Positive end-expiratory pressure is required after a lung recruitment maneuver in patients ventilated with high FiO2 after cardiac surgery to maintain lung volumes and the improved oxygenation.

In patients ventilated after cardiac surgery: (1) PEEP increased lung volume but not PaO2, (2) a lung recruitment maneuver without subsequent PEEP had no sustained effect, and (3) both a lung recruitment maneuver and PEEP were needed to increase and maintain the increased lung volume and PaO2.

Our data, based on a severe osteoporotic population, demonstrate that VFA is inferior relative to X-ray in visualizing vertebrae properly in the upper spine, resulting in vertebrae not being assessable for analysis and a reduced diagnostic performance in detecting fractures. Improvements in DXA techniques are needed for it to be comparable with X-ray in VF diagnosis.

Seventy patients with 72 conservatively treated tibial plateau fractures were re-examined after an average of 5 3/4 years. Among 55 fractured knees with a primary articular depression of 1-20 mm, the depression was still present radiographically in 47 knees. No correlation existed between the persistent radiographic depression and function of the knee. Moderate to severe osteoarthrosis was found in 10 knees; in five of these the osteoarthrosis was of clinical importance. More than 10 degrees of valgus/varus deformity was present in two knees. In two patients osteotomy had been performed to correct deformity. It is concluded that a persistent radiographic articular depression is of no clinical importance in tibial plateau fractures treated by conservative methods, which include early movement of the knee. The radiographic examination, however is, useful in the evaluation of valgus/varus deformity and osteoarthrosis.

This paper describes the status of the Collaborative Advanced Gas Turbine (CAGT) Program’s initiative to commercialize interCooled AeroDerivative gas turbine (ICAD) technology. CAGT is a consortium of domestic and international electric companies, gas companies and research organizations. ICAD gas turbine technology was selected by CAGT member companies and potential suppliers in a competitive $5 million screening study of various advanced gas turbine options in the 1992–94 time frame. Efforts to commercialize ICAD began in 1994–95. The most attractive ICAD gas turbine options were based on high thrust engines produced by General Electric. Pratt & Whitney and Rolls Royce aircraft divisions. Simple cycle ICAD represents a new intermediate load gas turbine product class with costs and performance unlike any other product available today. Simple cycle efficiencies will approach Chose of many operating combined cycles, but with the low capital costs and rapid start times of a peaking gas turbine. ICAD simple cycle units would be in the 100–130 MW size range with efficiencies in the range of 45–48% + LHV and combined cycle efficiencies potentially as high as 60% + LHV. All efficiencies are presented in the paper in lower heating value (LHV). ICAD gas turbines will eddress a wide range of simple cycle, cogeneration. innovative repowering, combined cycle, distributed generation and renewable energy applications. CAGT members have several projects underway with the goal of the first ICAD unit to begin operation before the year 2000. Industry restructuring has reduced near-term demand for new generation in the United States with a corresponding drop in gas turbine prices. Given the large development cost for any new gas turbine product, potential ICAD suppliers have indicated the need for a launch order to proceed with development. CAGT is pursuing a number of project development and strategic alliance strategies globally to organize a launch order in the range of 10–15 projects. Efforts are also underway to examine options for demonstrating ICAD on a smaller scale (Small ICAD or SICAD) which would address the emerging market for distributed generation. CAGT members feel the low costs and flexibility offered by ICAD could be a significant source of competitive advantage in restructuring electric markets. CAGT members invite others to join the program.