Sub-micron Junction Termination for 1200V Class Devices toward CMOS Process Compatibility

2013 25th International Symposium on Power Semiconductor Devices & IC's (ISPSD), May 26-30, 2013, Ishikawa Ongakudo, Kanazawa. Japan.This study shows, for the first time, possibility of very shallow junction termination in submicron scale. The 2D-TCAD simulations unveil even 0.2μm junction depth structures are capable of blocking 1200V and usability for power devices with more than two hundreds of guard rings. Very shallow structure has robustness against diffusion depth deviation by special guard ring arrangement

Increase in intra-abdominal pressure during airway suctioning-induced cough after a successful spontaneous breathing trial is associated with extubation outcome

Abstract Background A patient’s ability to clear secretions and protect the airway with an effective cough is an important part of the pre-extubation evaluation. An increase in intra-abdominal pressure (IAP) is important in generating the flow rate necessary for a cough. This study investigated whether an increase from baseline in IAP during a coughing episode induced by routine pre-extubation airway suctioning is associated with extubation outcome after a successful spontaneous breathing trial (SBT). Methods Three hundred thirty-five (335) mechanically ventilated patients who passed an SBT were enrolled. Baseline IAP and peak IAP during successive suctioning-induced coughs were measured with a fluid column connected to a Foley catheter. Results Extubation was unsuccessful in 24 patients (7.2%). Unsuccessful extubation was 3.40 times as likely for patients with a delta IAP (ΔIAP) of ≤ 30 cm H2O than for those with a ΔIAP > 30 cm H2O, after adjusting for APACHE II score (95% CI, 1.39–8.26; p = .007). Conclusion ΔIAP during a coughing episode induced by routine pre-extubation airway suctioning is significantly associated with extubation outcome in patients with a successful SBT. Trial registration UMIN-CTR Clinical Trial, UMIN000017762. Registered 1 June 2015