A Novel IoT-Based Solution for Respiratory Flow Diagnosis

2021 ◽  
pp. 101-115
Author(s):  
Arya Paul ◽  
Divya V. Chandran ◽  
Remya Ramesh
Keyword(s):  
Respiratory Flow

scholarly journals Aerial Transmission of the SARS-CoV-2 Virus through Environmental E-Cigarette Aerosols: Implications for Public Policies

2021 ◽  
Vol 18 (4) ◽  
pp. 1437
Author(s):  
Roberto A. Sussman ◽  
Eliana Golberstein ◽  
Riccardo Polosa
Keyword(s):  
Emission Rate ◽  
Respiratory Activity ◽  
Separation Distance ◽  
Mitigation Strategies ◽  
Relative Risks ◽  
Respiratory Flow ◽  
Outdoor Spaces ◽  
Direct Exposure ◽  
Social Separation ◽  
Indoor Spaces

We discuss the implications of possible contagion of COVID-19 through e-cigarette aerosol (ECA) for prevention and mitigation strategies during the current pandemic. This is a relevant issue when millions of vapers (and smokers) must remain under indoor confinement and/or share public outdoor spaces with non-users. The fact that the respiratory flow associated with vaping is visible (as opposed to other respiratory activities) clearly delineates a safety distance of 1–2 m along the exhaled jet to prevent direct exposure. Vaping is a relatively infrequent and intermittent respiratory activity for which we infer a mean emission rate of 79.82 droplets per puff (6–200, standard deviation 74.66) comparable to mouth breathing, it adds into shared indoor spaces (home and restaurant scenarios) a 1% extra risk of indirect COVID-19 contagion with respect to a “control case” of existing unavoidable risk from continuous breathing. As a comparative reference, this added relative risk increases to 44–176% for speaking 6–24 min per hour and 260% for coughing every 2 min. Mechanical ventilation decreases absolute emission levels but keeps the same relative risks. As long as direct exposure to the visible exhaled jet is avoided, wearing of face masks effectively protects bystanders and keeps risk estimates very low. As a consequence, protection from possible COVID-19 contagion through vaping emissions does not require extra interventions besides the standard recommendations to the general population: keeping a social separation distance of 2 m and wearing of face masks.

scholarly journals A Comparative Evaluation of Pressure-Triggering and Flow-Triggering in Pressure Support Ventilation (PSV) for Neonates Using an Animal Model

1995 ◽  
Vol 23 (3) ◽  
pp. 302-306 ◽  
Author(s):  
A. Uchiyama ◽  
H. Imanaka ◽  
N. Taenaka ◽  
S. Nakano ◽  
Y. Fujino ◽  
...  
Keyword(s):  
Animal Model ◽  
Pressure Support Ventilation ◽  
Airway Pressure ◽  
Comparative Evaluation ◽  
Pressure Support ◽  
Trigger Delay ◽  
Support Ventilation ◽  
Respiratory Flow ◽  
Oesophageal Pressure ◽  
Support Time

The triggering system in pressure support ventilation needs to respond rapidly, especially in neonates. The aim of this study was to compare the effects of flow-triggered and pressure-triggered pressure support ventilation on neonatal mechanical ventilation using an animal model. Respiratory flow, airway pressure, oesophageal pressure, and diaphragmatic electromyogram were measured during pressure support ventilation in five anaesthetized rabbits. The animals were connected to a VIPBIRD (Bird, U.S.A.) (CPAP mode, pressure support ventilation, 5 cm H2O) and PEEP 0 cm H2O). Flow-triggering sensitivity was set at 0.21/min, 0.51/min, 1.011/min, or 1.51/min. Pressure-triggering sensitivity was set at −1.0 cm H2O. Shorter trigger delay and longer pressure support time were observed in flow-triggering. There was also less diaphragmatic activity in flow-triggering as evidenced by the amplitude of integrated diaphragmatic electromyogram and negative deflection of oesophageal pressure. The findings suggest that flow-triggering will prove superior to pressure-triggering in pressure support ventilation for neonates.

scholarly journals Validation of a new wearable device for type 3 sleep test without flowmeter

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249470
Author(s):  
Mauro Contini ◽  
Antonio Sarmento ◽  
Paola Gugliandolo ◽  
Alessandra Leonardi ◽  
Gianluigi Longinotti-Buitoni ◽  
...  
Keyword(s):  
Simultaneous Recording ◽  
Screening Tests ◽  
Respiratory Flow ◽  
Ventilation Monitoring ◽  
Two Systems ◽  
Test Instrumentation ◽  
Central Apneas ◽  
Type 3

Background Ventilation monitoring during sleep is performed by sleep test instrumentation that is uncomfortable for the patients due to the presence of the flowmeter. The objective of this study was to evaluate if an innovative type 3 wearable system, the X10X and X10Y, is able to correctly detect events of apnea and hypopnea and to classify the severity of sleep apnea without the use of a flowmeter. Methods 40 patients with sleep disordered breathing were analyzed by continuous and simultaneous recording of X10X and X10Y and another certified type 3 system, SOMNOtouch, used for comparison. Evaluation was performed in terms of quality of respiratory signals (scores from 1, lowest, to 5, highest), duration and classification of apneas, as well as identification and duration of hypopneas. Results 580 periods were evaluated. Mean quality assigned score was 3.37±1.42 and 3.25±1.35 for X10X and X10Y and SOMNOtouch, respectively. The agreement between the two systems was evaluated with grades 4 and 5 in 383 out of 580 cases. A high correlation (r2 = 0.921; p<0.001) was found between the AHI indexes obtained from the two systems. X10X and X10Y devices were able to correctly classify 72.3% of the obstructive apneas, 81% of the central apneas, 61.3% of the hypopneas, and 64.6% of the mixed apneas when compared to SOMNOtouch device. Conclusion The X10X and X10Y devices are able to provide a correct grading of sleep respiratory disorders without the need of a nasal cannula for respiratory flow measurement and can be considered as a type 3 sleep test device for screening tests.

scholarly journals Effects of Aqueous Quassia amara L. (Korales) Leaf Extract on the Cardiovascular and Respiratory Functions of Male Sprague-Dawley Rats

2018 ◽  
Vol 52 (6) ◽  
Author(s):  
Maria Concepcion C. Sison ◽  
Lynn Crisanta R. Panganiban ◽  
Daisy Mae A. Bagaoisan ◽  
Nelia P. Cortes-Maramba
Keyword(s):  
Blood Pressure ◽  
Adult Male ◽  
Leaf Extract ◽  
Sprague Dawley ◽  
Treatment Groups ◽  
Respiratory Flow ◽  
Sprague Dawley Rats ◽  
Parallel Group ◽  
Aqueous Leaf Extract ◽  
Quassia Amara

Objective. To To evaluate potential effects of the aqueous extract of Quassia amara L. leaves on the cardiovascular and respiratory systems of adult male Sprague- Dawley rats. Methods. The cardiovascular and respiratory effects of the Quassia amara L. leaf extract on adult male SpragueDawley rats were assessed using non-invasive blood pressure (NIBP) determination and head-out plethysmography, respectively, in a randomized, parallel group study. Mean observations of blood pressure and heart rate were recorded at different time periods after dosing. Respiratory flow and irritation effects were evaluated using mean observations of respiratory rate (RR), tidal volume (TV), mid-expiratory flow rate (EF50), time of inspiration (TI) and expiration (TE), and time of break (TB) and pause (TP). Results. There were no significant differences among the control and the treatment groups in SBP, DBP and HR parameters. The extract showed statistically significant effect on mean RR by time period (F=2.45, p=0.0234), trends over time of TV among the dose groups (F=2.00, p=0.0202), and EF50 among dose groups ((F=3.11, p=0.0422). However, these did not correlate with the changes in the time of break (TB) and time of pause (TP) which are more sensitive and specific tests for respiratory irritation. Conclusion. Aqueous leaf extract of Quassia appeared to have no significant effects on SBP, DPB, Pulse pressure, and HR. There are no conclusive dose-related respiratory flow or pulmonary irritation effects.

Ultrasonic Anemometer for the Measurement of Respiratory Flow in the Forced Oscillation Technique

2007 ◽  
Author(s):  
Guilherme A. L. Araujo ◽  
Reginardo T. L. Junior ◽  
Raimundo C. S. Freire ◽  
Ivan S. S. Silva ◽  
Jose F. da Silva ◽  
...  
Keyword(s):  
Forced Oscillation ◽  
Forced Oscillation Technique ◽  
Respiratory Flow ◽  
Ultrasonic Anemometer
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