caa a22 4500 605509867 CHVBK 20210128100643.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10877-015-9658-y doi (NATIONALLICENCE)springer-10.1007/s10877-015-9658-y Assessment of noninvasive acoustic respiration rate monitoring in patients admitted to an Emergency Department for drug or alcoholic poisoning [Elektronische Daten] [Youcef Guechi, Amélie Pichot, Denis Frasca, Fatima Rayeh-Pelardy, Jean-Yves Lardeur, Olivier Mimoz] 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. Springer Science+Business Media New York, 2015 Physiological monitoring nationallicence Poisoning nationallicence Respiratory complication nationallicence Guechi Youcef Emergency Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut Pichot Amélie Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut Frasca Denis Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut Rayeh-Pelardy Fatima Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut Lardeur Jean-Yves Emergency Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut Mimoz Olivier Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/6(2015-12-01), 721-726 1387-1307 29:6<721 2015 29 10877 https://doi.org/10.1007/s10877-015-9658-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-015-9658-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Guechi Youcef Emergency Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut NATIONALLICENCE 700 1- Pichot Amélie Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut NATIONALLICENCE 700 1- Frasca Denis Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut NATIONALLICENCE 700 1- Rayeh-Pelardy Fatima Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut NATIONALLICENCE 700 1- Lardeur Jean-Yves Emergency Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut NATIONALLICENCE 700 1- Mimoz Olivier Anesthesia and Intensive Care Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86000, Poitiers, France aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/6(2015-12-01), 721-726 1387-1307 29:6<721 2015 29 10877