Respiratory Effort Belts in Postoperative Respiratory Monitoring: Pilot Study with Different Patients
Tiina M Seppänen, Olli-Pekka Alho, Merja Vakkala, Seppo Alahuhta, Tapio Seppänen
2016
Abstract
Respiratory complications are common in patients after the general anaesthesia. Respiratory depression often occurs in association with postoperative opioid analgesia. Currently, there is a need for a continuous non-invasive respiratory monitoring of spontaneously breathing postoperative patients. We used calibrated respiratory effort belts for the respiratory monitoring pre- and postoperatively. Used calibration method enables accurate estimates of the respiratory airflow waveforms. Five different patients were measured with the spirometer and respiratory effort belts at the same time. Preoperative measurements were done in the operating room just before the operation, whereas postoperative measurements were done in the recovery room after the operation. We compared three calibration models pre- and postoperatively. Postoperative calibration produced more accurate respiratory airflows. Results show that not only the tidal volume, minute volume and respiratory rate can be computed precisely from the estimated respiratory airflow, but also the respiratory airflow waveforms are very accurate. The method produced accurate estimates even from the following challenging respiratory signals: low airflows, COPD, hypopneic events and thoracoabdominal asynchrony. The presented method is able to produce estimates of postoperative respiratory airflow waveforms to enable accurate, continuous, non-invasive respiratory monitoring postoperatively.
References
- Cepeda M.S., Farrar J.T., Baumgarten M., Boston R., Carr D.B., Strom B.L., 2003. Side effects of opioids during short-term administration: Effect of age, gender, and race. Clinical Pharmacology & Therapeutics, 74(2): 102-112.
- Drummond G.B., Bates A., Mann J., Arvind D.K., 2013. Characterization of breathing patterns during patientcontrolled opioid analgesia. British Journal of Anaesthesia, 111(6): 971-978.
- Etches R., 1994. Respiratory depression associated with patient-controlled analgesia: a review of eight cases. Canadian Journal of Anaesthesia, 41(2): 125-132.
- Gamil M., Fanning A., 1991. The first 24 hours after surgery. A study of complications after 2153 consecutive operations. Anaesthesia, 46: 712-715.
- George J.A., Lin E.E., Hanna M.N., Murphy J.D., Kumar K., Ko P.S., Wu C.L., 2010. The effect of intravenous opioid patient-controlled analgesia with and without background infusion on respiratory depression: a metaanalysis. Journal of Opioid Management, 6(1): 47-54.
- Lovett P.B., Buchwald J.M., Sturmann K., Bijur P., 2005. The vexatious vital: neither clinical measurements by nurses nor an electronic monitor provides accurate measurements of respiratory rate in triage. Annals of Emergency Medicine, 45(1): 68-76.
- Lynn L.A., Curry J.P., 2011. Patterns of unexpected inhospital deaths: a root cause analysis. Patient Safety in Surgery, 5:3.
- Ramsay M.A.E., Usman M., Lagow E., Mendoza M., Untalan E., De Vol E., 2013. The accuracy, precision and reliability of measuring ventilatory rate and detecting ventilatory pause by rainbow acoustic monitoring and capnometry. Anesthesia & Analgesia, 117(1): 69-75.
- Seppänen, T.M., Alho, O.-P., Seppänen T., 2013. Reducing the airflow waveform distortions from breathing style and body position with improved calibration of respiratory effort belts. Biomedical Engineering Online, 12:97.
- Taylor S., Kirton O.C., Staff I, Kozol R.A., 2005. Postroperative day one: a high risk period for respiratory events. The American Journal of Surgery, 190(5): 752-756.
- Voscopoulos C.J., MacNabb C.M., Brayanov J., Qin L., Freeman J., Mullen G.J., Ladd D., George E., 2015. The evaluation of a non-invasive respiratory volume monitor in surgical patients undergoing elective surgery with general anesthesia. Journal of Clinical Monitoring and Computing, 29(2): 223-230.
- Voscopoulos C., Ladd D., Campana L., George E., 2014. Non-invasive respiratory volume monitoring to detect apnea in post-operative patients: case series. Journal of Clinical Medicine Research, 6(3): 209-214.
- Voscopoulos C.J., MacNabb C.M., Freeman J., Galvagno S.M., Ladd D., George E., 2014. Continuous noninvasive respiratory volume monitoring for the identification of patients at risk for opioid-induced respiratory depression and obstructive breathing patterns. Journal of Trauma and Acute Care Surgery, 77(3): S208-S215.
- Voscopoulos C, Brayanov J., Ladd D., Lalli M., Panasyuk A., Freeman J., 2013. Evaluation of a novel noninvasive respiration monitor providing continuous measurement of minute ventilation in ambulatory subjects in a variety of clinical scenarios. Anesthesia & Analgesia, 117(1): 91-100.
Paper Citation
in Harvard Style
Seppänen T., Alho O., Vakkala M., Alahuhta S. and Seppänen T. (2016). Respiratory Effort Belts in Postoperative Respiratory Monitoring: Pilot Study with Different Patients . In Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016) ISBN 978-989-758-170-0, pages 76-82. DOI: 10.5220/0005695000760082
in Bibtex Style
@conference{healthinf16,
author={Tiina M Seppänen and Olli-Pekka Alho and Merja Vakkala and Seppo Alahuhta and Tapio Seppänen},
title={Respiratory Effort Belts in Postoperative Respiratory Monitoring: Pilot Study with Different Patients},
booktitle={Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016)},
year={2016},
pages={76-82},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005695000760082},
isbn={978-989-758-170-0},
}
in EndNote Style
TY - CONF
JO - Proceedings of the 9th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2016)
TI - Respiratory Effort Belts in Postoperative Respiratory Monitoring: Pilot Study with Different Patients
SN - 978-989-758-170-0
AU - Seppänen T.
AU - Alho O.
AU - Vakkala M.
AU - Alahuhta S.
AU - Seppänen T.
PY - 2016
SP - 76
EP - 82
DO - 10.5220/0005695000760082