Assessment of noninvasive acoustic respiration rate monitoring in patients admitted to an Emergency Department for drug or alcoholic poisoning

Verfasser / Beitragende:
[Youcef Guechi, Amélie Pichot, Denis Frasca, Fatima Rayeh-Pelardy, Jean-Yves Lardeur, Olivier Mimoz]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Clinical Monitoring and Computing, 29/6(2015-12-01), 721-726
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10877-015-9658-y  |2 doi 
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245 0 0 |a Assessment of noninvasive acoustic respiration rate monitoring in patients admitted to an Emergency Department for drug or alcoholic poisoning  |h [Elektronische Daten]  |c [Youcef Guechi, Amélie Pichot, Denis Frasca, Fatima Rayeh-Pelardy, Jean-Yves Lardeur, Olivier Mimoz] 
520 3 |a To compare respiration rate measurement by an acoustic method and thoracic impedance to capnometry as the reference method, in patients at the Emergency Department after drug or alcoholic poisoning. In this observational study, 30 patients aged 18 or older, hospitalized at the Emergency Department for drug or alcoholic poisoning, without any contraindication to a face mask and/or a cervical acoustic sensor, were included in the study. They benefited from a simultaneous recording of their respiration rate by the acoustic method (RRa®, Masimo Corp., Irvine, CA, USA), by thoracic impedance (Philips Intellivue® MP2, Suresnes, France) and by capnometry (Capnostream® 20, Oridion, Jerusalem, Israël) through a face mask (Capnomask®, Mediplus Ltd, Raleigh, NC, USA) for 40-60min. Of the 86,578 triplets collected, 77,155 (89.1%) were exploitable. Median (range) respiration rate measured by capnometry was 18 (7-29)bpm. Compared to capnometry, bias and limits of agreement were 0.1±3.8bpm for the acoustic method and 0.3±5.5bpm for thoracic impedance. The proportions of RR values collected by acoustic method or by thoracic impedance which differed over 10 or 20% during more than 15s, compared to capnometry, were 8.3 versus 14.3, and 1.5 versus 3.8%, respectively (p<0.0001). The acoustic sensor had to be repositioned on three patients. For 11 patients, the Capnomask® was removed several times. In patients with drug or alcoholic poisoning, the acoustic method seems more accurate than thoracic impedance and better tolerated than face mask capnometry. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Physiological monitoring  |2 nationallicence 
690 7 |a Poisoning  |2 nationallicence 
690 7 |a Respiratory complication  |2 nationallicence 
700 1 |a Guechi  |D Youcef  |u Emergency Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
700 1 |a Pichot  |D Amélie  |u Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
700 1 |a Frasca  |D Denis  |u Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
700 1 |a Rayeh-Pelardy  |D Fatima  |u Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
700 1 |a Lardeur  |D Jean-Yves  |u Emergency Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
700 1 |a Mimoz  |D Olivier  |u Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
773 0 |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/6(2015-12-01), 721-726  |x 1387-1307  |q 29:6<721  |1 2015  |2 29  |o 10877 
856 4 0 |u https://doi.org/10.1007/s10877-015-9658-y  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10877-015-9658-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Guechi  |D Youcef  |u Emergency Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pichot  |D Amélie  |u Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Frasca  |D Denis  |u Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rayeh-Pelardy  |D Fatima  |u Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lardeur  |D Jean-Yves  |u Emergency Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mimoz  |D Olivier  |u Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/6(2015-12-01), 721-726  |x 1387-1307  |q 29:6<721  |1 2015  |2 29  |o 10877