1.New Modes of Mechanical Ventilator.
Journal of the Korean Medical Association 1997;40(4):411-418
No abstract available.
Ventilators, Mechanical*
2.Ventilator Mode.
Journal of the Korean Medical Association 1997;40(4):405-410
No abstract available.
Ventilators, Mechanical*
3.Physiolgic Functions in Ventilator.
Journal of the Korean Medical Association 1997;40(4):391-398
No abstract available.
Ventilators, Mechanical*
4.A Design of High-Frequency Oscillatory Ventilator Using Phase Lock Loop system.
Sang Hag LEE ; Dong Gyo JEONG ; Joon Ha LEE ; Kwan Ho LEE ; Young Jo KIM ; Jae Chun CHUNG ; Hyun Woo LEE ; Suck Kang LEE ; Tae Sug LEE
Yeungnam University Journal of Medicine 1989;6(2):217-222
In this study, high frequency oscillatory ventilator was designed and constructed. Using designed by phase-lock loop system, in order to accurately and easily treat both the outlet volume and rpm. A system has been designed and is being evaluated using CD4046A PLL IC. We use this PLL IC for the purpose of motor controls. The device consists of PLL system, pumping mechanism, piston, cylinder, and special crank shaft are required. This system characteristics were as follows: 1) Frequency: 20-1800 rpm 2) Outlet air volume: 1-50 cc
Ventilators, Mechanical*
5.Mechanical ventilator acquisition strategy in a large private tertiary medical center using Monte Carlo Simulation
Joven Jeremius Q. Tanchuco ; Fernando B. Garcia
Acta Medica Philippina 2024;58(Early Access 2024):1-13
Background and Objectives:
Mechanical ventilators are essential albeit expensive equipment to support critically ill patients who have gone into respiratory failure. Adequate numbers should always be available to ensure that a hospital provides the optimal care to patients but the number of patients requiring them at any one time is unpredictable. Finding therefore the best balance in providing adequate ventilator numbers while ensuring the financial sustainability of a hospital is important.
Methods:
A quantitative method using Monte Carlo Simulation was used to identify the optimal strategy for acquiring ventilators in a large private tertiary medical center in Metro Manila. The number of ventilators needed to provide ventilator needs 90% of the days per month (27/30) was determined using historical data on ventilator use over a period of four years. Four acquisition strategies were investigated: three ownership strategies (outright purchase, installment, and staggered purchase) and a rental strategy. Return on Investment (ROI), Internal Rate of Return (IRR), Modified Internal Rate of Return (MIRR), Net Present Value (NPV), and Payback period (or Breakeven Point) for each strategy were determined to help recommend the best strategy. A qualitative survey was also conducted among doctors, nurses, and respiratory therapists who were taking care of patients hooked to ventilators to find out their experiences comparing hospital-owned and rental ventilators.
Results:
It was found that a total of 11 respirators were needed by the hospital to ensure that enough respirators were available for its patients at least 90% of the days in any month based on the previous four-year period. This meant acquiring three more ventilators as the hospital already owned eight. Among the strategies studied, projected over a 10-year period, the installment strategy (50% down payment with 0% interest over a 5-year period) proved to be the most financially advantageous with ROI = 9.36 times, IRR = 97% per year, MIRR = 26% per year, NPV = ₱39,324,297.60 and Payback period = 1.03 years). A more realistic installment strategy with 15% (paid quarterly or annually) and 25% annual interest rates were also explored with their financial parameters quite like but not as good as the 0% interest. The outright purchase of three ventilators came in lower (ROI = 4.53 times, IRR = 55% per year, MIRR = 19% per year, NPV = ₱38,064,297.60 and Payback period = 1.81 years) followed last by staggered purchase with ROI = 3.56 times, IRR = 64% per year, MIRR = 28% per year, NPV = ₱29,905,438.08, and payback period of 2.06 years. As there was no investment needed for the rental strategy, the only financial parameter available for it is the NPV which came out as ₱21,234,057.60. The qualitative part of the study showed that most of the healthcare workers involved in the care of patients attached to the ventilator were aware of the rental ventilators. The rental ventilators were generally described as of lower functionality and can more easily break down. The respondents almost uniformly expressed a preference for the hospital-owned ventilators.
Conclusion
This analysis showed that the best ventilator ownership strategy from a purely financial perspective for this hospital is by installment with a 50% down payment and 0% interest. Moderate rates of 15% and 25% interest per year were also good. These were followed by outright purchase and lastly by staggered purchase. The rental strategy gave the lowest cumulative 10-year income compared to any of the ownership strategies, but may still be considered good income because the hospital did not make any investment. However, it seems that most of the healthcare workers involved in taking care of patients on ventilators thought the rental ventilators were of lower quality and preferred the hospital-owned ventilators.
Ventilators, Mechanical
6.Monitoring of the Respiratory System during Mechanical Ventilator.
Journal of the Korean Medical Association 1997;40(4):429-434
No abstract available.
Respiratory System*
;
Ventilators, Mechanical*
7.Classification and Characteristics of Mechanical Ventilator.
Journal of the Korean Medical Association 1997;40(4):399-404
No abstract available.
Classification*
;
Ventilators, Mechanical*
8.Clinical experience of ventilator therapy in chest trauma.
Kang Suk SEO ; Bong Hyun CHANG ; Jong Tae LEE ; Kyu Tae KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(1):59-63
No abstract available.
Thorax*
;
Ventilators, Mechanical*
9.Anesthesia ventilator.
Korean Journal of Anesthesiology 1992;25(5):815-824
No abstract available.
Anesthesia*
;
Ventilators, Mechanical*
10.Ventilator Care in Fontan Physiology.
Journal of the Korean Pediatric Cardiology Society 2004;8(1):81-84
No Abstract available.
Physiology*
;
Ventilators, Mechanical*