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  1. Article

    Open Access

    Novel design of inspiratory flow generation and gas mixing for critical care ventilators suitable for rapid production and mass casualty incidents

    Scarcity of medical resources inspired many teams worldwide to design ventilators utilizing different approaches during the recent COVID-19 pandemic. Although it can be relatively easy to design a simple venti...

    Karel Roubik, Vaclav Ort, Lenka Horakova, Simon Walzel in Scientific Reports (2023)

  2. Article

    Open Access

    Frequency and duration of extreme hypoxemic and hyperoxemic episodes during manual and automatic oxygen control in preterm infants: a retrospective cohort analysis from randomized studies

    Neonatal exposure to episodic hypoxemia and hyperoxemia is highly relevant to outcomes. Our goal was to investigate the differences in the frequency and duration of extreme low and high SpO2 episodes between auto...

    Thomas E. Bachman, Wes Onland, Anton H. van Kaam, Karel Roubik in BMC Pediatrics (2022)

  3. Article

    Open Access

    Tidal volume significantly affects oxygenation in healthy pigs during high-frequency oscillatory ventilation compared to conventional ventilation

    The role of high-frequency oscillatory ventilation (HFOV) has long been debated. Numerous studies documented its benefits, whereas several more recent studies did not prove superiority of HFOV over protective ...

    Karel Roubík, Jakub Ráfl, Martin Rožánek, Petr Kudrna in BioMedical Engineering OnLine (2022)

  4. Article

    Open Access

    Perlite is a suitable model material for experiments investigating breathing in high density snow

    Outdoor breathing trials with simulated avalanche snow are fundamental for the research of the gas exchange under avalanche snow, which supports the development of the international resuscitation guidelines. H...

    Karel Roubik, Karel Sykora, Ladislav Sieger, Vaclav Ort in Scientific Reports (2022)

  5. Article

    Open Access

    Phrenic nerve stimulation prevents diaphragm atrophy in patients with respiratory failure on mechanical ventilation

    Diaphragm atrophy and dysfunction is a major problem among critically ill patients on mechanical ventilation. Ventilator-induced diaphragmatic dysfunction is thought to play a major role, resulting in a failur...

    Michal Soták, Karel Roubík, Tomáš Henlín, Tomáš Tyll in BMC Pulmonary Medicine (2021)

  6. Article

    Open Access

    Intravenous administration of normal saline may be misinterpreted as a change of end-expiratory lung volume when using electrical impedance tomography

    Electrical impedance tomography (EIT) is a noninvasive imaging modality that allows real-time monitoring of regional lung ventilation. The aim of the study is to investigate whether fast saline infusion causes...

    Vladimír Sobota, Martin Müller, Karel Roubík in Scientific Reports (2019)

  7. No Access

    Chapter and Conference Paper

    Breathing Experiments into the Simulated Avalanche Snow: Medical and Technical Issues of the Outdoor Breathing Trials

    Avalanche burials represent one of the most dangerous risks associated with winter activities in the mountains. Asphyxiation occurs as a consequence of blocked airways; or, due to a severe hypoxia and hypercap...

    Lenka Horáková, Karel Sýkora in World Congress on Medical Physics and Biom… (2019)

  8. No Access

    Chapter and Conference Paper

    Design and Demonstration of a Complex Neonatal Physiological Model for Testing of Novel Closed-Loop Inspired Oxygen Fraction Controllers

    Recently published clinical trials document that manual control of oxygen fraction in the inspiratory gas in neonates is not prompt enough to react to the rapidly changing physiological status of a neonate. As...

    Jakub Rafl, Thomas E. Bachman in World Congress on Medical Physics and Biom… (2019)

  9. No Access

    Chapter and Conference Paper

    Center of Ventilation—Methods of Calculation Using Electrical Impedance Tomography and the Influence of Image Segmentation

    Electrical impedance tomography (EIT) is a promising non-invasive, radiation-free imaging modality. Using EIT-derived index Center of ventilation (CoV), ventral-to-dorsal shifts in distribution of lung ventila...

    Vladimir Sobota, Karel Roubik in XIV Mediterranean Conference on Medical an… (2016)

  10. Article

    Open Access

    Delivery of heliox with a semi-closed circuit during spontaneous breathing: a comparative economic theoretical study

    Heliox is a mixture of oxygen and helium which reduces airway resistance in patients with airway obstruction. In clinical practice, patients breathing spontaneously receive heliox via an open circuit. Recently...

    Ivana Jurickova, Karel Roubík, Martin Muller in BMC Pulmonary Medicine (2015)

  11. No Access

    Chapter and Conference Paper

    Design and Evaluation of a System Assuring Spontaneous Breathing in Patients Connected to a High-Frequency Oscillatory Ventilator

    Patients connected to a high-frequency oscillatory ventilator should be paralysed or highly sedated so that the ventilator is able to work. The aim of the study is to design a special “Demand Flow System” allo...

    Karel Roubik, Marc van Heerde in 5th European Conference of the Internation… (2012)

  12. Article

    Open Access

    Unloading work of breathing during high-frequency oscillatory ventilation: a bench study

    With the 3100B high-frequency oscillatory ventilator (SensorMedics, Yorba Linda, CA, USA), patients' spontaneous breathing efforts result in a high level of imposed work of breathing (WOB). Therefore, spontane...

    Marc van Heerde, Karel Roubik, Vitek Kopelent, Frans B Plötz in Critical Care (2006)

  13. Article

    Open Access

    Imposed work of breathing during high-frequency oscillatory ventilation: a bench study

    The ventilator and the endotracheal tube impose additional workload in mechanically ventilated patients breathing spontaneously. The total work of breathing (WOB) includes elastic and resistive work. In a benc...

    Marc van Heerde, Huib R van Genderingen, Tom Leenhoven, Karel Roubik in Critical Care (2006)