scholarly journals Comparison of Geometrical Lung Models to Calculate Tidal Volumes during Spontaneous Breathing

2021 ◽  
Vol 7 (2) ◽  
pp. 819-822
Author(s):  
Simon Beck ◽  
Bernhard Laufer ◽  
Knut Moeller
Keyword(s):  
Air Pollution ◽  
Tidal Volume ◽  
Spontaneous Breathing ◽  
Use Case ◽  
Demographic Changes ◽  
Breathing Patterns ◽  
Volume Calculation ◽  
Respiratory Parameters ◽  
System Data ◽  
Human Thorax

Abstract Demographic changes, increasing air pollution and the ongoing Covid-19 pandemic, causing virus-induced respiratory failures, monitoring of respiratory parameters is the focus of international interest. In this study, motioncapture- system data was used to get circumferences of the human thorax while executing different breathing patterns. Four geometric models were used to model tidal volumes of the tracked person while using spirometry data as a reference. The results show that all four introduced models can be used for tidal volume calculation based on changes in the thoracic circumference. In terms of accuracy, the use-case must be considered

scholarly journals Measurement of respiratory rate with inertial measurement units

2020 ◽  
Vol 6 (3) ◽  
pp. 237-240
Author(s):  
Simon Beck ◽  
Bernhard Laufer ◽  
Sabine Krueger-Ziolek ◽  
Knut Moeller
Keyword(s):  
Air Pollution ◽  
Respiratory Rate ◽  
Frequency Analysis ◽  
Clinical Settings ◽  
Breathing Rate ◽  
Demographic Changes ◽  
Inertial Measurement Units ◽  
Inertial Measurement ◽  
Respiratory Parameters ◽  
Measurement Units

AbstractDemographic changes and increasing air pollution entail that monitoring of respiratory parameters is in the focus of research. In this study, two customary inertial measurement units (IMUs) are used to measure the breathing rate by using quaternions. One IMU was located ventral, and one was located dorsal on the thorax with a belt. The relative angle between the quaternion of each IMU was calculated and compared to the respiratory frequency obtained by a spirometer, which was used as a reference. A frequency analysis of both signals showed that the obtained respiratory rates vary slightly (less than 0.2/min) between the two systems. The introduced belt can analyse the respiratory rate and can be used for surveillance tasks in clinical settings.

scholarly journals Micron-sized intrapulmonary particle deposition in the developing rat lung

2012 ◽  
Vol 112 (5) ◽  
pp. 759-765
Author(s):  
Holger Schulz ◽  
Gunter Eder ◽  
Ines Bolle ◽  
Akira Tsuda ◽  
Stefan Karrasch
Keyword(s):  
Tidal Volume ◽  
Respiratory Rate ◽  
Surface Area ◽  
Lung Development ◽  
Particle Deposition ◽  
Structural Changes ◽  
Breathing Patterns ◽  
Respiratory Parameters ◽  
Wistar Kyoto ◽  
Postnatal Lung Development

Little is known about the effects of postnatal developmental changes in lung architecture and breathing patterns on intrapulmonary particle deposition. We measured deposition in the developing Wistar-Kyoto rat, whose lung development largely parallels that of humans. Deposition of 2-μm sebacate particles was determined in anesthetized, intubated, spontaneously breathing rats on postnatal days (P) 7 to 90 by aerosol photometry (Karrasch S, Eder G, Bolle I, Tsuda A, Schulz H. J Appl Physiol 107: 1293–1299, 2009). Respiratory parameters were determined by body plethysmography. Tidal volume increased substantially from P7 (0.19 ml) to P90 (2.1 ml) while respiratory rate declined from 182 to 107/min. Breath-specific deposition was lowest (9%) at P7 and P90 and markedly higher at P35 (almost 16%). Structural changes of the alveolar region include a ninefold increase in surface area (Bolle I, Eder G, Takenaka S, Ganguly K, Karrasch S, Zeller C, Neuner M, Kreyling WG, Tsuda A, Schulz H. J Appl Physiol 104: 1167–1176, 2008). Particle deposition per unit of time and surface area peaked at P35 and showed a minimum at P90. At an inhaled particle number concentration of 105/cm3, there was an estimated 450, 690, and 330 particles/(min × cm2) at P7, P35, and P90, respectively. Multiple regression models showed that deposition depends on the mean linear intercept as structural component and the breathing parameters, tidal volume, and respiratory rate ( r2 > 0.9). In conclusion, micron-sized particle deposition was dependent on the stage of postnatal lung development. A maximum was observed during late alveolarization (P35), which corresponds to human lungs of about eight years of age. Children at this age may therefore be more susceptible to micron-sized airborne environmental health hazards.

scholarly journals The Interrelationship Between Pulmonary Mechanics and the Spontaneous Breathing Pattern in the Tokay Lizard, Gekko Gecko

1984 ◽  
Vol 113 (1) ◽  
pp. 203-214 ◽  
Author(s):  
WILLIAM K. MILSOM
Keyword(s):  
Tidal Volume ◽  
Spontaneous Breathing ◽  
Breathing Pattern ◽  
Pulmonary Ventilation ◽  
Periodic Breathing ◽  
Breath Holding ◽  
Pulmonary Mechanics ◽  
Respiratory Drive ◽  
Breathing Patterns ◽  
Gekko Gecko

The normal breathing pattern of the Tokay gecko (Gekko gecko) consists of single breaths or bursts of a few breaths separated by periods of breath holding. Increases in pulmonary ventilation that accompany rises in body temperature are caused by increases in respiratory frequency due to shortening of the periods of breath holding. Tidal volume and breath duration remain relatively constant. Measurements of the mechanical work associated with spontaneous breathing yielded values that were similar to those calculated for breaths of the same size and duration based on work curves generated during pump ventilation of anaesthetized animals. In this species, the pattern of periodic breathing and the ventilatory responses to changes in respiratory drive correspond with predictions of optimal breathing patterns based on calculations of the mechanical cost of ventilation. Bilateral vagotomy drastically alters the breathing pattern producing an elevation in tidal volume, a slowing of breathing frequency, and a prolongation of the breath duration. These alterations greatly increase the mechanical cost of ventilation. These data suggest that periodic breathing in this species may represent an adaptive strategy which is under vagal afferent control and which serves to minimize the cost of breathing.

scholarly journals Optimal Sensor Location in a Smart-Shirt to Measure Accurate Tidal Volumes During Abdominal and Thoracic Respiration

2021 ◽  
Vol 7 (2) ◽  
pp. 574-577
Author(s):  
Bernhard Laufer ◽  
Paul D. Docherty ◽  
Rua Murray ◽  
Nour Aldeen Jalal ◽  
Fabian Hoeflinger ◽  
...  
Keyword(s):  
Tidal Volume ◽  
Motion Capture ◽  
Spontaneous Breathing ◽  
Upper Body ◽  
Sensor Location ◽  
Respiratory Parameters ◽  
Abdominal Breathing ◽  
The Subject ◽  
Optimal Sensor Location

Abstract The determination of respiratory parameters via respiration induced surface movements of the upper body has been the subject of research for many years. The displacements of 102 motion capture markers were evaluated in this study in terms of their information content with respect to the tidal volume recorded in parallel using a spirometer. Independent of the breathing types (spontaneous breathing, abdominal breathing, or chest breathing), the number and the location of sensors in a smart shirt to obtain tidal volume information was determined. Only 9 of 102 sensors were sufficient to obtain breathing volume information.

Obesity, tidal volume, and pulmonary deposition of fine particulate matter in children with asthma

2021 ◽  
pp. 2100209
Author(s):  
Nima Afshar-Mohajer ◽  
Tianshi David Wu ◽  
Rebecca Shade ◽  
Emily Brigham ◽  
Han Woo ◽  
...  
Keyword(s):  
Air Pollution ◽  
Particulate Matter ◽  
Tidal Volume ◽  
Respiratory Rate ◽  
Minute Ventilation ◽  
Fine Particulate Matter ◽  
Breathing Patterns ◽  
Obese Children ◽  
Fine Particulate ◽  
Children With Asthma

BackgroundObese children with asthma are more vulnerable to air pollution, especially fine particulate matter (PM2.5), but reasons are poorly understood. We hypothesised that differences in breathing patterns (tidal volume, respiratory rate, and minute ventilation) due to elevated body mass index (BMI) may contribute to this finding.ObjectiveTo investigate the association of BMI with breathing patterns and deposition of inhaled PM2.5.MethodsBaseline data from a prospective study of children with asthma was analysed (n=174). Tidal breathing was measured by a pitot-tube flowmeter, from which tidal volume, respiratory rate, and minute ventilation were obtained. The association of BMI z-score with breathing patterns was estimated in a multivariable model adjusted for age, height, race, sex, and asthma severity. A particle dosimetry model simulated PM2.5 lung deposition based on BMI-associated changes in breathing patterns.ResultsHigher BMI was associated with higher tidal volume (adjusted mean difference [aMD] between obese and normal-range BMI of 25 mL, 95% confidence interval [CI] 5–45 mL) and minute ventilation (aMD 453 mL·min−1, 95%CI 123–784 mL·min−1). Higher tidal volumes caused higher fractional deposition of PM2.5 in the lung, driven by greater alveolar deposition. This translated into obese participants having greater per-breath retention of inhaled PM2.5 (aMD in alveolar deposition fraction of 3.4%; 95% CI 1.3–5.5%), leading to worse PM2.5 deposition rates.ConclusionsObese children with asthma breathe at higher tidal volumes that may increase the efficiency of PM2.5 deposition in the lung. This finding may partially explain why obese children with asthma exhibit greater sensitivity to air pollution.

Normoxic and hypoxic breathing pattern in newborn grey seals

1989 ◽  
Vol 67 (2) ◽  
pp. 483-487 ◽  
Author(s):  
Jacopo P. Mortola ◽  
Clement Lanthier
Keyword(s):  
Tidal Volume ◽  
Breathing Pattern ◽  
Halichoerus Grypus ◽  
Breathing Rate ◽  
Allometric Relationships ◽  
Breathing Patterns ◽  
Hypoxic Conditions ◽  
Regulation Of Breathing ◽  
Expiratory Flow

We studied the breathing patterns of three newborn grey seals (Halichoerus grypus) at 2 – 3 days of age under normoxic and hypoxic conditions with the barometric technique, which does not require the animal to be restrained. Normoxic tidal volume was deeper and breathing rate slower than expected for newborns of this size on the basis of previously published allometric relationships. In addition, two characteristics were readily apparent: (i) occasional sudden long apneas, often exceeding 30 s in duration, and (ii) consistent brief interruptions of expiratory flow. Neither aspect is common in terrestrial newborns of this age, but both have been previously observed in adult seals. During hypoxia (10 min of 15% O2 and 10 min of 10% O2), ventilation increased markedly and steadily, at variance with what occurs in newborns of other species, indicating a precocial development of the regulation of breathing. This latter result also suggests that the blunted response to hypoxia previously reported in adult seals may be acquired postnatally with diving experience.

scholarly journals Impact of cervical spinal cord contusion on the breathing pattern across the sleep-wake cycle in the rat

2019 ◽  
Vol 126 (1) ◽  
pp. 111-123 ◽  
Author(s):  
Kun-Ze Lee
Keyword(s):  
Spinal Cord ◽  
Tidal Volume ◽  
Spinal Injury ◽  
Cervical Spinal Cord ◽  
Minute Ventilation ◽  
Respiratory Frequency ◽  
Breathing Patterns ◽  
Cord Injury ◽  
Spinal Contusion ◽  
Cervical Spinal Injury

The present study was designed to investigate breathing patterns across the sleep-wake state following a high cervical spinal injury in rats. The breathing patterns (e.g., respiratory frequency, tidal volume, and minute ventilation), neck electromyogram, and electroencephalography of unanesthetized adult male rats were measured at the acute (i.e., 1 day), subchronic (i.e., 2 wk), and/or chronic (i.e., 6 wk) injured stages after unilateral contusion of the second cervical spinal cord. Cervical spinal cord injury caused a long-term reduction in the tidal volume but did not influence the sleep-wake cycle duration. The minute ventilation during sleep was usually lower than that during the wake period in uninjured animals due to a decrease in respiratory frequency. However, this sleep-induced reduction in respiratory frequency was not observed in contused animals at the acute injured stage. By contrast, the tidal volume was significantly lower during sleep in contused animals but not uninjured animals from the acute to the chronic injured stage. Moreover, the frequency of sigh and postsigh apnea was elevated in acutely contused animals. These results indicated that high cervical spinal contusion is associated with exacerbated sleep-induced attenuation of the tidal volume and higher occurrence of sleep apnea, which may be detrimental to respiratory functional recovery after cervical spinal cord injury. NEW & NOTEWORTHY Cervical spinal injury is usually associated with sleep-disordered breathing. The present study investigated breathing patterns across sleep-wake state following cervical spinal injury in the rat. Unilateral cervical spinal contusion significantly impacted sleep-induced alteration of breathing patterns, showing a blunted frequency response and exacerbated attenuated tidal volume and occurrence of sleep apnea. The result enables us to investigate effects of cervical spinal injury on the pathogenesis of sleep-disordered breathing and evaluate potential therapies to improve respiration.

Augmentation of phrenic neural activity by increased rates of lung inflation

1981 ◽  
Vol 50 (1) ◽  
pp. 149-161 ◽  
Author(s):  
A. I. Pack ◽  
R. G. DeLaney ◽  
A. P. Fishman
Keyword(s):  
Tidal Volume ◽  
Volume Change ◽  
Neural Activity ◽  
Negative Pressure ◽  
Spontaneous Breathing ◽  
Moving Average ◽  
Constant Flow ◽  
Lung Inflation ◽  
Negative Pressure Ventilation ◽  
Single Breath

Studies were conducted in anesthetized paralyzed dogs using a cycle-triggered constant-flow ventilator, which ventilated the animal in phase with the recorded phrenic neural activity. Intermittently tests were performed in which the animal was ventilated with a different airflow for a single breath. Increased airflows, within the range generated during spontaneous breathing, caused an increased rate of rise of the moving average phrenic neurogram and a shortening of the duration of the nerve burst. The magnitude of the increase in the rate of rise of the neurogram was related to the level of inspiratory airflow. Tests with brief pulses of airflow showed that an increase in the rate of rise of the phrenic neurogram could be produced without inflating the lung above the resting tidal volume of the animal. Similar results were obtained with negative-pressure ventilation and the effects were abolished by vagotomy. This vagally mediated augmentation of phrenic neural output may accelerate the inspiratory volume change in the lung during spontaneous breathing at hyperpneic levels.

scholarly journals Respiration parameter determination with non-obstructive methods

2020 ◽  
Vol 18 ◽  
pp. 89-95
Author(s):  
Sven Fisahn ◽  
Christian Siebauer ◽  
Jan Ringkamp ◽  
Kirsten J. Dehning ◽  
Stefan Zimmermann ◽  
...  
Keyword(s):  
Tidal Volume ◽  
High Frequency ◽  
Positive Airway Pressure ◽  
Artificial Ventilation ◽  
Parameter Determination ◽  
Dynamic Changes ◽  
Endotracheal Tubes ◽  
Respiratory Parameters ◽  
Lung Phantom ◽  
Difference Time

Abstract. Measuring respiratory parameters like the breathing frequency or the tidal volume is essential in intensive care to ensure an optimal and lung protecting ventilation. A common practice in artificial ventilation of sensitive patients like infants or neonates is the use of uncuffed endotracheal tubes in combination with continuous positive airway pressure (CPAP). This comes with the disadvantage of an unknown leakage making it difficult to detect spontaneous breathing or to measure the tidal volume reliable. A novel non-obstructive method to determine respiratory parameters as well as dynamic changes of thoracic parameters has recently been presented and uses a pair of coupled UHF (ultra high frequency) antennae. In this paper, a respective setup is investigated numerically using finite difference time domain method and experimentally using an artificial lung phantom. Both approaches show that the investigated method seems capable of allowing a contactless triggering to synchronize natural and artificial breathing. The results are compared to derive a better understanding of influencing factors and opportunities for an optimisation.

Abstract 13216: Initial Survey of Respiratory Mechanics During Prehospital Bag Ventilation

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Betty Y Yang ◽  
Jennifer E Blackwood ◽  
Jenny Shin ◽  
Sally Guan ◽  
Mengqi Gao ◽  
...  
Keyword(s):  
Tidal Volume ◽  
Respiratory Mechanics ◽  
Predicted Body Weight ◽  
Convenience Sample ◽  
Measuring Device ◽  
Respiratory Parameters ◽  
Initial Survey ◽  
Post Intubation ◽  
End Tidal ◽  
The Relationship

Introduction: Respiratory mechanics, such as tidal volume and inspiratory pressures, affect outcome in hospitalized patients with respiratory failure. The ability to accurately measure respiratory mechanics in the prehospital setting is limited, thus the relationship between prehospital respiratory mechanics and clinical outcome is not well understood. In this feasibility study, we examined respiratory mechanics of bag-valve mask (BVM) ventilation by emergency medical services (EMS) using a novel in-line measuring device during a period when agencies switched from larger to smaller ventilation bags. Methods: This prospective cohort study included a convenience sample of adult patients who received BVM ventilation by EMS, from August 2018 to January 2020, in Bellevue, Washington. The airway monitoring device was applied by paramedics after intubation to passively record in black box mode, until termination of efforts or hospital arrival. Respiratory parameters included tidal volume, airway pressure, flow rates, end-tidal carbon dioxide, and respiratory rate. Prehospital agencies transitioned from large (1500 mL) to small (1000 mL) ventilation bags during the study period. Results: 7371 post-intubation breaths were measured in 54 patients, 32 treated for out-of-hospital cardiac arrest (OHCA) and 22 treated for non-arrest conditions, primarily respiratory etiology. EMS ventilated 19 patients with a small bag and 35 patients with a large bag. Ventilation with a smaller bag was characterized by less variability in tidal volumes and higher proportion of breaths delivered within 4-10 mL/kg of predicted body weight (Figure) (p<0.05). Conclusions: Respiratory mechanics can be measured in EMS patients receiving BVM ventilation following intubation. Ventilation with a smaller bag might reduce variation in tidal volume, but further study is needed. These data provide the first evaluation of respiratory mechanics during manual ventilation provided by EMS.

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