CO2 capture on natural zeolite clinoptilolite: Effect of temperature and role of the adsorption sites.

In this study, the adsorption capacity of the low-cost zeolite clinoptilolite was investigated for capturing carbon dioxide (CO2) emitted from industrial processes at moderate temperature. The CO2 adsorption capacity of clinoptilolite (a commercial natural zeolite) and ion-exchanged (with Na+ and Ca2+) clinoptilolite were tested under both dynamic (using a fixed-bed reactor operating with 10% vol. CO2 in N2) and equilibrium conditions (measuring single component adsorption isotherms). The dynamic CO2 adsorption capacity of bare clinoptilolite and ion-exchanged clinoptilolite were evaluated in the temperature range from 293 K to 338 K and the obtained breakthrough curves were compared with those of the commercial zeolite 13X (Z13X). Although the adsorption capacity of Z13X exceeded those of bare clinoptilolite and ion-exchanged clinoptilolite at 293 K, the clinoptilolite exhibited the highest CO2 uptake at a moderate temperature of 338 K (i.e. 25 % higher than Z13X). This feature appears in agreement with the lower isosteric heat of CO2 adsorption on clinoptilolite compared to the other samples. The surface species affecting the qiso and adsorption capacity were investigated through the FTIR spectroscopy using CO2 as probe molecule. As a whole, it has been observed that CO2 forms linear adducts onto K+ and Mg2+ cations of the bare clinoptilolite, and carbonate-like species onto its basic sites. With the Na-exchanged clinoptilolite, Na+ ions led to a decrease in surface basicity and to the formation of both single (Na+···OCO) and dual (Na+···OCO⋯Na+) cationic sites available for the formation of linear adducts. As a result of the remarkable adsorption capacity of clinoptilolite at 338 K, this material appears to be a promising adsorbent for the direct CO2 removal from different flue gases sources operating at such temperatures.

Prospective validation of a new airway management algorithm and predictive features of intubation difficulty.

BACKGROUND: Some patients have features that indicate possible difficulty with direct laryngoscopy for tracheal intubation. Prediction of the likely outcome and selection of patients for an enhanced management algorithm would reduce the possible harm from failed intubation attempts. METHODS: Adult elective patients were assessed for seven features associated with difficult direct laryngoscopy, ranked in difficulty from 0 to 3. For a patient with at least one Class 3 feature, or two or more features of class 1 or higher, the enhanced management used a channelled videolaryngoscope Airtraq™ instead of a Macintosh laryngoscope. A long flexible angulated stylet and a flexible fibrescope would be used as the second and third steps. For patients with lesser difficulty scores, a Macintosh laryngoscope was used. Outcomes of enhanced management were analysed. Logistic regression and Random Forest algorithm, using the ranks of the predictive features, were used to predict difficulty during enhanced management. RESULTS: We prospectively studied 16 695 patients. We selected 1501 (9%) for enhanced management, and tracheal intubation was successful in all of them. Of these, 73% were intubated in less than 30 s, and only 4.5% required more than 4 min for intubation. Progression to the second and third steps of enhanced management was predicted by restriction of mouth opening and reduced cervical spine mobility. CONCLUSIONS: An enhanced management algorithm allowed successful tracheal intubation of all patients with anticipated difficult laryngoscopy. The need to combine the use of a stylet and a fibrescope with the Airtraq™ could be predicted with a high degree of certainty.

Localization of spatially distributed brain sources after a tensor-based preprocessing of interictal epileptic EEG data.

This paper addresses the localization of spatially distributed sources from interictal epileptic electroencephalographic data after a tensor-based preprocessing. Justifying the Canonical Polyadic (CP) model of the space-time-frequency and space-time-wave-vector tensors is not an easy task when two or more extended sources have to be localized. On the other hand, the occurrence of several amplitude modulated spikes originating from the same epileptic region can be used to build a space-time-spike tensor from the EEG data. While the CP model of this tensor appears more justified, the exact computation of its loading matrices can be limited by the presence of highly correlated sources or/and a strong background noise. An efficient extended source localization scheme after the tensor-based preprocessing has then to be set up. Different strategies are thus investigated and compared on realistic simulated data: the "disk algorithm" using a precomputed dictionary of circular patches, a standardized Tikhonov regularization and a fused LASSO scheme.

Low-cost catalysts for the control of indoor CO and PM emissions from solid fuel combustion.

Cu-Mn based mixed oxide type low-cost catalysts have been prepared in supported form using mesoporous Al(2)O(3), TiO(2) and ZrO(2) supports. These supports have been prepared by templating method using a natural biopolymer, chitosan. The synthesized catalysts have been characterized by XRD, BET-SA, SEM, O(2)-TPD and TG investigations. The catalytic activity for CO as well as PM oxidation was studied, in a view of their possible applications in the control of emissions from solid fuel combustion of rural cook-stoves. The trend observed for the catalytic activity of the synthesized catalysts for CO oxidation was ZrO(2)>TiO(2)>Al(2)O(3) while for PM oxidation it was observed to be TiO(2)>ZrO(2)>Al(2)O(3). The effect of CO(2), SO(2) and H(2)O on CO oxidation activity was also investigated, and despite partial deactivation, the catalysts show good CO oxidation activity. An effective regeneration treatment was attempted by heating the partially deactivated catalysts in presence of oxygen. Redox properties of TiO(2) and ZrO(2) and their structure appeared to be responsible for their promotional activity for CO and PM oxidation reactions. These unordered mesoporous materials could be useful for such reactions where mass transfer is more important than shape and size selectivity.

Nitrous oxide increases endotracheal cuff pressure and the incidence of tracheal lesions in anesthetized patients.

UNLABELLED: The pressure in air-filled endotracheal cuffs increases steadily throughout general anesthesia with nitrous oxide (N2O). High cuff pressures can be responsible for local ischemia, which may induce tracheal mucosal injury. In this study, cuff pressure was monitored in anesthetized patients, and postanesthesia endotracheal lesions were assessed by endoscopy. Sixty-five patients undergoing general anesthesia with tracheal intubation >1 h in duration were randomized into two groups. The endotracheal tube cuff was inflated to 30-40 cm H2O with air in Group 1 (n = 33) and with a gas mixture (N2O 50% in oxygen) in Group 2 (n = 32). At the time of tracheal extubation, a fiberoptic examination via the endotracheal tube was performed by an independent observer. Aspects of trachea at the level of cuff contact area were scored as 0 = normal, 1 = mucosal erythema or edema, 2 = mucosal erosion or hemorrhage, 3 = mucosal erosion or hemorrhage on both anterior and posterior tracheal walls. Cuff pressure increased throughout the procedure (P<0.01) in Group 1 and remained stable in Group 2. In Group 1, tracheal lesions in the area of the cuff were more frequent than they were in Group 2 (79% vs. 37%; P<0.001). Tracheal injury was correlated to cuff pressure (r = 0.62, P<0.001). No postoperative respiratory complication was observed in any patient. In patients anesthetized with N2O, the inflation of the tracheal tube cuff with a gas mixture of the same composition as the inhaled mixture can prevent excessive cuff pressure and reduce the incidence of tracheal injury. IMPLICATIONS: In patients anesthetized with nitrous oxide, the inflation of the tracheal tube cuff with a gas mixture of the same composition as the inhaled mixture can prevent excessive cuff pressure and reduce the incidence of tracheal injury.

Preemptive intravenous morphine-6-glucuronide is ineffective for postoperative pain relief.

BACKGROUND: Morphine-6-glucuronide (M-6-G), a major metabolite of morphine, is reported to be more potent than morphine when administered intrathecally; however, its efficiency remains under debate when administered intravenously. This study was designed to assess the analgesic efficiency of intravenous M-6-G for the treatment of acute postoperative pain. METHODS: After informed consent was obtained, 37 adults (American Society of Anesthesiologists physical status I-II) who were scheduled for elective open knee surgery were enrolled in the study. General anesthesia was induced with thiopental, alfentanil, and vecuronium and was maintained with a mixture of nitrous oxide/isoflurane and bolus doses of alfentanil. At skin closure, patients were randomized into three groups: (1) morphine group (n = 13), which received morphine 0.15 mg/kg; (2) M-6-G group (n = 12), which received M-6-G 0.1 mg/kg; and (3) placebo group (n = 12), which received saline. At the time of extubation, plasma concentration of morphine and M-6-G was measured. Postoperative analgesic efficiency was assessed by the cumulative dose of morphine delivered by patient-controlled analgesia. Opioid-related side effects were also evaluated. RESULTS: No difference was noted in patient characteristics and opioid-related side effects. Morphine requirements (mean +/- SD) during the first 24 h in the M-6-G group (41+/-9 mg) and the placebo group (49+/-8 mg) were significantly greater (P<0.05) compared with the morphine group (29+/-8 mg). CONCLUSION: A single intravenous bolus dose of M-6-G was found to be ineffective in the treatment of acute postoperative pain. This might be related to the low permeability of the blood-brain barrier for M-6-G.

Laparoscopic liver resections: a feasibility study in 30 patients.

OBJECTIVE: To assess the feasibility and safety of laparoscopic liver resections. SUMMARY BACKGROUND DATA: The use of the laparoscopic approach for liver resections has remained limited for technical reasons. Progress in laparoscopic procedures and the development of dedicated technology have made it possible to consider laparoscopic resection in selected patients. METHODS: A prospective study of laparoscopic liver resections was undertaken in patients with preoperative diagnoses including benign lesion, hepatocellular carcinoma with compensated cirrhosis, and metastasis of noncolorectal origin. Hepatic involvement had to be limited and located in the left or peripheral right segments (segments 2-6), and the tumor had to be 5 cm or smaller. Surgical technique included CO2 pneumoperitoneum and liver transection with a harmonic scalpel, with or without portal triad clamping or hepatic vein control. Portal pedicles and large hepatic veins were stapled. Resected specimens were placed in a bag and removed through a separate incision, without fragmentation. RESULTS: From May 1996 to December 1999, 30 of 159 (19%) liver resections were included. There were 18 benign lesions and 12 malignant tumors, including 8 hepatocellular carcinomas in cirrhotic patients. Mean tumor size was 4.25 cm. There were two conversions to laparotomy (6.6%). The resections included 1 left hepatectomy, 8 bisegmentectomies (2 and 3), 9 segmentectomies, and 11 atypical resections. Mean blood loss was 300 mL. Mean surgical time was 214 minutes. There were no deaths. Complications occurred in six patients (20%). Only one cirrhotic patient developed postoperative ascites. No port-site metastases were observed in patients with malignant disease. CONCLUSION: Laparoscopic resections are feasible and safe in selected patients with left-sided and right-peripheral lesions requiring limited resection. Young patients with benign disease clearly benefit from avoiding a major abdominal incision, and cirrhotic patients may have a reduced complication rate.