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- Carraminana, Albert, et al.
(author)
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Rationale and Study Design for an Individualized Perioperative Open Lung Ventilatory Strategy in Patients on One-Lung Ventilation (iPROVE-OLV)
- 2019
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In: Journal of Cardiothoracic and Vascular Anesthesia. - : W B SAUNDERS CO-ELSEVIER INC. - 1053-0770 .- 1532-8422. ; 33:9, s. 2492-2502
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Journal article (peer-reviewed)abstract
- Objective: The aim of this clinical trial is to examine whether it is possible to reduce postoperative complications using an individualized perioperative ventilatory strategy versus using a standard lung-protective ventilation strategy in patients scheduled for thoracic surgery requiring one-lung ventilation. Design: International, multicenter, prospective, randomized controlled clinical trial. Setting: A network of university hospitals. Participants: The study comprises 1,380 patients scheduled for thoracic surgery. Interventions: The individualized group will receive intraoperative recruitment maneuvers followed by individualized positive end-expiratory pressure (open lung approach) during the intraoperative period plus postoperative ventilatory support with high-flow nasal cannula, whereas the control group will be managed with conventional lung-protective ventilation. Measurements and Main Results: Individual and total number of postoperative complications, including atelectasis, pneumothorax, pleural effusion, pneumonia, acute lung injury; unplanned readmission and reintubation; length of stay and death in the critical care unit and in the hospital will be analyzed for both groups. The authors hypothesize that the intraoperative application of an open lung approach followed by an individual indication of high-flow nasal cannula in the postoperative period will reduce pulmonary complications and length of hospital stay in high-risk surgical patients. (C) 2019 Published by Elsevier Inc.
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| 4. |
- Fleith, Patrick, et al.
(author)
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In-situ approach for thermal energy storage and thermoelectricity generation on the Moon: Modelling and simulation
- 2020
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In: Planetary and Space Science. - : Elsevier. - 0032-0633 .- 1873-5088. ; 181
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Journal article (peer-reviewed)abstract
- Human, tele-operated rovers, and surface infrastructures are now being actively considered for lunar polar exploration. Current approaches to energy provision consider, among others, hybrid direct energy/chemical technologies, such as solar photovoltaic arrays, batteries, and regenerative fuel cells. Due to the long period of darkness on the Moon and the challenges this poses to the aforementioned conventional energy generation and storage technologies, there is a need to assess the potential of In-Situ Resources Utilization (ISRU) methods to enable or supplement long duration missions. We present a computational model (MATLAB) of a Thermal Energy Storage (TES) system coupled to drive a heat engine (Thermoelectric Generator) to produce electricity. The TES medium designed is based off processed lunar regolith, an abundant material present on the surface of the Moon. The architecture has been optimized to provide a minimum electrical power of 36 W per unit after 66 h of polar night, but the modular nature of the model allows other ranges of parameter to be simulated. A trade-off between this ISRU-based concept and conventional approaches for energy production and storage was performed and ranked TES and thermoelectricity generation as the least appropriate option. This result is valuable in a period of enthusiasm towards ISRU. It shows that processes exploiting extraterrestrial materials instead of Earth supplies are not systematically attractive. Despite the non-favorable performances for the proposed concept, some perspectives for the TES system are given as well as potential model improvements such as the need to assess the use of a Stirling heat engine.
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