Browsing by Subject "Colloids"
Results Per Page
Sort Options
Item Open Access American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery.(Perioper Med (Lond), 2016) Thiele, Robert H; Raghunathan, Karthik; Brudney, CS; Lobo, Dileep N; Martin, Daniel; Senagore, Anthony; Cannesson, Maxime; Gan, Tong Joo; Mythen, Michael Monty G; Shaw, Andrew D; Miller, Timothy E; Perioperative Quality Initiative (POQI) I WorkgroupBACKGROUND: Enhanced recovery may be viewed as a comprehensive approach to improving meaningful outcomes in patients undergoing major surgery. Evidence to support enhanced recovery pathways (ERPs) is strong in patients undergoing colorectal surgery. There is some controversy about the adoption of specific elements in enhanced recovery "bundles" because the relative importance of different components of ERPs is hard to discern (a consequence of multiple simultaneous changes in clinical practice when ERPs are initiated). There is evidence that specific approaches to fluid management are better than alternatives in patients undergoing colorectal surgery; however, several specific questions remain. METHODS: In the "Perioperative Quality Initiative (POQI) Fluids" workgroup, we developed a framework broadly applicable to the perioperative management of intravenous fluid therapy in patients undergoing elective colorectal surgery within an ERP. DISCUSSION: We discussed aspects of ERPs that impact fluid management and made recommendations or suggestions on topics such as bowel preparation; preoperative oral hydration; intraoperative fluid therapy with and without devices for goal-directed fluid therapy; and type of fluid.Item Open Access Fluid resuscitation practice patterns in intensive care units of the USA: a cross-sectional survey of critical care physicians.(Perioper Med (Lond), 2016) Miller, Timothy E; Bunke, Martin; Nisbet, Paul; Brudney, Charles SBACKGROUND: Fluid resuscitation is a cornerstone of intensive care treatment, yet there is a lack of agreement on how various types of fluids should be used in critically ill patients with different disease states. Therefore, our goal was to investigate the practice patterns of fluid utilization for resuscitation of adult patients in intensive care units (ICUs) within the USA. METHODS: We conducted a cross-sectional online survey of 502 physicians practicing in medical and surgical ICUs. Survey questions were designed to assess clinical decision-making processes for 3 types of patients who need volume expansion: (1) not bleeding and not septic, (2) bleeding but not septic, (3) requiring resuscitation for sepsis. First-choice fluid used in fluid boluses for these 3 patient types was requested from the respondents. Descriptive statistics were performed using a Kruskal-Wallis test to evaluate differences among the physician groups. Follow-up tests, including t tests, were conducted to evaluate differences between ICU types, hospital settings, and bolus volume. RESULTS: Fluid resuscitation varied with respect to preferences for the factors to determine volume status and preferences for fluid types. The 3 most frequently preferred volume indicators were blood pressure, urine output, and central venous pressure. Regardless of the patient type, the most preferred fluid type was crystalloid, followed by 5 % albumin and then 6 % hydroxyethyl starches (HES) 450/0.70 and 6 % HES 600/0.75. Surprisingly, up to 10 % of physicians still chose HES as the first choice of fluid for resuscitation in sepsis. The clinical specialty and the practice setting of the treating physicians also influenced fluid choices. CONCLUSIONS: Practice patterns of fluid resuscitation varied in the USA, depending on patient characteristics, clinical specialties, and practice settings of the treating physicians.Item Open Access Gastrointestinal morbidity as primary outcome measure in studies comparing crystalloid and colloid within a goal-directed therapy.(British journal of anaesthesia, 2015-01) Hunsicker, O; Scott, MJ; Miller, TE; Baldini, G; Feldheiser, AItem Open Access Gastrointestinal morbidity as primary outcome measure in studies comparing crystalloid and colloid within a goal-directed therapy.(Br J Anaesth, 2015-07) Hunsicker, O; Scott, MJ; Miller, TE; Baldini, G; Feldheiser, AItem Open Access Highly parallel acoustic assembly of microparticles into well-ordered colloidal crystallites.(Soft Matter, 2016-01-21) Owens, Crystal E; Shields, C Wyatt; Cruz, Daniela F; Charbonneau, Patrick; López, Gabriel PThe precise arrangement of microscopic objects is critical to the development of functional materials and ornately patterned surfaces. Here, we present an acoustics-based method for the rapid arrangement of microscopic particles into organized and programmable architectures, which are periodically spaced within a square assembly chamber. This macroscale device employs two-dimensional bulk acoustic standing waves to propel particles along the base of the chamber toward pressure nodes or antinodes, depending on the acoustic contrast factor of the particle, and is capable of simultaneously creating thousands of size-limited, isotropic and anisotropic assemblies within minutes. We pair experiments with Brownian dynamics simulations to model the migration kinetics and assembly patterns of spherical microparticles. We use these insights to predict and subsequently validate the onset of buckling of the assemblies into three-dimensional clusters by experiments upon increasing the acoustic pressure amplitude and the particle concentration. The simulations are also used to inform our experiments for the assembly of non-spherical particles, which are then recovered via fluid evaporation and directly inspected by electron microscopy. This method for assembly of particles offers several notable advantages over other approaches (e.g., magnetics, electrokinetics and optical tweezing) including simplicity, speed and scalability and can also be used in concert with other such approaches for enhancing the types of assemblies achievable.Item Open Access Magnetophoretic circuits for digital control of single particles and cells.(Nat Commun, 2014-05-14) Lim, B; Reddy, V; Hu, X; Kim, K; Jadhav, M; Abedini-Nassab, R; Noh, Y; Lim, YT; Yellen, BB; Kim, CThe ability to manipulate small fluid droplets, colloidal particles and single cells with the precision and parallelization of modern-day computer hardware has profound applications for biochemical detection, gene sequencing, chemical synthesis and highly parallel analysis of single cells. Drawing inspiration from general circuit theory and magnetic bubble technology, here we demonstrate a class of integrated circuits for executing sequential and parallel, timed operations on an ensemble of single particles and cells. The integrated circuits are constructed from lithographically defined, overlaid patterns of magnetic film and current lines. The magnetic patterns passively control particles similar to electrical conductors, diodes and capacitors. The current lines actively switch particles between different tracks similar to gated electrical transistors. When combined into arrays and driven by a rotating magnetic field clock, these integrated circuits have general multiplexing properties and enable the precise control of magnetizable objects.Item Open Access Phase Transitions, Crystal Growth, and Dynamics of Dislocations in Colloidal Monolayers(2018) Pham, An TruongPhase transitions represent a fascinating condensed matter physics phenomenon; however, the study of phase transitions at the microscopic level is challenging because of the difficulty in tracking individual atoms, which cannot be resolved in an optical microscope. To solve this problem, colloidal particles are often used to model these phase transitions because of the ease in tracking individual particles with optical microscopy and their ability to equilibriate at room temperature on experimentally accessible time scales (i.e., minutes to hours). However, most of the existing colloidal systems are not easily tunable, which makes it difficult to control and study phase transitions.
The goal of my thesis is to develop a magnetically tunable system for studying phase transitions using a monolayer of magnetic colloidal particles, which self-assemble under the influence of an external time-varying magnetic field. In this dissertation, I have both an engineering goal of developing experimental techniques that can grow sufficiently large colloidal crystals, and a scientific goal of studying the kinetics of phase transitions, paying particularly close attention to the early crystallization dynamics which my system is uniquely poised to probe. I have used this experimental apparatus to study the phase transitions in densely packed mono-component and bi-component colloidal monolayers. In both of these systems I have used magnetic fields to adjust the interactions between colloidal particles and image tracking algorithms to follow the system dynamics.
In the following chapters, I will describe the methods I have used to characterize crystal growth rates, and the mechanisms for how crystals heal, with the key points are summarized as follows. First, the ability to form large single crystals is fundamentally limited by impurities, such as the presence of random large or small particle contaminants, particle doublets, and particles that are randomly pinned to the substrate. When these impurities or defects are present even at concentrations as low as a few percent, it dramatically reduces the size of the attainable crystals. Second, I have showed that long-range magnetic interactions can produce complex phase diagrams that have both critical points and triple points, and that it is possible to move between the different phases on the fly by adjusting the strength of the magnetic field. This ability can be used to study the early dynamics of melting and solidification processes. Finally, I have used the system to find unique pathways that occur during the healing of colloidal crystal. One of these mechanisms involves both lattice slip and rotation, which does not appear to have been reported previously. This colloidal system thus has many potential applications both as a method to fabricate new materials and as a fundamental model for materials science.
Item Open Access Transition dynamics and magic-number-like behavior of frictional granular clusters.(Phys Rev E Stat Nonlin Soft Matter Phys, 2012-07) Tordesillas, Antoinette; Walker, David M; Froyland, Gary; Zhang, Jie; Behringer, Robert PForce chains, the primary load-bearing structures in dense granular materials, rearrange in response to applied stresses and strains. These self-organized grain columns rely on contacts from weakly stressed grains for lateral support to maintain and find new stable states. However, the dynamics associated with the regulation of the topology of contacts and strong versus weak forces through such contacts remains unclear. This study of local self-organization of frictional particles in a deforming dense granular material exploits a transition matrix to quantify preferred conformations and the most likely conformational transitions. It reveals that favored cluster conformations reside in distinct stability states, reminiscent of "magic numbers" for molecular clusters. To support axial loads, force chains typically reside in more stable states of the stability landscape, preferring stabilizing trusslike, three-cycle contact triangular topologies with neighboring grains. The most likely conformational transitions during force chain failure by buckling correspond to rearrangements among, or loss of, contacts which break the three-cycle topology.