung disease and death. It is perceived by minimising the duration of mechanical ventilation would reduce the exposure to positive pressure breaths and thereby could reduce long term morbidities such as chronic lung disease. An area of lacunae is defining what is weaning on mechanical ventilation. Whilst most clinicians wi

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Lattuada, Marco. "Effect of Ventilatory Support on Abdominal Fluid Balance in a Sepsis Model." Doctoral thesis, Uppsala universitet, Klinisk fysiologi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-207218.

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In patients affected by acute respiratory failure or acute respiratory distress syndrome (ARDS) the leading cause of death is failure of different vital organs other than the lungs, so called multiple organ dysfunction syndrome (MODS). The abdominal organs have a crucial role in the pathogenesis of this syndrome. There is a lack of knowledge regarding the mechanisms by which mechanical ventilation can affect the abdominal compartment. One hypothesis is that mechanical ventilation can interfere with abdominal fluid balance causing edema and inflammation. We addressed the question whether differ

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Clochesy, John Michael. "Factors influencing weaning adults from long-term positive pressure mechanical ventilatory support." Case Western Reserve University School of Graduate Studies / OhioLINK, 1993. http://rave.ohiolink.edu/etdc/view?acc_num=case1057080137.

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CARDIELLO, VALENTINA. "Ventilatory Support, Extubation and Cerebral Perfusion Changes in Preterm: a NIRS study." Doctoral thesis, Università degli studi di Genova, 2022. https://hdl.handle.net/11567/1099240.

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Objective: to investigate any change in cerebral oxygenation (rScO2) and fractional tissue oxygen extraction (cFTOE) after extubation in preterm infant. Study design: single-centre observational study with retrospective analysis of near infrared spectroscopy (NIRS) data of all consecutive preterm patient born at our institution in 1 year. Correlation analysis and comparison between subgroups was made. Result: 19 patients were included; average gestational age (GA): 29,4 weeks.No significant change was noted in rScO2 and cFTOE after extubation in whole population. A correlation between GA

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Saraiva, Mateus Sasso. "Manobra de hiperinsuflação com ventilador mecânico : uma revisão sistematica com metanálise." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/159642.

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Fundamento: A ventilação mecânica (VM) é um dos suportes de vida utilizados durante a internação em unidade de terapia intensiva. Entretanto, a alteração no mecanismo fisiológico de depuração mucociliar é um dos efeitos deletérios causados pela VM e pela prótese endotraqueal. Dessa forma, a fisioterapia respiratória objetiva manter as vias aéreas pérvias e as unidades alveolares expandidas, facilitando a ventilação pulmonar e para isso podem ser utilizadas manobras como hiperinsuflação manual (HM) ou hiperinsuflação com ventilador mecânico (HVM). Objetivo: Revisar sistematicamente os efeitos d

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Cantin, Danny. "Effet inhibiteur de la ventilation nasale à pression positive intermittente sur les reflux gastro-oesophagiens chez l'agneau nouveau-né." Mémoire, Université de Sherbrooke, 2015. http://hdl.handle.net/11143/6719.

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Résumé : Introduction : La ventilation nasale, de plus en plus utilisée chez le nourrisson, peut insuffler de l’air dans l’estomac et causer des reflux gastro-œsophagiens (RGO). Parmi les modes de ventilation nasale, l’aide inspiratoire (AIn) devrait entrainer un plus grand nombre de RGO que le neuro-asservissement de la ventilation assistée (NAVAn), où l’insufflation d’air est plus «physiologique». L’objectif principal de l’étude est de comparer le nombre de RGO en NAVAn et en AIn dans notre modèle ovin d’étude du RGO néonatal et de ventilation nasale. Méthodes : Une polysomnographie avec pH

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李潔怡 and Kit-yue Samson Lee. "Evaluation of enteral feeding support in mechanically ventilated, critically-ill patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41710757.

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Lee, Kit-yue Samson. "Evaluation of enteral feeding support in mechanically ventilated, critically-ill patients." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B41710757.

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Ajnhorn, Fabiana. "Comparação entre dois modos ventilatórios em anestesia pediátrica : ventilação controlada a volume versus ventilação controlada a pressão." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2006. http://hdl.handle.net/10183/8758.

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Justificativa e Objetivos: Comparar as repercussões na mecânica respiratória e na troca gasosa em pacientes pediátricos submetidos à cirurgia ortopédica em posição lateral sob anestesia geral, utilizando-se dois modos de ventilação mecânica: controlada a volume (VCV) versus controlada a pressão (PCV), pois, em anestesia, o benefício de um modo em relação ao outro não está bem estabelecido. Método: Ensaio clínico randomizado, realizado entre julho de 2003 e junho 2005 envolvendo crianças (seis meses a 5 anos) submetidas à cirurgia de correção de pé torto congênito no Hospital de Clínicas de Por

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Taniguchi, Corinne. "Redução automática versus manual da pressão de suporte no desmame de pacientes em pós-operatório: estudo controlado e randomizado." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/5/5150/tde-17122008-111740/.

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INTRODUÇÃO: A redução automática da pressão de suporte (PS) baseada na freqüência respiratória, ou MRV (mandatory rate ventilation) é um modo ventilatório disponível no ventilador Taema-Horus. A hipótese do estudo é que o MRV utilizado no desmame é tão efetivo quanto o desmame manual em pacientes em pós-operatório na unidade de terapia intensiva (UTI). MÉTODOS: Ao chegar à UTI, após a cirurgia, os pacientes eram randomizados em dois grupos: desmame manual ou automático. O desmame manual consistiu na redução manual da PS a cada 30 minutos mantendo a relação freqüência respiratória sobre volume

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Kanbar, Lara. "Comparison of cardiorespiratory behaviour in premature infants under different post-extubation ventilatory support modalities." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121564.

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Background: Preterm infants with gestational age (GA) <= 32 weeks require endotracheal tube mechanical ventilation (ETT-MV) during their first few days of life. These infants are quickly weaned from ETT-MV and extubated to some type of noninvasive ventilatory support; usually Nasal Continuous Positive Airway Pressure (CPAP) or non-synchronized Nasal Intermittent Positive Pressure Ventilation (NIPPV). Currently, there is no evidence to select one mode over another. The aim of this thesis was to compare cardiorespiratory behavior of infants undergoing nasal CPAP and NIPPV by evaluating the immed

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Zhao, Ying. "A decision-support framework for design of natural ventilation in non-residential buildings." Diss., Virginia Tech, 2007. http://hdl.handle.net/10919/27061.

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This study develops a decision-support framework assisting the design of non-residential buildings with natural ventilation. The framework is composed of decision modules with input, analysis algorithms and output of natural ventilation design. The framework covers ventilation with natural driving force and mechanical-assisted ventilation. The framework has two major assessment levels: feasibility assessment and comparison of alternative natural ventilation approaches. The feasibility assessment modules assess the potential of the site with the design proposition for natural ventilation in ter

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Anekwe, David. "Effect of pressure support ventilation on maximum exercise capacity in individuals with COPD." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121479.

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RATIONALE: Non-invasive mechanical ventilation (NIMV) has been used as adjunct to exercise in pulmonary rehabilitation but its acute effect on maximum exercise capacity is not fully understood. Whether NIMV delivered during exercise using a level of ventilatory support titrated to comfort is better than a fixed level of assist is also unknown. OBJECTIVE: The objective of the current study was to evaluate the effect of a fixed and an individually optimized level of pressure support ventilation (PSV) delivered during a symptom-limited incremental bicycle test on maximum exercise capacity, breath

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Moga, Ana Maria. "Acute effect of noninvasive ventilatory support on maxium exercise capacity in patients with chronic obstructive pulmonary disease." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104757.

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Background: Non-invasive ventilation (NIVS) has been used as an adjunct to exercise. However, the extent to which NIVS improves exercise tolerance is highly variable. To date, no studies have examined the effect of NIVS on maximal exercise capacity when applied during a single exercise test. Objective: To evaluate the acute effect of BiPAP (Vision, Respironics), compared to no assist, on maximum exercise capacity in individuals with COPD. Methods: A randomized crossover design was used. Ten stable COPD patients (FEV1 53 ± % pred) performed three symptom-limited incremental exercise tests on a

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Carroll, Nadine. "The use of protriptyline or nocturnal mechanical ventilatory support for respiratory failure in chronic bronchitis and emphysema." Thesis, University of Liverpool, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.235493.

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Lee, Peggy S. P. "Measured metabolic requirement for septic shock patients before and after liberation from mechanical ventilation." Thesis, University of Bath, 2015. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.665433.

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Objectives: Negative energy balance can impair regeneration of the respiratory epithelium and limit the functionality of respiratory muscles, which can prolong mechanical ventilation. The present study sought to quantify and identify deviation in energy requirements of patients with septic shock during and upon liberation from mechanical ventilation. Methods: Patients admitted into intensive care with initial diagnosis of septic shock and mechanical ventilation-dependent were recruited. Their metabolic requirements before and after liberation from mechanical ventilation were measured by indire

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Dridi, Haikel. "Mécanismes cellulaires précoces impliqués dans la dysfonction diaphragmatique induite par la ventilation mécanique." Thesis, Montpellier, 2016. http://www.theses.fr/2016MONT4005/document.

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La ventilation mécanique(VM) est le premier traitement en réanimation du syndrome de détresse respiratoire aigüe permettant de maintenir une oxygénation tissulaire suffisante. Mais elle induit une atteinte de la fonction contractile des muscles respiratoires, principalement le diaphragme, augmentant ainsi la dépendance du patient vis à vis de son ventilateur. Cette pathologie musculaire acquise est appelée Dysfonction Diaphragmatique induite par la ventilation (VIDD). L’objectif de cette thèse est proposer, à partir d’un modèle murin de ventilation mécanique, les mécanismes physiopathologiques

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PiQUILLOUD, IMBODEN Lise. "Apport de la physiologie dans l’optimisation de l’assistance ventilatoire : l’exploration de la commande respiratoire Information conveyed by electrical diaphragmatic activity during unstressed, stressed and assisted spontaneous breathing: a physiological study A diaphragmatic electrical activity-based optimization strategy during pressure support ventilation improves synchronization but does not impact work of breathing Accuracy of P0.1 measurements performed by ICU ventilators: a bench study." Thesis, Angers, 2019. http://www.theses.fr/2019ANGE0042.

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Les centres respiratoires du tronc cérébral régulent la ventilation. Les signaux qu’ils émettent sont transmis aux muscles inspiratoires. La commande respiratoire peut être monitorée au lit du patient au moyen de l’activité électrique diaphragmatique (Eadi) ou de la pression d’occlusion à 100 ms (P0.1). Le monitorage de ces paramètres devrait permettre d’optimiser l’assistance ventilatoire délivrée.Il n’existe que peu de données relatives aux valeurs normales d’Eadi et de P0.1 et à leurs variations en situations non physiologiques. La question de la fiabilité des mesures réalisables au lit du

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Batista, Priscila Andrea Costa dos Santos. "Efeitos da ventilação espontânea e ventilação mandatória intermitente sincronizada em cães anestesiados com infusão contínua de propofol /." Jaboticabal : [s.n.], 2008. http://hdl.handle.net/11449/89081.

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Orientador: Newton Nunes<br>Banca: José Antonio Marques<br>Banca: Paulo Sérgio Patto dos Santos<br>Resumo: Objetivou-se avaliar os efeitos da ventilação mandatória intermitente sincronizada (SIMV) e da ventilação espontânea associadas à ventilação com pressão de suporte, sobre as variáveis hemodinâmicas, hemogasométricas e ventilatórias em cães anestesiados com propofol. Para tal, foram utilizados 10 cães adultos, machos ou fêmeas, sadios, os quais foram distribuídos em dois grupos de igual número, sendo denominados GE (submetidos à ventilação espontânea associada a PSV) e GM (SIMV associada a

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Huber, Johannes [Verfasser], and Thomas [Akademischer Betreuer] Volk. "Untersuchung der Anwendung der augmentierenden Beatmungsmodi Proportional Assist Ventilation plus (PAV +) versus Pressure Support Ventilation (PS) unter normaler sowie erhöhter Atemarbeit in einer Probandenstudie / Johannes Huber. Betreuer: Thomas Volk." Saarbrücken : Saarländische Universitäts- und Landesbibliothek, 2016. http://d-nb.info/1099282101/34.

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Krause, Anke [Verfasser], de Abreu Marcelo [Gutachter] Gama, and Stefan [Gutachter] Rammelt. "Effekte von Proportional Assist Ventilation und variabler Pressure Support Ventilation auf Lungenfunktion und Lungenschädigung an einem tierexperimentellen Modell des akuten Lungenversagens am Schwein / Anke Krause ; Gutachter: Marcelo Gama de Abreu, Stefan Rammelt." Dresden : Technische Universität Dresden, 2021. http://d-nb.info/1232410535/34.

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Karlsson, Marcus, and Mattias Wising. "Sjuksköterskors upplevelser av att vårda patienter vid avvänjning av mekaniskt ventilationsstöd : En systematisk litteraturöversikt." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-19556.

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Bakgrund: Mekaniskt ventilationsstöd används till patienter för att säkerställa ett tillfredsställande gasutbyte mellan koldioxid och syre. Avvänjningsprocessen från mekaniskt ventilationsstöd är påfrestande för patienten. Sjuksköterskor som arbetar med denna patientkategori ställs in för utmaningar som fodrar stor kunskap.Syfte: Belysa sjuksköterskors upplevelser av att vårda patienter vid avvänjning av mekaniskt ventilationsstöd. Metod: En systematisk litteraturöversikt med kvalitativa artiklar. Resultat: Ur analysen identifierades tre kategorier som var lära känna patienten, beslutsprocesse

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Mohammed, Aslam. "'Help me breathe!' : a comparative analysis of the decision making processes of Health Care Support Workers and Registered Nurses caring for home ventilated children." Thesis, Glasgow Caledonian University, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.700987.

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Lamb, Virginia Archer. "Nosocomial Respiratory Tract Infections Associated with the Use of Ventilatory Support Systems: Epidemiological and Bacteriological Study of the Effect of Changing Breathing Circuits at 24 or 48 Hours." VCU Scholars Compass, 1987. http://scholarscompass.vcu.edu/etd/3899.

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Nosocomial (hospital-acquired) pneumonia (HAP) continues to be an important cause of morbidity and mortality in the hospital. HAP is the third most common nosocomial infection after urinary tract and surgical wound infections. In addition, HAP is the nosocomial infection with the highest mortality rate. These infections are often difficult to treat, because most are caused by Gram-negative bacilli (GNB) that may be highly resistant to antimicrobial agents. HAPs frequently occur in intensive care patients with underlying lung and/or systemic diseases. Many patients are intubated and are on assi

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Batista, Priscila Andrea Costa dos Santos [UNESP]. "Efeitos da ventilação espontânea e ventilação mandatória intermitente sincronizada em cães anestesiados com infusão contínua de propofol." Universidade Estadual Paulista (UNESP), 2008. http://hdl.handle.net/11449/89081.

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Made available in DSpace on 2014-06-11T19:23:43Z (GMT). No. of bitstreams: 0 Previous issue date: 2008-02-27Bitstream added on 2014-06-13T19:09:51Z : No. of bitstreams: 1 batista_pacs_me_jabo.pdf: 510138 bytes, checksum: 6447d9c7d5f2502f47213aa54f28155e (MD5)<br>Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)<br>Objetivou-se avaliar os efeitos da ventilação mandatória intermitente sincronizada (SIMV) e da ventilação espontânea associadas à ventilação com pressão de suporte, sobre as variáveis hemodinâmicas, hemogasométricas e ventilatórias em cães anestesiados com propofol. Par

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Güntzel, Adriana Meira. "O efeito do tubo T e da pressão suporte sobre variaveis cardiorrespiratórias e variabilidade da freqüencia cardíaca durante o desmame da ventilação mecânica." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2007. http://hdl.handle.net/10183/13417.

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Introdução: A descontinuação da ventilação mecânica (VM) e a restituição da ventilação espontânea podem acarretar importantes alterações cardiovasculares devido a modificações da pressão intratorácica. O comportamento da modulação autonômica avaliada através da variabilidade da freqüência cardíaca (VFC) durante o desmame da VM e ainda não está bem esclarecido, assim como sua repercussão nas variáveis cardiorrespiratórias. Objetivo: Verificar o efeito do tubo T (TT) e da ventilação com pressão suporte (PSV), durante o desmame da VM, sobre variáveis cardiorrespiratórias e variabilidade da freqüê

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Juárez, Silva José Augusto. "Uso del modo ASV (Adaptive Support Ventilation) en el destete de la ventilación mecánica en pacientes neurocríticos de la Unidad de Cuidados Intensivos del Hospital Nacional Dos de Mayo." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2014. https://hdl.handle.net/20.500.12672/13084.

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El documento digital no refiere asesor<br>Introducción: El proceso de destete de la ventilación mecánica es una parte fundamental del soporte de vida instaurado en las unidades de cuidados intensivos. El modo ventilatorio ASV ha demostrado buena performance en el destete de paciente post operados de cirugía cardiaca. Sin embargo no hay estudios que evalúen el proceso de destete con ASV en pacientes con patología neurocrítica por lo que se plantea el presente estudio a fin de determinar las características y parámetros principales del modo ASV en el destete de este tipo de pacientes. Material

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Silva, Fabia Diniz. "Comparação entre os modos Neurally Adjusted Ventilatory Assist e Ventilação com Pressão de Suporte como ventilação protetora em pacientes com síndrome do desconforto respiratório agudo." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5150/tde-19062017-104922/.

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Introdução: A ventilação mecânica protetora, que consiste na utilização de volumes correntes iguais ou menores do que 6 ml/kg de peso ideal e pressão de platô abaixo de 30 cmH2O, é recomendada para pacientes com Síndrome do Desconforto Respiratório Agudo (SDRA). Esta estratégia geralmente necessita de ventilação controlada e sedação. Neurally Adjusted Ventilatory Assist (NAVA) ou Pressão de Suporte (PSV), que são modos ventilatórios de assistência parcial, poderiam ser alternativas para oferecer ventilação protetora, mas nesses modos o volume corrente (VC) varia em proporção ao esforço do paci

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Guernouti, Sihem. "Méthode d'analyse du comportement thermo-aéraulique des bâtiments pour la construction de modèles zonaux adaptatifs." Nantes, 2008. http://portaildocumentaire.citechaillot.fr/search.aspx?SC=theses&QUERY=Rachel+thomas#/Detail/%28query:%28Id:%270_OFFSET_0%27,Index:1,NBResults:1,PageRange:3,SearchQuery:%28CloudTerms:!%28%29,ForceSearch:!t,Page:0,PageRange:3,QueryString:Sihem,ResultSize:10,ScenarioCode:theses,ScenarioDisplayMode:display-standard,SearchLabel:%27%27,SearchTerms:Sihem,SortField:!n,SortOrder:0,TemplateParams:%28Scenario:%27%27,Scope:%27%27,Size:!n,Source:%27%27,Support:%27%27%29%29%29%29.

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Afin de concevoir des systèmes énergétiques (chauffage, rafraîchissement, ventilation) et de prédire leurs performances en terme de confort thermique et de qualité de l'air, l’estimation des détails des écoulements et des transferts de chaleur au sein des locaux représente un enjeu important. Les modèles zonaux, qui reposent sur un découpage d’une pièce en un petit nombre de sous-volumes permettent d'appréhender l'hétérogénéité des caractéristiques thermo-aérauliques d'un espace avec des temps de calcul modérés. Ils correspondent à un bon compromis entre simplicité des modèles et volumes d'inf

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Morato, José Benedito. "Comparação da eficácia dos modos de desmames de ventilação mecânica automatizados: um estudo de bancada." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/5/5150/tde-14062011-165704/.

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INTRODUÇÃO: O desmame da ventilação mecânica é um processo complexo que requer avaliação e interpretação de parâmetros clínicos objetivos e subjetivos. O atraso no processo de desmame pode expor o paciente a um desconforto desnecessário, aumentar o risco de complicações e custos. Os modos de desmame automatizados podem acelerar a extubação e diminuir a carga de trabalho da equipe da UTI. Há diversos modos automatizados de desmame disponíveis que foram avaliados, separadamente, em populações selecionadas, com resultados divergentes em relação ao desmame convencional. No entanto, os modos automá

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Hendriks, Hans Jurgen. "Is CPAP a feasible treatment modality in a rural district hospital for neonates with respiratory distress syndrome?" Thesis, Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/20453.

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Thesis (MMed) -- Stellenbosch University, 2010.<br>ENGLISH ABSTRACT: Introduction: Limited facilities exist at rural hospitals for the management of newborn infants with respiratory distress syndrome (RDS). Furthermore, the secondary and tertiary hospitals are under severe strain to accept all the referrals from rural hospitals. Many of these infants require intubation and ventilation with a resuscitation bag which must be sustained for hours until the transport team arrives. Not only is lung damage inflicted by the prolonged ventilation, but transferring the infant by helicopter and ambulanc

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Vokřál, David. "Medicínské centrum." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2014. http://www.nusl.cz/ntk/nusl-226665.

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This thesis deals with the detailed documentation of the medical center . Estimated location of this building is on land No. 677/1 in Kutna Hora in the hospital Kutna Hora in the administrative area of Kutna Hora in Central Bohemia. Currently no land use. The land is owned by the investor , which is the Central Region. Newly built four-storey medical center will serve mainly for the provision of outpatient health care professional doctors and pharmacy , then there will be placed exit station emergency medical services and emergency medical call center services 155, 112 and emergency office spa

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Antolíková, Viera. "Fitness a relaxační centrum." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2017. http://www.nusl.cz/ntk/nusl-265549.

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The subject of this thesis is processing of design documentation for construction of the fitness and relax centre. The designed building is situated in the town centre of Giraltovce, in built-up area near watercourse Radomka. It is designed as two-storey without basement and with warm flat roofs. The part of roofing with vegetation is used as a terrace. The building envelope is a ventilated facade of fair-faced bricks in combination with cement-bonded particleboards imitating the texture of wood. The structural system is designed as column system with point-supported slab from cast-in-place re

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Niesner, Daniel. "Energy passive block of apartments." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2014. http://www.nusl.cz/ntk/nusl-226658.

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The goal of the project si developnemt of project documentation for a construction realisation of energy passive block of apartments together with design of conception of forced ventilation with recuperation unit. The design of building is conceived as building with flat roof, reinforced concrete load-bearing structure and collective underground parking. During the design emphasis was placed on low energy consumption of the building. Its energy efficiency was analysed according. ČSN 73 0540 and processed statement of energy efficiency. The result energy consumption of the structure is A – extr

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Saad, Rafael. "Retenção de conhecimentos e habilidades após treinamento de ressuscitação cardiopulmonar em alunos de uma faculdade de medicina." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-12092018-094554/.

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Introdução: Apesar do desenvolvimento tecnológico, permanece baixa a sobrevida hospitalar das vítimas de parada cardiorrespiratória extra-hospitalar. Há importante dúvida na literatura quanto à retenção de habilidades de ressuscitação cardiopulmonar (RCP) e a periodicidade adequada de treinamento para manutenção dessas habilidades. O presente estudo investigou a retenção, em alunos a partir de treinamento no primeiro semestre de ingresso no curso médico, das habilidades práticas de RCP até 42 meses após o referido treinamento. Métodos: Estudo de corte transversal, realizado com 298 alunos de g

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Vančura, Jakub. "Sportovní centrum." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2015. http://www.nusl.cz/ntk/nusl-227242.

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The aim of this master thesis is proposal of a sport center building. The proposal consists of design of a detached building with room for climbing gym, sauna, massage room and also space for fitness, spinning and yoga. A bar with area for relaxing is a part of the building as well. The sport center has two floors and no basement. Due to the climbing gym, the second floor does not cover all disposition of the second floor. The support system of the building is skeletal. Part of the building´s roof is supported by steel truss frames with purlins, another part with solid panel trusses with purli

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Bystroň, Patrik. "Novostavba polyfunkční budovy, Frýdek-Místek." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2016. http://www.nusl.cz/ntk/nusl-239967.

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Diploma thesis focuses on the processing of detailed documentation for newly-built mixed-use building in Frýdek-Místek. The building has three above ground floors. On the first floor there is a restaurant with facilities. On the second and third floor there are office spaces. The building has combined support system, which is a reinforced concrete slab carried by masonry wall system of sand-lime blocks and reinforced concrete columns. The entire building is insulated using external contact thermal insulation system outside the first floor, which is designed ventilated facade with thermal insul

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Vanbuis, Jade. "Analyse automatique des stades du sommeil à partir des voies électrophysiologiques et cardiorespiratoires." Thesis, Le Mans, 2021. http://cyberdoc-int.univ-lemans.fr/Theses/2021/2021LEMA1004.pdf.

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Le diagnostic des troubles du sommeil repose sur l'analyse de différents signaux enregistrés lors d'un examen du sommeil. Cette analyse est réalisée par un spécialiste du sommeil qui étudie la ventilation et, selon l'outil de diagnostic, la succession des stades de sommeil. Cette dernière tâche est particulièrement chronophage et complexe. Trois algorithmes d'aide au diagnostic et dédiés à cette tâche sont présentés.Le premier permet la classification éveil/sommeil lors de l'utilisation d'un nouvel outil de diagnostic. Il en découle la possibilité pour le médecin de diagnostiquer précisément l

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Balúch, Tomáš. "Autosalon." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2017. http://www.nusl.cz/ntk/nusl-265350.

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This master's thesis focuses on design and elaboration of documentation for construction of a Car Showroom. The building is divided to two functional parts. The building is to be situated on plot number 1333/21, cadastre unit: Bohunice. The building is to be located on an undeveloped plot in possesion of the investor. The parking lots are connected to a local road. All substantial infrastructures are located nearby the plot. The proposition and the design of the building have respect for both commune plan and current buildings. The documentation is elaborated with regard to the contemporary Cz

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Pilný, Ondřej. "Zdravotnické středisko Hlinsko." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2018. http://www.nusl.cz/ntk/nusl-372049.

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This diploma thesis deals with the design and elaboration process of a project documentation of medical center in city Hlinsko. New building is situated in the northern part of the city in the area determined for constructions of public infrastructure. It´s a four-floor object with partial basement and slant mansard and flat vegetative roof.Object is based on foundation strips and footings made from reinforced concrete.The bearing and internal walls are designed from KALKSANDSTEIN lime sand blocks.The beams and collums are used in the placed designed with open disposition.The ceiling in 1.PP i

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Svoboda, Jan. "Sportovní centrum Polička." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2016. http://www.nusl.cz/ntk/nusl-240241.

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This thesis deals with the design and elaboration process of a project documentation of a sports centre. The designed sports centre building is situated in the southern part of the town of Polička, in the area determined for sports and free time activities complexes and areas. It is a two-floor, non-cellar, flat-roof building. It is based on plain concrete strip foundations and reinforced concrete foundation footing. The bearing, peripheral and partition walls are designed from POROTHERM hollow clay blocks. Reinforced concrete columns are designated in open disposition areas. The ceiling const

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