| 1. |
- Gallart, F., et al.
(författare)
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Using internal catchment information to reduce the uncertainty of discharge and baseflow prediction
- 2007
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Ingår i: Advances in Water Resources. - : Elsevier BV. - 0309-1708 .- 1872-9657. ; 30:4, s. 808-823
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Tidskriftsartikel (refereegranskat)abstract
- The semi-distributed hydrological model TOPMODEL was tested with data from the Can Vila research basin (Vallcebre) in order to verify its adequacy for simulating runoff and the relative contributions from saturated overland flow and groundwater flow. After a test of the overall performance of the model, only data from a wet period were selected for this work. The test was performed using the GLUE method. The model was conditioned on continuous discharge and water table records. Furthermore, point measurements of recession flow simultaneous with water table depth and the extent of saturated areas were used to condition the distributions of the more relevant parameters, using new or updated evaluation measures. A wide range of parameter sets provided acceptable results for flow simulation when the model was conditioned on flow data alone, and the uncertainty of prediction of the contribution from groundwater was extremely large. However, conditioning on water table records and the distribution of parameters obtained from point observations strongly reduced the uncertainty of predictions for both stream flow and groundwater contribution.
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| 2. |
- Garcia-Fernandez, Javier, et al.
(författare)
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Programming pressure support ventilation in pediatric patients in ambulatory surgery with a laryngeal mask airway.
- 2007
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Ingår i: Anesthesia and Analgesia. - : Ovid Technologies (Wolters Kluwer Health). - 0003-2999 .- 1526-7598. ; 105:6, s. 1585-1591
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Anesthesia workstations with pressure support ventilation (PSV) are available, but there are few studies published on how to program flow-triggered PSV using a laryngeal mask airway (LMA) under general anesthesia in pediatric patients. METHODS: We studied 60 ASA I and II patients, from 2 mo to 14 yr, scheduled for ambulatory surgery under combined general and regional anesthesia with a LMA. Patients were classified according to their body weight as follows: Group A ≤10 kg, Group B 11–20 kg, and Group C >20 kg. All were ventilated in PSV using the following settings: positive end-expiratory pressure of 4 cm H2O, the minimum flow-trigger without provoking auto-triggering, and the minimum level of pressure support to obtain 10 mL/kg of tidal volume. RESULTS: The flow-trigger most frequently used in our study was 0.4 L/min, ranging from 0.2 to 0.6 L/min. We found no correlation between the flow-trigger setting and the patient’s age, weight, compliance, resistance, or respiratory rate. There was a good correlation between the level of pressure support (Group A = 15 cm H2O, Group B = 10 cm H2O and Group C = 9 cm H2O) and age (P < 0.001), weight (P < 0.001), dynamic compliance (P < 0.001), and airway resistances (P < 0.001). CONCLUSIONS: PSV with a Proseal™ LMA in outpatient pediatric anesthesia can be programmed simply using the common clinical noninvasive variables studied. However, more studies are needed to estimate the level of pressure support that may be required in other clinical situations (respiratory pathology, endotracheal tubes, or other types of surgeries) or with other anesthesia workstations. IMPLICATIONS: This study evaluates the ability to administer positive pressure support ventilation through a laryngeal mask airway to anesthetized, spontaneously breathing children.
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