ABSTRACT
Aim-Covid 19 spike during Phase-II brought more organized multidisciplinary health care based on evidence. Chest physiotherapy, including proning, was recommended for desaturating patients in ICU. However, all patients did not tolerate changes in positions and proning. This study aimed at clinical profiling of patients as well as the development of a physiotherapy plan of care based on the needs of patients at different levels. Material and methods-Clinical profile of patients diagnosed with SARS-COV-2 during two months when there was peak in second wave were analysed. Patients' status and physiotherapy treatment mode and safety of positioning and physiotherapy was established. Results-There were 99 patients referred for physiotherapy from COVID ICU during the period of study. Patients had different co-morbidities and reasons for desaturation which cannot be concluded. However, a plan of physiotherapy care was developed in the study which is the first of its kind. Conclusion-The laid protocol of care based upon understanding the needs of these patients, logical classification as per their status, way to improve postural desaturation and prioritize the need of care in terms of bronchial hygiene, work of breathing, or improving compliance was a novel and helpful approach. Copyright © 2022, Anka Publishers. All rights reserved.
ABSTRACT
The Three Phase Power Supply Phase Selector device is critical for the operation of all medical equipment, particularly medical ventilators. Because of COVID 19, the need for ventilators has increased significantly. However, hospitals in rural areas are experiencing single-phase failure and low voltage in distribution lines, which causes interruptions in ventilator operation. This paper proposes an automatic Three Phase Power Supply Phase Chooser with a Programmable Logic Controller (PLC) to keep all medical ventilators running without disruption, especially in the occurrence of single-phase failure. During a phase failure, the proposed system automatically connects the ventilator to the another available phase in a very short period. The PLC detects the restoration of the phase of the single-phase supply and automatically reconnects the ventilator to the restored phase. It also aids in maintaining an uninterrupted power supply to critical single-phase medical appliances. It also protects sensitive single-phase medical equipment from damage and burnout. This system can be used in a variety of locations where critical single-phase medical equipment must operate continuously and without disruption. The key benefit of this controller is that it is reliable, easily programmable, and flexible. Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.